Maternal Micronutrient Deficiencies and Related Adverse Neonatal Outcomes after Bariatric Surgery: A Systematic Review
Pregnant and postpartum women with a history of bariatric surgery are at risk of micronutrient deficiencies as a result of the combination of physiologic changes related to pregnancy and iatrogenic postoperative alterations in the absorption and metabolism of crucial nutrients. This systematic revie...
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Veröffentlicht in: | Advances in food and nutrition research 2015-07, Vol.6 (4), p.420-429 |
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description | Pregnant and postpartum women with a history of bariatric surgery are at risk of micronutrient deficiencies as a result of the combination of physiologic changes related to pregnancy and iatrogenic postoperative alterations in the absorption and metabolism of crucial nutrients. This systematic review investigates micronutrient deficiencies and related adverse clinical outcomes in pregnant and postpartum women after bariatric surgery. A systematic approach involving critical appraisal was conducted independently by 2 researchers to examine deficiencies of phylloquinone, folate, iron, calcium, zinc, magnesium, iodide, copper, and vitamins A, D, and B-12 in pregnant and postpartum women after bariatric surgery, together with subsequent outcomes in the neonates. The search identified 29 relevant cases and 8 cohort studies. The quality of reporting among the case reports was weak according to the criteria based on the CARE (CAse REporting) guidelines as was that for the cohort studies based on the criteria from the Cohort Study Quality Assessment list of the Dutch Cochrane Center. The most common adverse neonatal outcomes related to maternal micronutrient deficiencies include visual complications (vitamin A), intracranial hemorrhage (phylloquinone), neurological and developmental impairment (vitamin B-12), and neural tube defects (folate). On the basis of the systematically collected information, we conclude that the evidence on micronutrient deficiencies in pregnant and postpartum women after bariatric surgery and subsequent adverse neonatal outcomes remains weak and inconclusive. |
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This systematic review investigates micronutrient deficiencies and related adverse clinical outcomes in pregnant and postpartum women after bariatric surgery. A systematic approach involving critical appraisal was conducted independently by 2 researchers to examine deficiencies of phylloquinone, folate, iron, calcium, zinc, magnesium, iodide, copper, and vitamins A, D, and B-12 in pregnant and postpartum women after bariatric surgery, together with subsequent outcomes in the neonates. The search identified 29 relevant cases and 8 cohort studies. The quality of reporting among the case reports was weak according to the criteria based on the CARE (CAse REporting) guidelines as was that for the cohort studies based on the criteria from the Cohort Study Quality Assessment list of the Dutch Cochrane Center. The most common adverse neonatal outcomes related to maternal micronutrient deficiencies include visual complications (vitamin A), intracranial hemorrhage (phylloquinone), neurological and developmental impairment (vitamin B-12), and neural tube defects (folate). On the basis of the systematically collected information, we conclude that the evidence on micronutrient deficiencies in pregnant and postpartum women after bariatric surgery and subsequent adverse neonatal outcomes remains weak and inconclusive.</description><identifier>ISSN: 2161-8313</identifier><identifier>ISSN: 1043-4526</identifier><identifier>EISSN: 2156-5376</identifier><identifier>DOI: 10.3945/an.114.008086</identifier><identifier>PMID: 26178026</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>absorption ; bariatric surgery ; Bariatric Surgery - adverse effects ; calcium ; case studies ; Cohort Studies ; copper ; early postpartum ; Female ; folic acid ; Folic Acid Deficiency - complications ; Folic Acid Deficiency - epidemiology ; gestation ; guidelines ; hemorrhage ; Humans ; Infant, Newborn ; Infant, Newborn, Diseases - epidemiology ; Infant, Newborn, Diseases - etiology ; Intracranial Hemorrhages ; iodides ; iron ; magnesium ; maternal nutrition ; metabolism ; micronutrients ; Micronutrients - deficiency ; neonatal complications ; neonates ; Neural Tube Defects ; nutrients ; obesity surgery ; phylloquinone ; Pregnancy ; Pregnancy Complications ; Pregnancy Outcome ; quinones ; researchers ; Reviews ; risk ; systematic review ; Vision Disorders ; vitamin A ; Vitamin A Deficiency - complications ; Vitamin A Deficiency - epidemiology ; Vitamin B 12 Deficiency - complications ; Vitamin B 12 Deficiency - epidemiology ; vitamin B12 ; women ; zinc</subject><ispartof>Advances in food and nutrition research, 2015-07, Vol.6 (4), p.420-429</ispartof><rights>2015 American Society for Nutrition</rights><rights>2015 American Society for Nutrition.</rights><rights>2015 American Society for Nutrition 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c534t-5f00671907098d8d89835b6c589c4a83f703c72399c3b51f75d21cfe593ae2123</citedby><cites>FETCH-LOGICAL-c534t-5f00671907098d8d89835b6c589c4a83f703c72399c3b51f75d21cfe593ae2123</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/PMC4496736/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4496736/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26178026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jans, Goele</creatorcontrib><creatorcontrib>Matthys, Christophe</creatorcontrib><creatorcontrib>Bogaerts, Annick</creatorcontrib><creatorcontrib>Lannoo, Matthias</creatorcontrib><creatorcontrib>Verhaeghe, Johan</creatorcontrib><creatorcontrib>Van der Schueren, Bart</creatorcontrib><creatorcontrib>Devlieger, Roland</creatorcontrib><title>Maternal Micronutrient Deficiencies and Related Adverse Neonatal Outcomes after Bariatric Surgery: A Systematic Review</title><title>Advances in food and nutrition research</title><addtitle>Adv Nutr</addtitle><description>Pregnant and postpartum women with a history of bariatric surgery are at risk of micronutrient deficiencies as a result of the combination of physiologic changes related to pregnancy and iatrogenic postoperative alterations in the absorption and metabolism of crucial nutrients. This systematic review investigates micronutrient deficiencies and related adverse clinical outcomes in pregnant and postpartum women after bariatric surgery. A systematic approach involving critical appraisal was conducted independently by 2 researchers to examine deficiencies of phylloquinone, folate, iron, calcium, zinc, magnesium, iodide, copper, and vitamins A, D, and B-12 in pregnant and postpartum women after bariatric surgery, together with subsequent outcomes in the neonates. The search identified 29 relevant cases and 8 cohort studies. The quality of reporting among the case reports was weak according to the criteria based on the CARE (CAse REporting) guidelines as was that for the cohort studies based on the criteria from the Cohort Study Quality Assessment list of the Dutch Cochrane Center. The most common adverse neonatal outcomes related to maternal micronutrient deficiencies include visual complications (vitamin A), intracranial hemorrhage (phylloquinone), neurological and developmental impairment (vitamin B-12), and neural tube defects (folate). On the basis of the systematically collected information, we conclude that the evidence on micronutrient deficiencies in pregnant and postpartum women after bariatric surgery and subsequent adverse neonatal outcomes remains weak and inconclusive.</description><subject>absorption</subject><subject>bariatric surgery</subject><subject>Bariatric Surgery - adverse effects</subject><subject>calcium</subject><subject>case studies</subject><subject>Cohort Studies</subject><subject>copper</subject><subject>early postpartum</subject><subject>Female</subject><subject>folic acid</subject><subject>Folic Acid Deficiency - complications</subject><subject>Folic Acid Deficiency - epidemiology</subject><subject>gestation</subject><subject>guidelines</subject><subject>hemorrhage</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - epidemiology</subject><subject>Infant, Newborn, Diseases - etiology</subject><subject>Intracranial Hemorrhages</subject><subject>iodides</subject><subject>iron</subject><subject>magnesium</subject><subject>maternal nutrition</subject><subject>metabolism</subject><subject>micronutrients</subject><subject>Micronutrients - deficiency</subject><subject>neonatal complications</subject><subject>neonates</subject><subject>Neural Tube Defects</subject><subject>nutrients</subject><subject>obesity surgery</subject><subject>phylloquinone</subject><subject>Pregnancy</subject><subject>Pregnancy Complications</subject><subject>Pregnancy Outcome</subject><subject>quinones</subject><subject>researchers</subject><subject>Reviews</subject><subject>risk</subject><subject>systematic review</subject><subject>Vision Disorders</subject><subject>vitamin A</subject><subject>Vitamin A Deficiency - complications</subject><subject>Vitamin A Deficiency - epidemiology</subject><subject>Vitamin B 12 Deficiency - complications</subject><subject>Vitamin B 12 Deficiency - epidemiology</subject><subject>vitamin B12</subject><subject>women</subject><subject>zinc</subject><issn>2161-8313</issn><issn>1043-4526</issn><issn>2156-5376</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9PFDEUxxujEYIcvZIevczSH9NfHExWFDQBSUDPTbfzBkpmOth21ux_b5dFogdjm6Yv7ed98977IvSWkgU3rTh2cUFpuyBEEy1foH1GhWwEV_LlNpa00ZzyPXSY8z2pSzCtJH-N9pikShMm99H60hVI0Q34Mvg0xbmkALHgj9AHX6N6Mnaxw9cwVLLDy24NKQP-ClN0peZdzcVP45bqqxL-4FJwVcTjmzndQtqc4CW-2eQCoyv19RrWAX6-Qa96N2Q4fLoP0PezT99OPzcXV-dfTpcXjRe8LY3oCZGKGqKI0V3dRnOxkl5o41unea8I94pxYzxfCdor0THqexCGO2CU8QP0fqf7MK9G6HxtLbnBPqQwurSxkwv2758Y7uzttLZta6Tisgq8exJI048ZcrFjyB6GwUWY5mwZEVxLYYz4L0qlUYxyw7ZlNTu0jjznBP1zRZTYrbPWRVudtTtnK3_0ZxvP9G8fK6B2ANRh1gEnmx_dgy4k8MV2U_iH9C8iiLH-</recordid><startdate>20150701</startdate><enddate>20150701</enddate><creator>Jans, Goele</creator><creator>Matthys, Christophe</creator><creator>Bogaerts, Annick</creator><creator>Lannoo, Matthias</creator><creator>Verhaeghe, Johan</creator><creator>Van der Schueren, Bart</creator><creator>Devlieger, Roland</creator><general>Elsevier Inc</general><general>American Society for Nutrition</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>7X8</scope><scope>7S9</scope><scope>L.6</scope><scope>5PM</scope></search><sort><creationdate>20150701</creationdate><title>Maternal Micronutrient Deficiencies and Related Adverse Neonatal Outcomes after Bariatric Surgery: A Systematic Review</title><author>Jans, Goele ; Matthys, Christophe ; Bogaerts, Annick ; Lannoo, Matthias ; Verhaeghe, Johan ; Van der Schueren, Bart ; Devlieger, Roland</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c534t-5f00671907098d8d89835b6c589c4a83f703c72399c3b51f75d21cfe593ae2123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>absorption</topic><topic>bariatric surgery</topic><topic>Bariatric Surgery - adverse effects</topic><topic>calcium</topic><topic>case studies</topic><topic>Cohort Studies</topic><topic>copper</topic><topic>early postpartum</topic><topic>Female</topic><topic>folic acid</topic><topic>Folic Acid Deficiency - complications</topic><topic>Folic Acid Deficiency - epidemiology</topic><topic>gestation</topic><topic>guidelines</topic><topic>hemorrhage</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - epidemiology</topic><topic>Infant, Newborn, Diseases - etiology</topic><topic>Intracranial Hemorrhages</topic><topic>iodides</topic><topic>iron</topic><topic>magnesium</topic><topic>maternal nutrition</topic><topic>metabolism</topic><topic>micronutrients</topic><topic>Micronutrients - deficiency</topic><topic>neonatal complications</topic><topic>neonates</topic><topic>Neural Tube Defects</topic><topic>nutrients</topic><topic>obesity surgery</topic><topic>phylloquinone</topic><topic>Pregnancy</topic><topic>Pregnancy Complications</topic><topic>Pregnancy Outcome</topic><topic>quinones</topic><topic>researchers</topic><topic>Reviews</topic><topic>risk</topic><topic>systematic review</topic><topic>Vision Disorders</topic><topic>vitamin A</topic><topic>Vitamin A Deficiency - complications</topic><topic>Vitamin A Deficiency - epidemiology</topic><topic>Vitamin B 12 Deficiency - complications</topic><topic>Vitamin B 12 Deficiency - epidemiology</topic><topic>vitamin B12</topic><topic>women</topic><topic>zinc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jans, Goele</creatorcontrib><creatorcontrib>Matthys, Christophe</creatorcontrib><creatorcontrib>Bogaerts, Annick</creatorcontrib><creatorcontrib>Lannoo, Matthias</creatorcontrib><creatorcontrib>Verhaeghe, Johan</creatorcontrib><creatorcontrib>Van der Schueren, Bart</creatorcontrib><creatorcontrib>Devlieger, Roland</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Advances in food and nutrition research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jans, Goele</au><au>Matthys, Christophe</au><au>Bogaerts, Annick</au><au>Lannoo, Matthias</au><au>Verhaeghe, Johan</au><au>Van der Schueren, Bart</au><au>Devlieger, Roland</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal Micronutrient Deficiencies and Related Adverse Neonatal Outcomes after Bariatric Surgery: A Systematic Review</atitle><jtitle>Advances in food and nutrition research</jtitle><addtitle>Adv Nutr</addtitle><date>2015-07-01</date><risdate>2015</risdate><volume>6</volume><issue>4</issue><spage>420</spage><epage>429</epage><pages>420-429</pages><issn>2161-8313</issn><issn>1043-4526</issn><eissn>2156-5376</eissn><abstract>Pregnant and postpartum women with a history of bariatric surgery are at risk of micronutrient deficiencies as a result of the combination of physiologic changes related to pregnancy and iatrogenic postoperative alterations in the absorption and metabolism of crucial nutrients. This systematic review investigates micronutrient deficiencies and related adverse clinical outcomes in pregnant and postpartum women after bariatric surgery. A systematic approach involving critical appraisal was conducted independently by 2 researchers to examine deficiencies of phylloquinone, folate, iron, calcium, zinc, magnesium, iodide, copper, and vitamins A, D, and B-12 in pregnant and postpartum women after bariatric surgery, together with subsequent outcomes in the neonates. The search identified 29 relevant cases and 8 cohort studies. The quality of reporting among the case reports was weak according to the criteria based on the CARE (CAse REporting) guidelines as was that for the cohort studies based on the criteria from the Cohort Study Quality Assessment list of the Dutch Cochrane Center. The most common adverse neonatal outcomes related to maternal micronutrient deficiencies include visual complications (vitamin A), intracranial hemorrhage (phylloquinone), neurological and developmental impairment (vitamin B-12), and neural tube defects (folate). On the basis of the systematically collected information, we conclude that the evidence on micronutrient deficiencies in pregnant and postpartum women after bariatric surgery and subsequent adverse neonatal outcomes remains weak and inconclusive.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26178026</pmid><doi>10.3945/an.114.008086</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elsevier ScienceDirect Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
subjects | absorption bariatric surgery Bariatric Surgery - adverse effects calcium case studies Cohort Studies copper early postpartum Female folic acid Folic Acid Deficiency - complications Folic Acid Deficiency - epidemiology gestation guidelines hemorrhage Humans Infant, Newborn Infant, Newborn, Diseases - epidemiology Infant, Newborn, Diseases - etiology Intracranial Hemorrhages iodides iron magnesium maternal nutrition metabolism micronutrients Micronutrients - deficiency neonatal complications neonates Neural Tube Defects nutrients obesity surgery phylloquinone Pregnancy Pregnancy Complications Pregnancy Outcome quinones researchers Reviews risk systematic review Vision Disorders vitamin A Vitamin A Deficiency - complications Vitamin A Deficiency - epidemiology Vitamin B 12 Deficiency - complications Vitamin B 12 Deficiency - epidemiology vitamin B12 women zinc |
title | Maternal Micronutrient Deficiencies and Related Adverse Neonatal Outcomes after Bariatric Surgery: A Systematic Review |
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