Micronutrient levels and supplement intake in pregnancy after bariatric surgery: a prospective cohort study
Studies report frequent micronutrient deficiencies after bariatric surgery, but less is known about micronutrient levels of pregnant women after bariatric surgery. To prospectively evaluate micronutrient levels and supplement intake in pregnancy following bariatric surgery. A multicenter prospective...
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| creator | Devlieger, Roland Guelinckx, Isabelle Jans, Goele Voets, Willy Vanholsbeke, Caroline Vansant, Greet |
| description | Studies report frequent micronutrient deficiencies after bariatric surgery, but less is known about micronutrient levels of pregnant women after bariatric surgery.
To prospectively evaluate micronutrient levels and supplement intake in pregnancy following bariatric surgery.
A multicenter prospective cohort study including women with restrictive or malabsorptive types of bariatric surgery. Nutritional deficiencies, together with supplement intake, were screened during pregnancy.
The total population included 18 women in the restrictive and 31 in the malabsorptive group. Most micronutrients were depleted and declined significantly during pregnancy. The proportion of women with low vitamin A and B-1 levels increased to respectively 58 and 17% at delivery (P = 0.005 and 0.002). The proportion of women with vitamin D deficiency decreased from 14% at trimester 1 to 6% at delivery (P = 0.030). Mild anemia was found in respectively 22 and 40% of the women at trimester 1 and delivery. In the first trimester, most women took a multivitamin (57.1%). In the second and third trimester, the majority took additional supplements (69.4 and 73.5%). No associations were found between supplement intake and micronutrient deficiencies.
Pregnant women with bariatric surgery show frequent low micronutrient levels. Supplementation partially normalizes low levels of micronutrients. |
| doi_str_mv | 10.1371/journal.pone.0114192 |
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To prospectively evaluate micronutrient levels and supplement intake in pregnancy following bariatric surgery.
A multicenter prospective cohort study including women with restrictive or malabsorptive types of bariatric surgery. Nutritional deficiencies, together with supplement intake, were screened during pregnancy.
The total population included 18 women in the restrictive and 31 in the malabsorptive group. Most micronutrients were depleted and declined significantly during pregnancy. The proportion of women with low vitamin A and B-1 levels increased to respectively 58 and 17% at delivery (P = 0.005 and 0.002). The proportion of women with vitamin D deficiency decreased from 14% at trimester 1 to 6% at delivery (P = 0.030). Mild anemia was found in respectively 22 and 40% of the women at trimester 1 and delivery. In the first trimester, most women took a multivitamin (57.1%). In the second and third trimester, the majority took additional supplements (69.4 and 73.5%). No associations were found between supplement intake and micronutrient deficiencies.
Pregnant women with bariatric surgery show frequent low micronutrient levels. Supplementation partially normalizes low levels of micronutrients.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0114192</identifier><identifier>PMID: 25470614</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adolescent ; Adult ; Analysis ; Anemia ; Anemia - diagnosis ; Anemia - etiology ; Anemia - prevention & control ; Bariatric surgery ; Bariatric Surgery - adverse effects ; Biology and Life Sciences ; Birth weight ; Cholecalciferol - blood ; Cohort analysis ; Cohort Studies ; Diabetes ; Dietary Supplements ; Ethics ; Female ; Fertility ; Folic Acid - analysis ; Gastrointestinal surgery ; Glucose ; Gynecology ; Health risk assessment ; Hospitals ; Humans ; Hypertension ; Medicine and Health Sciences ; Micronutrients ; Micronutrients - administration & dosage ; Micronutrients - deficiency ; Nutrient deficiency ; Nutrition ; Obesity ; Obesity - surgery ; Obstetrics ; Pregnancy ; Pregnancy Complications ; Pregnancy Trimester, Third ; Pregnant women ; Primary care ; Prospective Studies ; Public health ; Surgery ; Vitamin A ; Vitamin A - blood ; Vitamin B 12 - analysis ; Vitamin D ; Vitamin D Deficiency - diagnosis ; Vitamin D Deficiency - etiology ; Vitamin D Deficiency - prevention & control ; Vitamin deficiency ; Vitamins - administration & dosage ; Weight control ; Womens health ; Young Adult</subject><ispartof>PloS one, 2014-12, Vol.9 (12), p.e114192-e114192</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Devlieger et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Devlieger et al 2014 Devlieger et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-9e3da0b2866440b74c9a159dde35357e72ab0019791a9f8d9e9508881eae79603</citedby><cites>FETCH-LOGICAL-c692t-9e3da0b2866440b74c9a159dde35357e72ab0019791a9f8d9e9508881eae79603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254913/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254913/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,862,883,2098,2917,23849,27907,27908,53774,53776,79351,79352</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25470614$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Laine, Katariina</contributor><creatorcontrib>Devlieger, Roland</creatorcontrib><creatorcontrib>Guelinckx, Isabelle</creatorcontrib><creatorcontrib>Jans, Goele</creatorcontrib><creatorcontrib>Voets, Willy</creatorcontrib><creatorcontrib>Vanholsbeke, Caroline</creatorcontrib><creatorcontrib>Vansant, Greet</creatorcontrib><title>Micronutrient levels and supplement intake in pregnancy after bariatric surgery: a prospective cohort study</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Studies report frequent micronutrient deficiencies after bariatric surgery, but less is known about micronutrient levels of pregnant women after bariatric surgery.
To prospectively evaluate micronutrient levels and supplement intake in pregnancy following bariatric surgery.
A multicenter prospective cohort study including women with restrictive or malabsorptive types of bariatric surgery. Nutritional deficiencies, together with supplement intake, were screened during pregnancy.
The total population included 18 women in the restrictive and 31 in the malabsorptive group. Most micronutrients were depleted and declined significantly during pregnancy. The proportion of women with low vitamin A and B-1 levels increased to respectively 58 and 17% at delivery (P = 0.005 and 0.002). The proportion of women with vitamin D deficiency decreased from 14% at trimester 1 to 6% at delivery (P = 0.030). Mild anemia was found in respectively 22 and 40% of the women at trimester 1 and delivery. In the first trimester, most women took a multivitamin (57.1%). In the second and third trimester, the majority took additional supplements (69.4 and 73.5%). No associations were found between supplement intake and micronutrient deficiencies.
Pregnant women with bariatric surgery show frequent low micronutrient levels. Supplementation partially normalizes low levels of micronutrients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Analysis</subject><subject>Anemia</subject><subject>Anemia - diagnosis</subject><subject>Anemia - etiology</subject><subject>Anemia - prevention & control</subject><subject>Bariatric surgery</subject><subject>Bariatric Surgery - adverse effects</subject><subject>Biology and Life Sciences</subject><subject>Birth weight</subject><subject>Cholecalciferol - blood</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Diabetes</subject><subject>Dietary Supplements</subject><subject>Ethics</subject><subject>Female</subject><subject>Fertility</subject><subject>Folic Acid - analysis</subject><subject>Gastrointestinal surgery</subject><subject>Glucose</subject><subject>Gynecology</subject><subject>Health risk assessment</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Medicine and Health Sciences</subject><subject>Micronutrients</subject><subject>Micronutrients - administration & dosage</subject><subject>Micronutrients - deficiency</subject><subject>Nutrient deficiency</subject><subject>Nutrition</subject><subject>Obesity</subject><subject>Obesity - surgery</subject><subject>Obstetrics</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy Trimester, Third</subject><subject>Pregnant women</subject><subject>Primary care</subject><subject>Prospective Studies</subject><subject>Public health</subject><subject>Surgery</subject><subject>Vitamin A</subject><subject>Vitamin A - blood</subject><subject>Vitamin B 12 - analysis</subject><subject>Vitamin D</subject><subject>Vitamin D Deficiency - diagnosis</subject><subject>Vitamin D Deficiency - etiology</subject><subject>Vitamin D Deficiency - prevention & control</subject><subject>Vitamin deficiency</subject><subject>Vitamins - administration & dosage</subject><subject>Weight control</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk12L1DAUhoso7rr6D0QLgujFjEmbNo0XwrL4MbCy4NdtOE1PO5ntNN0kHZx_b-p0l6nsheQi4eQ5b3Le5ETRc0qWNOX03cYMtoN22ZsOl4RSRkXyIDqlIk0WeULSh0frk-iJcxtCsrTI88fRSZIxTnLKTqPrr1pZ0w3eaux83OIOWxdDV8Vu6PsWt2NUdx6uMUxxb7HpoFP7GGqPNi7Bagi5KuC2Qbt_H0OAjOtReb3DWJm1sT52fqj2T6NHNbQOn03zWfTz08cfF18Wl1efVxfnlwuVi8QvBKYVkDIJV2WMlJwpATQTVYVplmYceQIlIVRwQUHURSVQZKQoCoqAXOQkPYteHnT71jg5-eQkzRMhEsGzkVgdiMrARvZWb8HupQEt_waMbSRYr1WLknNeskrQHIuUqTyHsgReAWUlYs44BK0P02lDucVKBcMstDPR-U6n17IxO8nCKwiaBoE3k4A1NwM6L7faKWxb6NAM471TloTCWBLQV_-g91c3UQ2EAnRXm3CuGkXlOaO5CC4XI7W8hwqjwq1W4VPVOsRnCW9nCYHx-Ns3MDgnV9-__T979WvOvj5i1witXzvTDl6bzs1BdgDDj3XOYn1nMiVy7IlbN-TYE3LqiZD24viB7pJumyD9A5f5CBQ</recordid><startdate>20141203</startdate><enddate>20141203</enddate><creator>Devlieger, Roland</creator><creator>Guelinckx, Isabelle</creator><creator>Jans, Goele</creator><creator>Voets, Willy</creator><creator>Vanholsbeke, Caroline</creator><creator>Vansant, Greet</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20141203</creationdate><title>Micronutrient levels and supplement intake in pregnancy after bariatric surgery: a prospective cohort study</title><author>Devlieger, Roland ; Guelinckx, Isabelle ; Jans, Goele ; Voets, Willy ; Vanholsbeke, Caroline ; Vansant, Greet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-9e3da0b2866440b74c9a159dde35357e72ab0019791a9f8d9e9508881eae79603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Analysis</topic><topic>Anemia</topic><topic>Anemia - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Devlieger, Roland</au><au>Guelinckx, Isabelle</au><au>Jans, Goele</au><au>Voets, Willy</au><au>Vanholsbeke, Caroline</au><au>Vansant, Greet</au><au>Laine, Katariina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Micronutrient levels and supplement intake in pregnancy after bariatric surgery: a prospective cohort study</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-12-03</date><risdate>2014</risdate><volume>9</volume><issue>12</issue><spage>e114192</spage><epage>e114192</epage><pages>e114192-e114192</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Studies report frequent micronutrient deficiencies after bariatric surgery, but less is known about micronutrient levels of pregnant women after bariatric surgery.
To prospectively evaluate micronutrient levels and supplement intake in pregnancy following bariatric surgery.
A multicenter prospective cohort study including women with restrictive or malabsorptive types of bariatric surgery. Nutritional deficiencies, together with supplement intake, were screened during pregnancy.
The total population included 18 women in the restrictive and 31 in the malabsorptive group. Most micronutrients were depleted and declined significantly during pregnancy. The proportion of women with low vitamin A and B-1 levels increased to respectively 58 and 17% at delivery (P = 0.005 and 0.002). The proportion of women with vitamin D deficiency decreased from 14% at trimester 1 to 6% at delivery (P = 0.030). Mild anemia was found in respectively 22 and 40% of the women at trimester 1 and delivery. In the first trimester, most women took a multivitamin (57.1%). In the second and third trimester, the majority took additional supplements (69.4 and 73.5%). No associations were found between supplement intake and micronutrient deficiencies.
Pregnant women with bariatric surgery show frequent low micronutrient levels. Supplementation partially normalizes low levels of micronutrients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>25470614</pmid><doi>10.1371/journal.pone.0114192</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-12, Vol.9 (12), p.e114192-e114192 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1629929750 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Adolescent Adult Analysis Anemia Anemia - diagnosis Anemia - etiology Anemia - prevention & control Bariatric surgery Bariatric Surgery - adverse effects Biology and Life Sciences Birth weight Cholecalciferol - blood Cohort analysis Cohort Studies Diabetes Dietary Supplements Ethics Female Fertility Folic Acid - analysis Gastrointestinal surgery Glucose Gynecology Health risk assessment Hospitals Humans Hypertension Medicine and Health Sciences Micronutrients Micronutrients - administration & dosage Micronutrients - deficiency Nutrient deficiency Nutrition Obesity Obesity - surgery Obstetrics Pregnancy Pregnancy Complications Pregnancy Trimester, Third Pregnant women Primary care Prospective Studies Public health Surgery Vitamin A Vitamin A - blood Vitamin B 12 - analysis Vitamin D Vitamin D Deficiency - diagnosis Vitamin D Deficiency - etiology Vitamin D Deficiency - prevention & control Vitamin deficiency Vitamins - administration & dosage Weight control Womens health Young Adult |
| title | Micronutrient levels and supplement intake in pregnancy after bariatric surgery: a prospective cohort study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-16T13%3A11%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Micronutrient%20levels%20and%20supplement%20intake%20in%20pregnancy%20after%20bariatric%20surgery:%20a%20prospective%20cohort%20study&rft.jtitle=PloS%20one&rft.au=Devlieger,%20Roland&rft.date=2014-12-03&rft.volume=9&rft.issue=12&rft.spage=e114192&rft.epage=e114192&rft.pages=e114192-e114192&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0114192&rft_dat=%3Cgale_plos_%3EA416969280%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1629929750&rft_id=info:pmid/25470614&rft_galeid=A416969280&rft_doaj_id=oai_doaj_org_article_777b4d916e834c66abba7da14bee647a&rfr_iscdi=true |