Bone mineral changes in spine and proximal femur in individual obese women after laparoscopic sleeve gastrectomy: a short-term study
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BACKGROUND: The aim of the study was to establish longitudinal bone changes in obese women after laparoscopic sleeve gastrectomy (LSG). METHODS: Twenty-nine women at baseline mean age of 40.41 ± 9.26 years and with mean body mass index (BMI) of 43.07 ± 4.99 kg/m(2) were included in a 6-month study. Skeletal status at hip [femoral neck (FN) and total hip (TH)] and spine was assessed at baseline, as well as in 3 and 6 months after surgery. Body size was measured at baseline and follow-up (weight, height, BMI, and waist). RESULTS: Baseline body weight was 117.5 ± 18.4 kg. The mean body weight and BMI decreased by 17.9 % during the first 3 months after surgery to obtain 28.4 % after 6 months. At 6 months, BMD decreased significantly for spine by 1.24 %, FN 6.99 %, and TH 5.18 %. The changes after 3 months in individual subjects showed that, in the majority of subjects, FN and TH BMD decreased significantly (in 52 % and 69 % of subjects, respectively), and in 24 % loss of BMD was found at the spine. After 6 months, the corresponding, significant decreases in individual subjects were found in 72 %, 86 %, and 38 % of woman, respectively. Those with a significant loss of FN BMD tended to lose more weight (30 ± 9.47 versus 23.25 ± 6.08 kg, p = 0.061) than others; women with a significant decrease of FN BMD lost more weight than those with no such decrease (30.43 ± 8.07 versus 15 ± 1.91 kg). CONCLUSION: LSG proved efficient for body weight reduction, however, with a parallel decline in bone mineral density.
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Calcium malabsorption has been documented as early as 3 months after RYGB, with reduced true fractional calcium absorption and secondary hyperparathyroidism.
“Calcium malabsorption has been documented as early as 3 months after RYGB53, 54 with reduced true fractional absorption of calcium57, and secondary hyperparathyroidism52, 53, 58, 59.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [54]
Bone turnover increases as early as 3 months after RYGB.
“Bone turnover increases as early as 3 months after RYGB 53, 54.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [54]
After RYGB, patients typically lose 35% of initial weight or 62-75% of excess body weight, significantly more than with gastric banding.
“After RYGB, patients typically lose 35% of initial weight, or 62-75% of excess body weight47, 52-54, significantly greater than with GB.55, 56.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [54]
Hip BMD declines after RYGB range between 8% and 11%.
“Declines in hip BMD range between 8-11%17, 52-54, 62, 67-69.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [54]
Spine BMD changes after RYGB are variable, with some studies reporting small decreases and others not.
“Changes at the spine are more variable, some studies report small decreases 24, 54, 63, 67-69, while others have not 52, 53, 65, 66.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [54]
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Kaniel, O., Szold, A., Sakran, N., Kessler, Y., Langer, P. H., Ben‐Porat, T., Moran‐Gilad, J., & Dagan, S. S. (2020) · Updates in Surgery · doi:10.1007/s13304-020-00805-7 · Cited by 2 · see citing works
Bariatric Surgery, Vitamin D, and Bone Loss
Tiffany Y, K., & Schafer, A. L. (2018) · Elsevier eBooks · doi:10.1016/b978-0-12-809963-6.00064-x · Cited by 2 · see citing works
Tibial Bone Quality in Former Bariatric Surgery Patients with Osteoarthritis
Baker, B. S., Bozynski, C. C., Leary, E. V., Sherwood, R. J., Keeney, J. A., Cook, J. L., & Duren, D. L. (2021) · Obesity Surgery · doi:10.1007/s11695-021-05727-w · Cited by 2 · see citing works
Nutritional Deficiencies in Obese Sleeve Gastrectomy Patients
Damms-Machado, A., & Bischoff, S. C. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-407869-7.00031-3 · Cited by 1 · see citing works
Casagrande, D. S., Schneider, R. H., & Schaan, B. D. (2013) · Obesity Surgery · doi:10.1007/s11695-013-1019-7 · Cited by 1 · see citing works
Cambios en la densidad mineral ósea a corto y medio plazo tras gastrectomía vertical
Jiménez, P. P. (2013) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas)
Effects of Sleeve Gastrectomy on Calcium Metabolism
Ruíz-Tóvar, J., & Calpena, R. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-407869-7.00016-7
Comment on: Long-term nutritional impact of sleeve gastrectomy
Ben‐Porat, T. (2017) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2017.08.005
Skeletal health after bariatric surgery
Wu, K. C., Yu, E. W.-Y., & Schafer, A. L. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-813073-5.00051-4
Long-Term Consequences of Nutritional Deficiencies
Stavola, S. (2021) · Springer eBooks · doi:10.1007/978-3-030-57373-7_62
Couchot, M., Schmitt, F., Mermet, M., Fassot, C., & Mabilleau, G. (2024) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2024.05.22.595335
- Authors
- Pluskiewicz, W., Bužga, M., Holéczy, P., Bortlík, L., Šmajstrla, V., & Adamczyk, P.
- Affiliations
- Medical University of Silesia (PL)
- University of Ostrava (CZ)
- Corresponding author
- Pluskiewicz, Wojciech
- Venue
- Obesity Surgery
- Published
- 2012-05-04
- Volume
- 22
- Issue
- 7
- Pages
- 1068-1076
- ISSN
- 0960-8923 (ISSN-L)
- 1708-0428
- PMC
- PMC3366292
- OpenAlex
- W2124827172
- Cited by
- 67
- References
- 28
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 9 · 2020: 9 · 2019: 4 · 2018: 7 · 2017: 4 · 2016: 2 · 2015: 7 · 2014: 11 · 2013: 6
- FWCI
- 7.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Obesity Surgery (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Ostravská Univerzita v Ostravě
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Surgery › Body Contouring and Surgery
- Keywords
- laparoscopic sleeve gastrectomy, bone mineral density
- MeSH terms
- Adult, Female, Femur, Hip, Humans, Longitudinal Studies, Obesity, Morbid, Laparoscopy, Spine, Gastroplasty, Absorptiometry, Photon, Bone Density, Body Mass Index, Treatment Outcome
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