Systematic Review of Micronutrient Deficiency One Year or More After Bariatric Surgery
Author
Radcliffe, Ivy K.Issue Date
2018Keywords
Bariatric SurgeryMicronutrient
Mineral Deficiency
Obesity
Trace Element Deficiency
Vitamin Deficiency
Advisor
Brewer, Barbara B.
Metadata
Show full item recordPublisher
The University of Arizona.Rights
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction, presentation (such as public display or performance) of protected items is prohibited except with permission of the author.Abstract
Obesity is a global epidemic and a public health challenge. Currently more than one third of adults in the United States are obese (Center for Disease Control and Obesity, 2015). Although diet, lifestyle modification, and medications are minimally effective, bariatric surgery has demonstrated long-term weight loss and reduction of complications in obese populations. Bariatric surgery has become the recommended treatment option for morbid obesity and obesity with comorbid disease (Buchwald et al., 2004). Studies on long-term follow up — beyond one-year post-surgery — demonstrate that bariatric surgery and extreme weight loss can cause co-morbid problems due to micronutrient deficiencies (Alvarez-Leite, 2004). Bariatric surgery and subsequent extreme weight loss can lead to malabsorption and serious complications from deficiencies in micronutrients — vitamins, minerals, and trace elements. The consequences of micronutrient deficiencies can be serious: disease, functional impairment, and decreased quality of life. Advanced-practice nurses may not be familiar with bariatric surgeries or symptoms of micronutrient deficiency; however, they need to develop competency to provide evidence-based primary care to the rapid growing population of patients with a history of bariatric surgery. This practice inquiry conducts an evidence-based problem-solving approach using a systematic review to develop practice guidelines for advance practice nurses to assess and prevent complications in patient’s one year or more after bariatric surgery. Results from this systematic review indicate that providers should consider screening for micronutrient deficiencies in pre- and post-operative bariatric surgery patients and that this population be routinely monitored for supplement adherence.Type
textElectronic Dissertation
Degree Name
D.N.P.Degree Level
doctoralDegree Program
Graduate CollegeNursing