Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow‐up of a controlled intervention study

@article{Ahlin2020FractureRA,
  title={Fracture risk after three bariatric surgery procedures in Swedish obese subjects: up to 26 years follow‐up of a controlled intervention study},
  author={Sofie Ahlin and Markku Peltonen and Kajsa Sj{\"o}holm and {\AA}sa Anveden and Peter Jacobson and JC Andersson-Assarsson and Magdalena Taube and Ingrid Larsson and L. Stefan Lohmander and Ingmar N{\"a}slund and Per-Arne Svensson and L. M. S. Carlsson},
  journal={Journal of Internal Medicine},
  year={2020},
  volume={287},
  pages={546 - 557}
}
Previous studies have reported an increased fracture risk after bariatric surgery. 

Bone Complications of Bariatric Surgery: Updates on Sleeve Gastrectomy, Fractures, and Interventions.

TLDR
A focused update in three critical areas is provided: emergent data on sleeve gastrectomy and bone loss, evidence linking bariatric surgery to incident fracture, and intervention strategies designed to mitigate surgical bone loss.

Fracture risk following bariatric surgery: a systematic review and meta-analysis

TLDR
A prospective and rigorous long-term follow-up of patients following bariatric surgery is needed for a better assessment of their fracture risk with aging, and the available evidence has several limitations.

FRACTURE RISK AFTER BARIATRIC SURGERY: A SYSTEMATIC LITERATURE REVIEW AND META-ANALYSIS.

The Impact of Bariatric Surgery on Bone Health: State of the Art and New Recognized Links.

TLDR
The objective of this literature review is to examine the impact of bariatric surgery on bone and its main metabolic links, and to analyze the latest findings regarding the risk of fracture among patients submitted tobariatric surgery.

Long-Term Effects in Bone Mineral Density after Different Bariatric Procedures in Patients with Type 2 Diabetes: Outcomes of a Randomized Clinical Trial

TLDR
MRYGB produces higher deleterious effects on bone at LS compared to SG and GCP in the long-term, and women in menopause undergoing mRYGB are at highest risk of bone deterioration.

Effect of exercise training before and after bariatric surgery: A systematic review and meta‐analysis

TLDR
Exercise training performed afterbariatric surgery improves physical fitness and leads to a small additional weight and fat loss and may prevent bone loss and weight regain after bariatric surgery.

The Effect of an Exercise Intervention Program on Bone Health After Bariatric Surgery: A Randomized Controlled Trial

  • F. Diniz-SousaL. Veras H. Fonseca
  • Medicine
    Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
  • 2020
TLDR
It is suggested that an exercise program is an effective strategy to ameliorate bone health in post‐BS patients and secondary analysis results suggest that exercise‐induced benefits may be obtained on femoral neck BMD but only on those participants with ≥50% exercise attendance.

The Effect of Exercise for the Prevention of Bone Mass After Bariatric Surgery: a Systematic Review and Meta-analysis

TLDR
Exercise undertaken after bariatric surgery seems to induce a positive effect on BMD, and certainty evidence was assessed according to GRADE.

Prevention and treatment of nutritional complications after bariatric surgery.

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Bariatric surgery was significantly associated with an increased risk of fractures, mainly with malabsorptive procedures, with a trend of an increased fracture risk 1 to 2 years after surgery, providing further evidence for the adverse effects of bariatric surgery on the risk of fracture.

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It is concluded that bariatric surgery is associated with an increased risk of total and non‐vertebral fractures, especially in the upper limbs.

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TLDR
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