Health
Sleeve gastrectomy may cause loss of bone density and strength in adolescents
Sleeve gastrectomy (SG), which removes approximately 80% of the stomach, is effective in treating obesity and its complications, but is associated with bone loss in adolescents. In a prospective study published in Journal of Bone and Mineral Researchimaging studies revealed that SG decreased lumbar spine strength and bone density in adolescents and young adults.
In a 12-month prospective nonrandomized study, 29 obese adolescents/young adults underwent SG and 30 were followed without surgery. At baseline and at his 12 months, the participant underwent computed tomography of the lumbar spine for bone assessment and magnetic resonance imaging of the abdomen and thighs for body composition assessment.
Participants in the SG group lost an average of 34.3 kg (75.6 lb) 12 months after surgery, while controls did not change their weight. Abdominal adipose tissue and thigh muscle were significantly reduced in the SG group compared with controls. Also, bone strength and bone density were decreased in the SG group compared with the control group. Decreased bone strength and density were associated with decreased body mass index, abdominal adipose tissue, and muscle.
Weight-loss surgery is highly effective in treating obesity and obesity-related comorbidities in obese adolescents and young adults. However, it can cause loss of bone density and strength. Our research raises awareness of the importance of bone health after weight-loss surgery, helping doctors to encourage children to eat a healthy diet with enough calcium and vitamin D, and to engage in weight-bearing activities to strengthen their muscles. I hope you will be able to confirm increasing the quantity. good for bones “
Miriam A. Bredella, MD, corresponding author, Massachusetts General Hospital
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Journal reference:
Hoover, FA, and others. (2023) Biomechanical CT to assess bone after sleeve gastrectomy in obese adolescents: a prospective longitudinal study. Journal of Bone and Mineral Research. doi.org/10.1002/jbmr.4784.
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