The aim of the study is to increase vitamin D concentrations or to keep it on high level, respectively, by supplementing with vitamin D3 in a different dose regime, and to improve the overall health status in bariatric patients. In this project, the vitamin D status, the parameters of inflammation, bone turnover, insulin resistance, liver and depression score of bariatric patients are expected to improve, due to supplementation of a loading dose compared to the standard therapy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
50
Medical University of Vienna
Vienna, Vienna, Austria
25-hydroxy vitamin D levels
25-hydroxy vitamin D levels after 24 weeks measured in intervention and placebo group, adjusting for the baseline value as covariate
Time frame: 24 weeks postoperatively
Prevalence of sufficient vitamin D
Number of patients reaching 25-hydroxyvitamin D levels above 75 nmol/l
Time frame: 24 weeks postoperatively
Prevalence of vitamin D deficiency
Prevalence of vitamin D deficiency
Time frame: 24 weeks postoperatively
Co-morbidities
Prevalence of Co-morbidities
Time frame: 24 weeks postoperatively
Prescribed medication
Change in prescribed medication
Time frame: 24 weeks postoperatively
Body weight, body composition
Change in body weight and body composition by bioelectrical impedance analysis
Time frame: 24 weeks postoperatively
Blood pressure
Change of vital signs (blood pressure)
Time frame: 24 weeks postoperatively
Laboratory parameters
Change in laboratory parameters compared to baseline: vitamin D status, bone turnover markers, calcium homeostasis, parathyroid hormone, inflammation, insulin resistance
Time frame: 24 weeks postoperatively
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Depression symptoms
Prevalence of depression symptoms assessed by Beck Depression Inventory Questionnaire
Time frame: 24 weeks postoperatively
Bone mineral density and body fat content
Assessment of bone mineral density and total body fat content by DEXA
Time frame: 24 weeks postoperatively
Liver condition
Measurement of liver stiffness and fat content by FibroScan and CAP
Time frame: 24 weeks postoperatively
Dietary assessment
Dietary assessment will be documented with a 5-day food record to calculate vitamin D intake and the Mediterranean Score (questionnaire with calculated score)
Time frame: 24 weeks postoperatively
Gut microbiota composition
Association between vitamin D, gut microbiota and surgery-induced weight loss, by collecting stool samples
Time frame: 24 weeks postoperatively
Vitamin D in adipose and liver tissue
For instance, for the purposes of describing adipose depot vitamin D concentrations and expression of enzymes in subcutaneous, visceral adipose and liver tissue samples will be collected during the omega loop gastric bypass surgery. Furthermore, the liver tissue samples should be used in addition for a histological examination as extended diagnostics (NAFLD/ NASH).
Time frame: during surgery