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Bone Mineral Density and Nutritional Profile in Morbidly Obese Women

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Abstract

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/m2, 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.

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Disclosure

There are no external sources of funds supporting this work. There is no financial interest for any of the authors.

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Authors and Affiliations

  1. 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

    Daniela Schaan Casagrande & Beatriz D’Agord Schaan

  2. Centro da Obesidade e Síndrome Metabólica do Hospital São Lucas da Pontifica Universidade Católica do Rio Grande do Sul (COM HSL-PUCRS), Porto Alegre, Brazil

    Daniela Schaan Casagrande, Claudio Corá Mottin, Jacqueline Rizzolli, Myriam Moretto & Alexandre Vontobel Padoin

  3. Serviço de Endocrinologia do Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Daniela Schaan Casagrande, Giuseppe Repetto & Jacqueline Rizzolli

  4. Programa de Pós-Graduação em Gerontologia Biomédica, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil

    Rodolfo Schneider

  5. Faculdade de Medicina e Curso de Pós-graduação da Pontifícia, Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil

    Claudio Corá Mottin

Authors
  1. Daniela Schaan Casagrande
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  2. Giuseppe Repetto
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  3. Claudio Corá Mottin
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  4. Rodolfo Schneider
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  5. Jacqueline Rizzolli
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  7. Alexandre Vontobel Padoin
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  8. Beatriz D’Agord Schaan
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Corresponding author

Correspondence to Beatriz D’Agord Schaan.

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Casagrande, D.S., Repetto, G., Mottin, C.C. et al. Bone Mineral Density and Nutritional Profile in Morbidly Obese Women. OBES SURG 20, 1372–1379 (2010). https://doi.org/10.1007/s11695-010-0121-3

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  • DOI: https://doi.org/10.1007/s11695-010-0121-3

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