Document Detail


Bone mineral density and nutritional profile in morbidly obese women.
MedLine Citation:
PMID:  20411350     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Morbid obesity may be associated with malnutrition. Because it is important to assess the preoperative nutritional/metabolic status and bone mineral density of these patients, this study was designed aiming to evaluate bone metabolism/mineral density and nutritional profile in morbidly obese women.
METHODS: Thirty-three morbidly obese women in preoperative care for obesity surgery were enrolled. Blood samples were drawn to determine nutritional and metabolic status, and dual-energy X-ray absorptiometry (DXA) was performed to evaluate bone mineral density; 24-h recall and food frequency questionnaire (FFQ) were also evaluated.
RESULTS: Twenty-seven (81.8%) women were premenopausal and six (18.2%) were postmenopausal. The mean body mass index was 43.2 ± 4.8 kg/m(2), and 91% were Caucasian. Insulin-resistant subjects comprised 81.8% of the sample. The median (25-75 percentile) of the total intake of 24-h recall was 3,081 (2,718-3,737) and for FFQ 2,685 (2,284-4,400) calories. FFQ underestimated total energy value intake. The median of calcium was higher when evaluated by the FFQ as compared with the 24-h recall. Protein and lipid intakes were lower if evaluated by the FFQ as compared to the 24-h recall. Vitamin D levels were low in 18 (81.8%) patients. In one premenopausal woman, bone mineral density was low in the lumbar spine (L1-L4), and in one postmenopausal woman it was low in L1-L4, femoral neck and 1/3 proximal radius.
CONCLUSIONS: In this study, the nutritional status of morbidly obese women was good, except for markers of bone metabolism, with no detectable differences between pre- and postmenopausal women.
Authors:
Daniela Schaan Casagrande; Giuseppe Repetto; Claudio Corá Mottin; Rodolfo Schneider; Jacqueline Rizzolli; Myriam Moretto; Alexandre Vontobel Padoin; Beatriz D'Agord Schaan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity surgery     Volume:  20     ISSN:  1708-0428     ISO Abbreviation:  Obes Surg     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-17     Completed Date:  2011-01-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9106714     Medline TA:  Obes Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1372-9     Citation Subset:  IM    
Affiliation:
Programa de Pós-graduação em Ciências Médicas: Endocrinologia e Metabologia, Universidade Federal do Rio Grande do Sul, Serviço de Endocrinologia do Hospital de Clínicas de Porto Alegre, Rua Ramiro Barcelos 2350, prédio 12, 4º andar, 90035-003, Porto Alegre, Rio Grande do Sul, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Density*
Cross-Sectional Studies
Female
Humans
Middle Aged
Nutritional Status*
Obesity, Morbid / physiopathology*
Parathyroid Hormone / blood
Prospective Studies
Young Adult
Chemical
Reg. No./Substance:
0/Parathyroid Hormone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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