Variations in Oral Vitamin and Mineral Supplementation Following Bariatric Gastric Bypass Surgery: A National Survey
Background Bariatric surgery (including gastric bypass) is associated with long-term deficiencies in vitamins and minerals, which may have deleterious effects on physiology. The American Association of Clinical Endocrinologists’ (AACE) guidelines regarding post-operative vitamin supplementation have...
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| Veröffentlicht in: | Obesity surgery 2015-04, Vol.25 (4), p.648-655 |
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| creator | Dunstan, Matt J. D. Molena, Emma J. Ratnasingham, Kumaran Kamocka, Anna Smith, Natasha C. Humadi, Samer Irukulla, Shashi |
| description | Background
Bariatric surgery (including gastric bypass) is associated with long-term deficiencies in vitamins and minerals, which may have deleterious effects on physiology. The American Association of Clinical Endocrinologists’ (AACE) guidelines regarding post-operative vitamin supplementation have recently been endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Supplements have cost implications. Non-branded multivitamins may have similar compositions to branded multivitamins, but at a lower cost. This study assesses multivitamin supplementation following bariatric gastric bypass in England against AACE guidelines. It also examines the composition and cost of branded and non-branded multivitamins.
Methods
Micronutrient amounts in common multivitamin preparations were obtained from product literature. Costs were collected from a standard retailer. To determine vitamin prescribing patterns, the 37 NHS hospitals performing bariatric gastric bypasses in England were contacted. Practice was assessed against AACE guidelines.
Results
All non-branded multivitamins met AACE guidelines for composition. Most had similar compositions to branded multivitamins, and all were cheaper. There was no standard practice regarding post-operative supplementation among the 35 responding hospitals. Only 7/35 (20 %) hospitals followed the guidance for two-tablet doses of multivitamins. Immediately post-operatively, 25/35 (71 %) hospitals administered calcium carbonate and vitamin D (none recommended calcium citrate, as recommended by AACE to improve absorption), and only 9/35 (26 %) hospitals recommended iron to all patients.
Conclusion
Most non-branded multivitamins are lower cost alternatives to branded multivitamins, with similar compositions. The AACE recommendation for two-tablet doses of multivitamins is not being met by most English centres. Calcium and iron supplementation is also inadequate. |
| doi_str_mv | 10.1007/s11695-014-1425-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1667963447</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1667963447</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-de68214f2ede0cec079c5aa7f71f5ca8d60c958802fa8d5812e17ca2ab1791823</originalsourceid><addsrcrecordid>eNp1kUlLBDEQhYMoOi4_wIsEvHhpTaWTTtqbI27gclDnGmI6LZHeTLqV-fdmekYRwVNRle-9CvUQ2gdyDISIkwCQ5TwhwBJglCd8DU1AEJkQRuU6mpA8I4nMabqFtkN4I4RCRukm2qKckVQIPkH9THune9c2AbsGP3hd4ZnrdR0b3RT4zjV2MXscuq6ytW36EcaXbVW1n655xdPRwDuDr3QY63Te6RCixL9aPz_FZ_h-FI02_sPOd9FGqatg91Z1Bz1fXjydXye3D1c352e3iWGM9klhM0mBldQWlhhriMgN11qUAkputCwyYnIuJaFlbLgEakEYTfULiBwkTXfQ0dK38-37YEOvaheMrSrd2HYICrJM5FnKmIjo4R_0rR18_PJISchTkaaRgiVlfBuCt6XqvKu1nysgahGJWkaiYiRqEYniUXOwch5ealv8KL4ziABdAiE-NfFkv1b_6_oF3NOXOg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1668193733</pqid></control><display><type>article</type><title>Variations in Oral Vitamin and Mineral Supplementation Following Bariatric Gastric Bypass Surgery: A National Survey</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Dunstan, Matt J. D. ; Molena, Emma J. ; Ratnasingham, Kumaran ; Kamocka, Anna ; Smith, Natasha C. ; Humadi, Samer ; Irukulla, Shashi</creator><creatorcontrib>Dunstan, Matt J. D. ; Molena, Emma J. ; Ratnasingham, Kumaran ; Kamocka, Anna ; Smith, Natasha C. ; Humadi, Samer ; Irukulla, Shashi</creatorcontrib><description>Background
Bariatric surgery (including gastric bypass) is associated with long-term deficiencies in vitamins and minerals, which may have deleterious effects on physiology. The American Association of Clinical Endocrinologists’ (AACE) guidelines regarding post-operative vitamin supplementation have recently been endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Supplements have cost implications. Non-branded multivitamins may have similar compositions to branded multivitamins, but at a lower cost. This study assesses multivitamin supplementation following bariatric gastric bypass in England against AACE guidelines. It also examines the composition and cost of branded and non-branded multivitamins.
Methods
Micronutrient amounts in common multivitamin preparations were obtained from product literature. Costs were collected from a standard retailer. To determine vitamin prescribing patterns, the 37 NHS hospitals performing bariatric gastric bypasses in England were contacted. Practice was assessed against AACE guidelines.
Results
All non-branded multivitamins met AACE guidelines for composition. Most had similar compositions to branded multivitamins, and all were cheaper. There was no standard practice regarding post-operative supplementation among the 35 responding hospitals. Only 7/35 (20 %) hospitals followed the guidance for two-tablet doses of multivitamins. Immediately post-operatively, 25/35 (71 %) hospitals administered calcium carbonate and vitamin D (none recommended calcium citrate, as recommended by AACE to improve absorption), and only 9/35 (26 %) hospitals recommended iron to all patients.
Conclusion
Most non-branded multivitamins are lower cost alternatives to branded multivitamins, with similar compositions. The AACE recommendation for two-tablet doses of multivitamins is not being met by most English centres. Calcium and iron supplementation is also inadequate.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-014-1425-5</identifier><identifier>PMID: 25403775</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject><![CDATA[Administration, Oral ; Adult ; Dietary minerals ; Dietary Supplements ; England ; Female ; Gastric Bypass ; Gastrointestinal diseases ; Gastrointestinal surgery ; Humans ; Iron - administration & dosage ; Male ; Medicine ; Medicine & Public Health ; Micronutrients - deficiency ; Minerals - administration & dosage ; Obesity, Morbid - blood ; Obesity, Morbid - drug therapy ; Obesity, Morbid - epidemiology ; Obesity, Morbid - surgery ; Original Contributions ; Polls & surveys ; Postoperative Complications - blood ; Postoperative Complications - prevention & control ; Postoperative Period ; Surgery ; Vitamins - administration & dosage ; Vitamins - analysis]]></subject><ispartof>Obesity surgery, 2015-04, Vol.25 (4), p.648-655</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>Springer Science+Business Media New York 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-de68214f2ede0cec079c5aa7f71f5ca8d60c958802fa8d5812e17ca2ab1791823</citedby><cites>FETCH-LOGICAL-c442t-de68214f2ede0cec079c5aa7f71f5ca8d60c958802fa8d5812e17ca2ab1791823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-014-1425-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-014-1425-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25403775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dunstan, Matt J. D.</creatorcontrib><creatorcontrib>Molena, Emma J.</creatorcontrib><creatorcontrib>Ratnasingham, Kumaran</creatorcontrib><creatorcontrib>Kamocka, Anna</creatorcontrib><creatorcontrib>Smith, Natasha C.</creatorcontrib><creatorcontrib>Humadi, Samer</creatorcontrib><creatorcontrib>Irukulla, Shashi</creatorcontrib><title>Variations in Oral Vitamin and Mineral Supplementation Following Bariatric Gastric Bypass Surgery: A National Survey</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
Bariatric surgery (including gastric bypass) is associated with long-term deficiencies in vitamins and minerals, which may have deleterious effects on physiology. The American Association of Clinical Endocrinologists’ (AACE) guidelines regarding post-operative vitamin supplementation have recently been endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Supplements have cost implications. Non-branded multivitamins may have similar compositions to branded multivitamins, but at a lower cost. This study assesses multivitamin supplementation following bariatric gastric bypass in England against AACE guidelines. It also examines the composition and cost of branded and non-branded multivitamins.
Methods
Micronutrient amounts in common multivitamin preparations were obtained from product literature. Costs were collected from a standard retailer. To determine vitamin prescribing patterns, the 37 NHS hospitals performing bariatric gastric bypasses in England were contacted. Practice was assessed against AACE guidelines.
Results
All non-branded multivitamins met AACE guidelines for composition. Most had similar compositions to branded multivitamins, and all were cheaper. There was no standard practice regarding post-operative supplementation among the 35 responding hospitals. Only 7/35 (20 %) hospitals followed the guidance for two-tablet doses of multivitamins. Immediately post-operatively, 25/35 (71 %) hospitals administered calcium carbonate and vitamin D (none recommended calcium citrate, as recommended by AACE to improve absorption), and only 9/35 (26 %) hospitals recommended iron to all patients.
Conclusion
Most non-branded multivitamins are lower cost alternatives to branded multivitamins, with similar compositions. The AACE recommendation for two-tablet doses of multivitamins is not being met by most English centres. Calcium and iron supplementation is also inadequate.</description><subject>Administration, Oral</subject><subject>Adult</subject><subject>Dietary minerals</subject><subject>Dietary Supplements</subject><subject>England</subject><subject>Female</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal diseases</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Iron - administration & dosage</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Micronutrients - deficiency</subject><subject>Minerals - administration & dosage</subject><subject>Obesity, Morbid - blood</subject><subject>Obesity, Morbid - drug therapy</subject><subject>Obesity, Morbid - epidemiology</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Polls & surveys</subject><subject>Postoperative Complications - blood</subject><subject>Postoperative Complications - prevention & control</subject><subject>Postoperative Period</subject><subject>Surgery</subject><subject>Vitamins - administration & dosage</subject><subject>Vitamins - analysis</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kUlLBDEQhYMoOi4_wIsEvHhpTaWTTtqbI27gclDnGmI6LZHeTLqV-fdmekYRwVNRle-9CvUQ2gdyDISIkwCQ5TwhwBJglCd8DU1AEJkQRuU6mpA8I4nMabqFtkN4I4RCRukm2qKckVQIPkH9THune9c2AbsGP3hd4ZnrdR0b3RT4zjV2MXscuq6ytW36EcaXbVW1n655xdPRwDuDr3QY63Te6RCixL9aPz_FZ_h-FI02_sPOd9FGqatg91Z1Bz1fXjydXye3D1c352e3iWGM9klhM0mBldQWlhhriMgN11qUAkputCwyYnIuJaFlbLgEakEYTfULiBwkTXfQ0dK38-37YEOvaheMrSrd2HYICrJM5FnKmIjo4R_0rR18_PJISchTkaaRgiVlfBuCt6XqvKu1nysgahGJWkaiYiRqEYniUXOwch5ealv8KL4ziABdAiE-NfFkv1b_6_oF3NOXOg</recordid><startdate>20150401</startdate><enddate>20150401</enddate><creator>Dunstan, Matt J. D.</creator><creator>Molena, Emma J.</creator><creator>Ratnasingham, Kumaran</creator><creator>Kamocka, Anna</creator><creator>Smith, Natasha C.</creator><creator>Humadi, Samer</creator><creator>Irukulla, Shashi</creator><general>Springer US</general><general>Springer Nature B.V</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>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20150401</creationdate><title>Variations in Oral Vitamin and Mineral Supplementation Following Bariatric Gastric Bypass Surgery: A National Survey</title><author>Dunstan, Matt J. D. ; Molena, Emma J. ; Ratnasingham, Kumaran ; Kamocka, Anna ; Smith, Natasha C. ; Humadi, Samer ; Irukulla, Shashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-de68214f2ede0cec079c5aa7f71f5ca8d60c958802fa8d5812e17ca2ab1791823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Administration, Oral</topic><topic>Adult</topic><topic>Dietary minerals</topic><topic>Dietary Supplements</topic><topic>England</topic><topic>Female</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal diseases</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Iron - administration & dosage</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Micronutrients - deficiency</topic><topic>Minerals - administration & dosage</topic><topic>Obesity, Morbid - blood</topic><topic>Obesity, Morbid - drug therapy</topic><topic>Obesity, Morbid - epidemiology</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Polls & surveys</topic><topic>Postoperative Complications - blood</topic><topic>Postoperative Complications - prevention & control</topic><topic>Postoperative Period</topic><topic>Surgery</topic><topic>Vitamins - administration & dosage</topic><topic>Vitamins - analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunstan, Matt J. D.</creatorcontrib><creatorcontrib>Molena, Emma J.</creatorcontrib><creatorcontrib>Ratnasingham, Kumaran</creatorcontrib><creatorcontrib>Kamocka, Anna</creatorcontrib><creatorcontrib>Smith, Natasha C.</creatorcontrib><creatorcontrib>Humadi, Samer</creatorcontrib><creatorcontrib>Irukulla, Shashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunstan, Matt J. D.</au><au>Molena, Emma J.</au><au>Ratnasingham, Kumaran</au><au>Kamocka, Anna</au><au>Smith, Natasha C.</au><au>Humadi, Samer</au><au>Irukulla, Shashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Variations in Oral Vitamin and Mineral Supplementation Following Bariatric Gastric Bypass Surgery: A National Survey</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2015-04-01</date><risdate>2015</risdate><volume>25</volume><issue>4</issue><spage>648</spage><epage>655</epage><pages>648-655</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
Bariatric surgery (including gastric bypass) is associated with long-term deficiencies in vitamins and minerals, which may have deleterious effects on physiology. The American Association of Clinical Endocrinologists’ (AACE) guidelines regarding post-operative vitamin supplementation have recently been endorsed by the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO). Supplements have cost implications. Non-branded multivitamins may have similar compositions to branded multivitamins, but at a lower cost. This study assesses multivitamin supplementation following bariatric gastric bypass in England against AACE guidelines. It also examines the composition and cost of branded and non-branded multivitamins.
Methods
Micronutrient amounts in common multivitamin preparations were obtained from product literature. Costs were collected from a standard retailer. To determine vitamin prescribing patterns, the 37 NHS hospitals performing bariatric gastric bypasses in England were contacted. Practice was assessed against AACE guidelines.
Results
All non-branded multivitamins met AACE guidelines for composition. Most had similar compositions to branded multivitamins, and all were cheaper. There was no standard practice regarding post-operative supplementation among the 35 responding hospitals. Only 7/35 (20 %) hospitals followed the guidance for two-tablet doses of multivitamins. Immediately post-operatively, 25/35 (71 %) hospitals administered calcium carbonate and vitamin D (none recommended calcium citrate, as recommended by AACE to improve absorption), and only 9/35 (26 %) hospitals recommended iron to all patients.
Conclusion
Most non-branded multivitamins are lower cost alternatives to branded multivitamins, with similar compositions. The AACE recommendation for two-tablet doses of multivitamins is not being met by most English centres. Calcium and iron supplementation is also inadequate.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>25403775</pmid><doi>10.1007/s11695-014-1425-5</doi><tpages>8</tpages></addata></record> |
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| ispartof | Obesity surgery, 2015-04, Vol.25 (4), p.648-655 |
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| subjects | Administration, Oral Adult Dietary minerals Dietary Supplements England Female Gastric Bypass Gastrointestinal diseases Gastrointestinal surgery Humans Iron - administration & dosage Male Medicine Medicine & Public Health Micronutrients - deficiency Minerals - administration & dosage Obesity, Morbid - blood Obesity, Morbid - drug therapy Obesity, Morbid - epidemiology Obesity, Morbid - surgery Original Contributions Polls & surveys Postoperative Complications - blood Postoperative Complications - prevention & control Postoperative Period Surgery Vitamins - administration & dosage Vitamins - analysis |
| title | Variations in Oral Vitamin and Mineral Supplementation Following Bariatric Gastric Bypass Surgery: A National Survey |
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