Vitamin D, Calcium, Exercise Slow Bariatric-Surgery Bone Loss

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Vitamin D, Calcium, Exercise Slow Bariatric-Surgery Bone Loss



A multipronged approach reduced bone loss and loss of lean muscle in obese patients who underwent bariatric surgery to lose weight, in the Bone Metabolism after Bariatric Surgery (BABS) study.
Specifically, in a cohort of middle-aged obese patients in Austria who underwent laparoscopic Roux-en-Y gastric bypass or sleeve gastrectomy, those who received the intervention — high-dose vitamin D loading before surgery, then vitamin D, calcium, and protein supplements along with an individualized exercise program after surgery — had a decelerated loss of bone-mineral density and lean body mass and a less pronounced increase in bone-turnover makers than other patients.
Thus, dietary “supplementation and exercise has a positive effect on the long-term outcome [of] bone protection after bariatric surgery, and it should be recommended for all patients undergoing this type of surgery,” said Christian Muschitz, MD, from St Vincent Hospital of the Medical University of Vienna, Austria, in an oral session at the American Society for Bone and Mineral Research (ASBMR) 2015 Annual Meeting. The study was also reported in a poster at the meeting and was published online in the Journal of Bone and Mineral Research.
“The most striking feature for us is the trabecular bone score,” Dr Muschitz told Medscape Medical News. The score declined “in the intervention group until month 6, [but] from [there] on it’s a plateau, suggesting that there is a stop in the deterioration of trabecular bone quality.” It is also noteworthy that there was less of a decline in lean-muscle mass (sarcopenia) among patients who took the protein supplements, he added.
So – diet, exercise, and vitamin D, calcium, and protein supplements at the same time as the surgery brings the best results.

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