Cited by 128Bariatric Surgery and OutcomesVitamin D Research StudiesBone health and osteoporosis research

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Treatment of vitamin D depletion after Roux-en-Y gastric bypass: a randomized prospective clinical trial

Carlin, Arthur M., Rao, D. Sudhaker, Yager, Kelli M., Parikh, Nayana J., Kapke, Alissa·2009·Surgery for Obesity and Related Diseases

DOI 10.1016/j.soard.2008.08.004

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Abstract

Background A high prevalence (60%) of vitamin D (VitD) depletion, defined as a serum 25-hydroxyvitamin D level of < or =20 ng/mL, is present in preoperative morbidly obese patients. Despite daily supplementation with 800 IU VitD and 1500 mg calcium after Roux-en-Y gastric bypass (RYGB), VitD depletion persists in almost one half (44%) of patients. However, the optimal management of VitD depletion after RYGB and the potential benefits of such treatment are currently unknown.Methods A total of 60 VitD-depleted morbidly obese women were randomly assigned to receive 50,000 IU of VitD weekly after RYGB (group 1; n = 30) or no additional VitD after RYGB (group 2; n = 30). All patients received a daily supplement of 800 IU VitD and 1500 mg calcium. The serum calcium, parathyroid hormone, 25-hydroxyvitamin D, bone-specific alkaline phosphatase, urinary N-telopeptide, and bone mineral density were measured preoperatively and 1 year after RYGB. Questionnaires were used to assess other potential sources of VitD, including sunlight exposure and ingestion of VitD-containing foods/liquids.Results At 1 year after RYGB, VitD depletion and mean 25-hydroxyvitamin D level had improved significantly in group 1 (14% and 37.8 ng/mL, respectively) compared with the values in group 2 (85% and 15.2 ng/mL, respectively; P <.001 for both). A significant 33% retardation in hip bone mineral density decline (P = .043) and a significantly greater resolution of hypertension was seen in group 1 (75% versus 32%; P = .029). No significant adverse effects were encountered from pharmacologic VitD therapy.Conclusion The results of our study have shown that 50,000 IU of VitD weekly after RYGB safely corrects VitD depletion in most women, attenuates cortical bone loss, and improves resolution of hypertension.

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Authors: Carlin, A. M., Rao, D. S., Yager, K. M., Parikh, N. J., & Kapke, A.
Affiliations: Henry Ford Health (US)
Henry Ford Hospital (US)
ORCID: Carlin, Arthur M.
Venue: Surgery for Obesity and Related Diseases
Publisher: Elsevier BV
Published: 2009-07
Volume: 5
Issue: 4
Pages: 444-449
ISSN: 1550-7289 (ISSN-L)
DOI: 10.1016/j.soard.2008.08.004
OpenAlex: W2124633433
Cited by: 128
References: 28
Citations by year: 2025: 1 · 2024: 9 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 10 · 2019: 3 · 2018: 9 · 2017: 9 · 2016: 7 · 2015: 10 · 2014: 13 · 2013: 13 · 2012: 11
FWCI: 4.22
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Surgery for Obesity and Related Diseases (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Vitamin D Research Studies
Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
Keywords: vitamin D deficiency, Roux-en-Y gastric bypass
MeSH terms: Adult, Female, Humans, Middle Aged, Obesity, Morbid, Parathyroid Hormone, Risk Factors, Vitamin D, Vitamin D Deficiency, Vitamins, Gastric Bypass, Weight Loss, Bone Density, Treatment Outcome, Dietary Supplements

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Treatment of vitamin D depletion after Roux-en-Y gastric bypass: a randomized prospective clinical trial

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