Ontology highlight
ABSTRACT: Purpose
Secondary hyperparathyroidism (SHPT) after obesity surgery may affect bone health. Optimal vitamin D levels have not been established to prevent SHPT postoperatively. We investigated whether SHPT differed across threshold levels of serum 25-hydroxyvitamin D (S-25(OH)D) from 6 months up to 5 years after Roux-en-Y gastric bypass (RYGB).Materials and methods
We included 554 patients at follow-up 5 years postoperatively. Blood samples were analysed for S-25(OH)D, ionized calcium (iCa) and parathyroid hormone (PTH) during follow-up.Results
PTH and prevalence of SHPT increased from 6 months to 5 years postoperatively, while S-25(OH)D and iCa decreased (all P?ConclusionsA significant relationship existed between S-25(OH)D and development of PTH and SHPT. The prevalence of SHPT was lower with threshold levels 25(OH)D???50 nmol/l and???75 nmol/l over the 5 years, and lowest with S-25(OH)D???100 nmol/l.
SUBMITTER: Hewitt S
PROVIDER: S-EPMC7378105 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Hewitt Stephen S Kristinsson Jon J Aasheim Erlend Tuseth ET Blom-Høgestøl Ingvild Kristine IK Aaseth Eirik E Jahnsen Jørgen J Eriksen Erik Fink EF Mala Tom T
Obesity surgery 20200901 9
<h4>Purpose</h4>Secondary hyperparathyroidism (SHPT) after obesity surgery may affect bone health. Optimal vitamin D levels have not been established to prevent SHPT postoperatively. We investigated whether SHPT differed across threshold levels of serum 25-hydroxyvitamin D (S-25(OH)D) from 6 months up to 5 years after Roux-en-Y gastric bypass (RYGB).<h4>Materials and methods</h4>We included 554 patients at follow-up 5 years postoperatively. Blood samples were analysed for S-25(OH)D, ionized calc ...[more]