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Role of Functional Biomarkers to Identify Early Vitamin B12 Deficiency in Patients with Sleeve Gastrectomy: A Cross-Sectional Study.
Medicina (Kaunas). 2020 Mar 20; 56(3)M

Abstract

Background and objectives: Although laparoscopic sleeve gastrectomy (LSG) is effective for obesity management, postoperative vitamin B12 (B12) deficiency is of major concern. In this cross-sectional study, we assessed the levels of B12 and its related functional biomarkers, namely, total homocysteine (tHcy), methylmalonic acid (MMA), folate, methylcitric acid (MCA), and hemoglobin (Hb), in one-year postoperative LSG patients and matched controls. Materials and

Methods:

Plasma B12, tHcy, MMA, folate, and MCA were measured in matched controls (n = 66) and patients (n = 71) using validated liquid chromatography-tandem mass spectrometry techniques and protocols in the United Arab Emirates (UAE).

Results:

The median B12 concentration in patients (177 pmol/L) was significantly lower (p < 0.001) than in the controls (334.7 pmol/L). The tHcy and MMA levels were significantly increased (p < 0.001 and p = 0.011, respectively) and folate levels were significantly decreased (p = 0.001) in the LSG patients compared to the controls. Interestingly, no significant difference in MCA levels were observed between the two groups. The levels of tHcy and MMA were concomitantly increased with the decreased folate levels in postoperative LSG patients when compared with the controls. The Hb levels were significantly lower in males and females in the patient group compared with those in the control group, respectively (p = 0.005 and p = 0.043).

Conclusions:

This is the first report of serum levels of B12 and its functional biomarkers in postoperative LSG patients among a local population from the UAE. Our findings revealed significant alterations of the B12 biomarkers, total B12, MMA, and tHcy in one-year postoperative LSG patients.

Authors+Show Affiliations

Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.Department of Pediatrics, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.Ambulatory Medicine (Dep) - Medical Affairs, Tawam Hospital (S.A.M.), Al Ain 17666, UAE.Department of Pharmacology, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.Department of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al Ain 17666, UAE.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32245061

Citation

Al-Dirbashi, Osama Y., et al. "Role of Functional Biomarkers to Identify Early Vitamin B12 Deficiency in Patients With Sleeve Gastrectomy: a Cross-Sectional Study." Medicina (Kaunas, Lithuania), vol. 56, no. 3, 2020.
Al-Dirbashi OY, Sharma C, Al Dahouri N, et al. Role of Functional Biomarkers to Identify Early Vitamin B12 Deficiency in Patients with Sleeve Gastrectomy: A Cross-Sectional Study. Medicina (Kaunas). 2020;56(3).
Al-Dirbashi, O. Y., Sharma, C., Al Dahouri, N., Al Aidaros, A., Al-Muhairi, S., Beiram, R., Gariballa, S., & Al Kaabi, J. (2020). Role of Functional Biomarkers to Identify Early Vitamin B12 Deficiency in Patients with Sleeve Gastrectomy: A Cross-Sectional Study. Medicina (Kaunas, Lithuania), 56(3). https://doi.org/10.3390/medicina56030142
Al-Dirbashi OY, et al. Role of Functional Biomarkers to Identify Early Vitamin B12 Deficiency in Patients With Sleeve Gastrectomy: a Cross-Sectional Study. Medicina (Kaunas). 2020 Mar 20;56(3) PubMed PMID: 32245061.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of Functional Biomarkers to Identify Early Vitamin B12 Deficiency in Patients with Sleeve Gastrectomy: A Cross-Sectional Study. AU - Al-Dirbashi,Osama Y, AU - Sharma,Charu, AU - Al Dahouri,Nahid, AU - Al Aidaros,Anas, AU - Al-Muhairi,Shamma, AU - Beiram,Rami, AU - Gariballa,Salah, AU - Al Kaabi,Juma, Y1 - 2020/03/20/ PY - 2020/01/07/received PY - 2020/02/20/revised PY - 2020/02/24/accepted PY - 2020/4/5/entrez PY - 2020/4/5/pubmed PY - 2020/10/6/medline KW - UAE KW - bariatric surgery KW - homocysteine KW - methylcitric acid KW - methylmalonic acid KW - vitamin B12 JF - Medicina (Kaunas, Lithuania) JO - Medicina (Kaunas) VL - 56 IS - 3 N2 - Background and objectives: Although laparoscopic sleeve gastrectomy (LSG) is effective for obesity management, postoperative vitamin B12 (B12) deficiency is of major concern. In this cross-sectional study, we assessed the levels of B12 and its related functional biomarkers, namely, total homocysteine (tHcy), methylmalonic acid (MMA), folate, methylcitric acid (MCA), and hemoglobin (Hb), in one-year postoperative LSG patients and matched controls. Materials and Methods: Plasma B12, tHcy, MMA, folate, and MCA were measured in matched controls (n = 66) and patients (n = 71) using validated liquid chromatography-tandem mass spectrometry techniques and protocols in the United Arab Emirates (UAE). Results: The median B12 concentration in patients (177 pmol/L) was significantly lower (p < 0.001) than in the controls (334.7 pmol/L). The tHcy and MMA levels were significantly increased (p < 0.001 and p = 0.011, respectively) and folate levels were significantly decreased (p = 0.001) in the LSG patients compared to the controls. Interestingly, no significant difference in MCA levels were observed between the two groups. The levels of tHcy and MMA were concomitantly increased with the decreased folate levels in postoperative LSG patients when compared with the controls. The Hb levels were significantly lower in males and females in the patient group compared with those in the control group, respectively (p = 0.005 and p = 0.043). Conclusions: This is the first report of serum levels of B12 and its functional biomarkers in postoperative LSG patients among a local population from the UAE. Our findings revealed significant alterations of the B12 biomarkers, total B12, MMA, and tHcy in one-year postoperative LSG patients. SN - 1648-9144 UR - https://www.unboundmedicine.com/medline/citation/32245061/Role_of_Functional_Biomarkers_to_Identify_Early_Vitamin_B12_Deficiency_in_Patients_with_Sleeve_Gastrectomy:_A_Cross_Sectional_Study_ L2 - https://www.mdpi.com/resolver?pii=medicina56030142 DB - PRIME DP - Unbound Medicine ER -