Bone health following bariatric surgery: Implications for management strategies to attenuate bone loss

Tair Ben-Porat, Ram Elazary, Shiri Sherf-Dagan, Ariela Goldenshluger, Ronit Brodie, Yoav Mintz, Ram Weiss

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations


Bariatric surgery (BS) is an effective treatment for morbid obesity and its associated comorbidities. Following such a procedure, however, patients are at risk of developing metabolic bone disease owing to the combination of rapid weight loss, severely restricted dietary intake, and reduced intestinal nutrient absorption. Patients undergoing malabsorptive procedures are at a higher risk of postoperative bone health deterioration than those undergoing restrictive procedures; however, studies have demonstrated negative skeletal consequences of restrictive procedures aswell. The clinical practice guidelines of some international associations have previously addressed preoperative evaluation and postoperative clinical care in order to maintain bone health in BS patients. Nevertheless, some issues regarding bone health in BS patients remain unclear owing to the lack of relevant randomized clinical trials, including doses of nutritional supplements pre- and post-BS. This review summarizes the current data regarding the skeletal consequences of BS and its mechanisms, with an emphasis on the preventive strategies and nutritional care that may be warranted in order to attenuate bone deterioration following BS.

Original languageEnglish
Pages (from-to)114-127
Number of pages14
JournalAdvances in Nutrition
Issue number2
StatePublished - 1 Mar 2018
Externally publishedYes


  • Bariatric surgery
  • Bone health
  • Nutrition care
  • Obesity
  • Weight loss


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