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
Hauptverfasser: Jans, Goele, Matthys, Christophe, Bogaerts, Annick, Lannoo, Matthias, Verhaeghe, Johan, Van der Schueren, Bart, Devlieger, Roland
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container_issue 4
container_start_page 420
container_title Advances in food and nutrition research
container_volume 6
creator Jans, Goele
Matthys, Christophe
Bogaerts, Annick
Lannoo, Matthias
Verhaeghe, Johan
Van der Schueren, Bart
Devlieger, Roland
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). 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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). 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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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