Carrie-Anne Lewis1,2, Susan de Jersey3,4, George Hopkins5, Ingrid Hickman6,7,8, Emma Osland3,9. 1. Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland, 4029, Australia. carrie-anne.lewis@health.qld.gov.au. 2. Faculty of Medicine, University of Queensland, Brisbane, Australia. carrie-anne.lewis@health.qld.gov.au. 3. Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Queensland, 4029, Australia. 4. School of Exercise and Nutrition Science, Queensland University of Technology, Brisbane, Australia. 5. Department of Surgery, Royal Brisbane and Women's Hospital, Herston, Australia. 6. Faculty of Medicine, University of Queensland, Brisbane, Australia. 7. Mater Research Institute-UQ, University of Queensland, Brisbane, Australia. 8. Department of Nutrition and Dietetics, Princess Alexandra Hospital, Brisbane, Australia. 9. School of Human Movements and Nutrition Science, University of Queensland, Brisbane, Australia.
Abstract
BACKGROUND: The restrictive and/or malabsorptive nature of bariatric surgery may increase the risk for micronutrient deficiencies. This systematic review aimed to identify and critique the evidence for vitamin A, B1, C or E deficiencies associated with bariatric surgery. METHODS: This review utilised PRISMA and MOOSE frameworks with NHMRC evidence hierarchy and the American Dietetic Association bias tool to assess the quality of articles. RESULTS: Twenty-one articles were included and once critiqued all studies were of level IV grade and neutral or negative in quality. The relevance of measuring micronutrient supplementation and inflammatory markers for validity of serum vitamins is absent within the literature. CONCLUSIONS: Future research is needed to investigate the risk of deficiency for these procedures with focus on confounders to serum micronutrients.
BACKGROUND: The restrictive and/or malabsorptive nature of bariatric surgery may increase the risk for micronutrient deficiencies. This systematic review aimed to identify and critique the evidence for vitamin A, B1, C or E deficiencies associated with bariatric surgery. METHODS: This review utilised PRISMA and MOOSE frameworks with NHMRC evidence hierarchy and the American Dietetic Association bias tool to assess the quality of articles. RESULTS: Twenty-one articles were included and once critiqued all studies were of level IV grade and neutral or negative in quality. The relevance of measuring micronutrient supplementation and inflammatory markers for validity of serum vitamins is absent within the literature. CONCLUSIONS: Future research is needed to investigate the risk of deficiency for these procedures with focus on confounders to serum micronutrients.
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