减肥手术后维生素缺乏的长期患病率:一个元分析
Lu Chen1, Yanya Chen2,3, Xuefen Yu4
1School of Health, Dongguan Polytechnic, Dongguan, 523808, China.
Langenbeck's archives of surgery
|July 19, 2024
概括
长期减肥手术患者经常出现维生素缺乏,特别是维生素D,E和A. 针对性的补充计划非常重要,因为缺陷率因手术类型和地区而异.
科学领域:
- 营养科学 营养科学
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 减肥手术与短期到中期的维生素缺乏症有关.
- 低血压手术后的长期维生素缺乏患病率仍然不清楚.
研究的目的:
- 进行一个关于减肥手术后维生素缺乏症的长期流行率 (≥5年) 的元分析.
- 识别高缺陷风险的特定维生素和影响患病率的因素.
主要方法:
- 在EMBASE,PubMed和CENTRAL数据库中进行系统的文献搜索,截至2023年6月.
- 在54项纳入研究中进行了元分析,灵敏度,子组和元回归分析.
主要成果:
- 长期缺乏的高患病率:维生素D (35.8%),E (16.5%),A (13.4%),K (9.6%),B12 (8.5%). 维生素D的含量较高的人群中,维生素D的含量较低的人群中,维生素D的含量较高的人群中,维生素D的含量较低的人群中,维生素D的含量较高的人群中,维生素D的含量较低的人群中,维生素D的含量较高的人群中,维生素D的含量较高的人群中,维生素D的含量较低的人群中,维生素D的含量较高的人群中,维生素D的含量较低的人群中,维生素D的含量较高的人群中,维生素D的含量较低的人群中,维生素D的含量较低的人群中,维生素D的含量较高的人群中.
- 随着随访时间的推移,维生素A和叶酸缺乏的患病率增加.
- 鲁克斯-en-Y胃绕道显示了更高的B12缺乏率;缺陷的区域差异被观察到.
结论:
- 长期减肥手术患者面临显著的维生素缺乏 (D,E,A,K,B12).
- 手术程序,随访时间和地理区域影响缺陷模式.
- 制定有针对性的维生素补充策略是必不可少的.
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