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Enfermería universitaria
On-line version ISSN 2395-8421Print version ISSN 1665-7063
Abstract
GONZALEZ-SANCHEZ, D. et al. Vitamin D deficiency and insufficiency among women with Roux-en-Y bariatric surgery. Enferm. univ [online]. 2018, vol.15, n.3, pp.294-304. ISSN 2395-8421. https://doi.org/10.22201/eneo.23958421e.2018.3.67083.
Objective
To determine the interrelationships among lack of compliance, multi-vitamin treatment adherence, and serum levels of 25-OH vitamin D among women with Roux-en-Y bariatric surgery in the UNEME of Tijuana, Baja California, Mexico.
Methods
This is an analytical and transversal study on women with Roux-en-Y bariatric surgery (GCa, n=13) with morbid obesity (GOM, n=13), and apparently healthy women (GCo, n=13). After the corresponding written informed consents, in a first appointment, the medical record, the anthropometric assessment, and the administration of the instrument were performed, while in a second appointment, blood samples were taken in order to measure the vitamin D levels. The assessment instrument was validated through a Cohen Kappa greater than 80% and a Cronbach Alpha of 1. Student’s t test and two-tailed, p<0.05 ANOVAS were calculated.
Results
While a lack of adherence to multi-vitamin treatment was found in 85% of the women, a lack of post-surgical follow-up, including micro-nutrients lab tests, was found in 100%. A statistically significant difference between the mean vitamin D levels of women with and without multi-vitamin treatment adherence was found (p<0.05, CI 95%).
Conclusions
It was demonstrated that the lack of adherence to multi-vitamin treatments is a vitamin D deficiency risk factor among patients with Roux-en-Y bariatric surgery.
Keywords : Vitamin D; gastric bypass; treatment adherence and compliance; multivitamin; avitaminosis; Mexico.