Prevalence of Vitamin D Insufficiency in Severely Obese Patients Seeking Bariatric Surgery R. Smith1,2, R. Batterham1,3, N. Finer3,4 1
Department of Medicine, University College London; 2 Department of Medicine, Brighton and Sussex Medical School; 3UCLH Centre for Weight Loss, Metabolic and Endocrine Surgery; 4UCL Institute of Cardiovascular Science Email:
[email protected]
Introduction
Although BMI was different between groups, calculated body fat percentage was not, suggesting that vitamin D concentration is not related to adiposity.
Vitamin D deficiency and insufficiency is common in obese individuals. The cause of this relationship is not apparent. The vast majority of vitamin D is synthesised through skin exposure to sunlight, although a small proportion can additionally be obtained via diet.
Vitamin D deficiency was also analysed examining relationships with other nutritional markers. These results are presented in Table Two.
Current theories for the insufficient vitamin D concentrations include: • Vitamin D sequestration by adipose tissue • Inadequate sunlight exposure • Inadequate diet content of vitamin D
Aims: • Determine the prevalence of vitamin D insufficiency within a cohort of severely obese individuals • Explore underlying associations
Methods In a retrospective review of 703 consecutive patients presenting for bariatric surgery assessment, 663 were evaluated after excluding those with missing data. Assessment included: • Clinical history: comorbidities, current medications, multivitamin use, smoking, alcohol • Basic anthropometry: weight and height used to calculate indirect measures of adiposity; body mass index (BMI) and percentage body fat via the CUN-BAE equation • Blood tests: haemoglobin (Hb), serum iron, total iron binding capacity, iron binding saturation, ferritin, vitamin B1, vitamin B12, folate, white cell count (WCC), and Creactive protein (CRP) Vitamin D status was classified according to local laboratory ranges: • Normal: >50nmol/L • Insufficient: 25-50nmol/L • Deficient:
