{"title":"Preoperative serum zinc status in morbid obesity patients scheduled for bariatric surgery: A cross-sectional study","authors":"Azzam Alkadi","doi":"10.1016/j.orcp.2026.03.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><div>Obesity is a significant global health challenge and a modifiable and preventable risk factor for several medical conditions. This study aimed to assess zinc levels in patients with morbid obesity undergoing bariatric surgery (BS) and to determine the correlation between zinc deficiency and morbid obesity.</div></div><div><h3>Methods</h3><div>A prospective cross-sectional study was conducted at Dr. Sulaiman Al Habib Hospital-Olaya Branch, a tertiary referral center for BS, over a 12-month period from June 2024 to June 2025. The study population comprised 217 patients (aged ≥ 15 years) diagnosed with obesity who were scheduled to undergo BS. Zinc deficiency was defined as a serum zinc level of < 68 µg/dL.</div></div><div><h3>Results</h3><div>It was observed that among 217 participants, 32.3% (n = 70) were zinc deficient, of which 27.2 and 35.3% were noticed to have zinc deficiency in males and females, respectively. The mean zinc levels were 79.12 ± 15.91 and 73.32 ± 12.21 µg/dL in males and females, respectively (p = 0.003). Serum zinc showed positive correlations with height (r = 0.159, p = 0.02) and hemoglobin (r = 0.231, p < 0.001), but not with age, weight, or BMI. Among patients with zinc deficiency (n = 13), hypertension was the most common (61.5%), followed by diabetes (23.1%) and combined diabetes with hypertension (15.4%).</div></div><div><h3>Conclusion</h3><div>Patients with morbid obesity are at high risk for zinc deficiency. Routine preoperative zinc screening should be incorporated into standard care to enable timely interventions and improve long-term nutritional health.</div></div>","PeriodicalId":19408,"journal":{"name":"Obesity research & clinical practice","volume":"20 2","pages":"Pages 103-110"},"PeriodicalIF":2.4000,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity research & clinical practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1871403X26000268","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/6 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Aim
Obesity is a significant global health challenge and a modifiable and preventable risk factor for several medical conditions. This study aimed to assess zinc levels in patients with morbid obesity undergoing bariatric surgery (BS) and to determine the correlation between zinc deficiency and morbid obesity.
Methods
A prospective cross-sectional study was conducted at Dr. Sulaiman Al Habib Hospital-Olaya Branch, a tertiary referral center for BS, over a 12-month period from June 2024 to June 2025. The study population comprised 217 patients (aged ≥ 15 years) diagnosed with obesity who were scheduled to undergo BS. Zinc deficiency was defined as a serum zinc level of < 68 µg/dL.
Results
It was observed that among 217 participants, 32.3% (n = 70) were zinc deficient, of which 27.2 and 35.3% were noticed to have zinc deficiency in males and females, respectively. The mean zinc levels were 79.12 ± 15.91 and 73.32 ± 12.21 µg/dL in males and females, respectively (p = 0.003). Serum zinc showed positive correlations with height (r = 0.159, p = 0.02) and hemoglobin (r = 0.231, p < 0.001), but not with age, weight, or BMI. Among patients with zinc deficiency (n = 13), hypertension was the most common (61.5%), followed by diabetes (23.1%) and combined diabetes with hypertension (15.4%).
Conclusion
Patients with morbid obesity are at high risk for zinc deficiency. Routine preoperative zinc screening should be incorporated into standard care to enable timely interventions and improve long-term nutritional health.
期刊介绍:
The aim of Obesity Research & Clinical Practice (ORCP) is to publish high quality clinical and basic research relating to the epidemiology, mechanism, complications and treatment of obesity and the complication of obesity. Studies relating to the Asia Oceania region are particularly welcome, given the increasing burden of obesity in Asia Pacific, compounded by specific regional population-based and genetic issues, and the devastating personal and economic consequences. The journal aims to expose health care practitioners, clinical researchers, basic scientists, epidemiologists, and public health officials in the region to all areas of obesity research and practice. In addition to original research the ORCP publishes reviews, patient reports, short communications, and letters to the editor (including comments on published papers). The proceedings and abstracts of the Annual Meeting of the Asia Oceania Association for the Study of Obesity is published as a supplement each year.