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Obesity Surgery

, Volume 28, Issue 10, pp 3116–3124 | Cite as

Maternal Anthropometry and Its Relationship with the Nutritional Status of Vitamin D, Calcium, and Parathyroid Hormone in Pregnant Women After Roux-en-Y Gastric Bypass

  • Sabrina Cruz
  • Andrea Cardoso de Matos
  • Suelem Pereira da Cruz
  • Silvia Pereira
  • Carlos Saboya
  • Andréa Ramalho
Original Contributions
  • 80 Downloads

Abstract

Objective

To assess the influence of pre-pregnancy body mass index (BMI), total gestational weight gain (TGWG), and pre-pregnancy surgical success on the nutritional status of vitamin D, calcium, and parathyroid hormone (PTH) in the trimesters of pregnancy of women who previously underwent Roux-en-Y gastric bypass (RYGB).

Methodology

This is an analytical, longitudinal, and retrospective study comprising 42 pregnant women who previously underwent RYGB. Concentrations of vitamin D3, calcium, and PTH were assessed in all trimesters. Anthropometric variables necessary for calculating TGWG, surgical success, and BMI were collected preoperatively and over the trimesters of pregnancy.

Results

A total of 97.1% had vitamin D3 inadequacy at some point in pregnancy. Pre-pregnancy BMI, even when classified as overweight, may have exacerbated the serum concentrations of this vitamin in the third trimester (p = 0.011), and it was significantly lower in women with normal weight and/or obesity (p = 0.039). It was evidenced that both pre-pregnancy BMI and TGWG above the recommended optimal weight can be associated with calcium homeostasis, especially early in pregnancy. It was also shown that surgical success in the pre-pregnancy period may have influenced the serum concentrations of vitamin D in the second trimester of pregnancy (p = 0.013).

Conclusion

This study draws attention to the importance of monitoring the nutritional status of vitamin D3 and calcium in the prenatal period due to its relationship with pre-pregnancy BMI, TGWG, and surgical success.

Keywords

Pregnancy Roux-en-Y gastric bypass Bariatric surgery Vitamin D Calcium Body mass index Obesity 

Notes

Acknowledgments

The authors acknowledge the support received from Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ, Carlos Chagas Filho Foundation for Research Support of the State of Rio de Janeiro) (Scientist of Our State).

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no competing interests.

Statement of Human and Animal Rights

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Statement of Additional Informed Consent

Informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.School of MedicineFederal University of Rio de Janeiro (UFRJ)Rio de JaneiroBrazil
  2. 2.Center for Research on Micronutrients (NPqM)Institute of Nutrition Josué de Castro of UFRJRio de JaneiroBrazil
  3. 3.Federal University Fluminence (UFF)NiteróiBrazil
  4. 4.Center for Research on Micronutrients (NPqM)Federal University of Rio de Janeiro (UFRJ)Rio de JaneiroBrazil
  5. 5.Multidisciplinary Center for Bariatric and Metabolic SurgeryRio de JaneiroBrazil
  6. 6.Federal University of São Paulo (UNIFESP)São PauloBrazil
  7. 7.Brazilian Society of Bariatric and Metabolic SurgerySão PauloBrazil
  8. 8.ENSP/FIOCRUZRio de JaneiroBrazil
  9. 9.Department of Social and Applied Nutrition, Institute of NutritionFederal University of Rio de Janeiro (UFRJ)Rio de JaneiroBrazil
  10. 10.Institute of Nutrition Josué de CastroFederal University of Rio de Janeiro (UFRJ)Rio de JaneiroBrazil

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