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Relationships Between Vitamin D Status and PTH over 5 Years After Roux-en-Y Gastric Bypass: a Longitudinal Cohort Study.


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

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Publications

Relationships Between Vitamin D Status and PTH over 5 Years After Roux-en-Y Gastric Bypass: a Longitudinal Cohort Study.

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]

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