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Page 4 of 8                                                                                Kheirvari et al. Mini-invasive Surg 2021;5:40  https://dx.doi.org/10.20517/2574-1225.2021.66


                             Table 1. Prevalence of micronutrient deficiencies in those younger and older than 45 years of age, with or without a prescription for supplements before surgery and at 12 months after LSG

                                                                                   Younger than 45 years of age                                                 Older than 45 years of age
                                        Normal levels of                 Post operative                                                              Post operative
                              Variables micronutrients in    Pre         deficiency       Supplements      Post operative          1    Pre          deficiency       Supplements     Post operative          2
                                        normal individuals   operative   without          dose - daily     deficiency with  P-value     operative    without          dose - daily    deficiency with  P-value
                                                             deficiency                   intake           supplement                   deficiency                    intake          supplement
                                                                         supplement                                                                  supplement
                              n         -                    612         306              -                306             -            612          306              -               306              -

                              Iron      M: 80-180 mcg/dL     183 (29.9%)  128 (41.83%)    Men and post-    85 (27.77%)     0.00026*     159          136 (44.44%)     18 mg           77 (25.16%)      < 0.00001*
                                        F: 60-160 mcg/dL                                  menopausal                                    (25.98%)
                                                                                          women: 8 mg
                                                                                          Menstruating
                                                                                          females: 18 mg

                              Biotin    133-329 pmol/L       60 (9.8%)   103 (33.66%)     30 μg            48 (15.68%)     < 0.00001*   66 (10.78%) 116 (37.9%)       30 μg           32 (10.45%)      < 0.00001*
                              Zinc      0.66-1.10 mcg/mL     171 (27.94%) 129 (42.15%)    M: 11 mg         58 (18.95%)     < 0.00001*   171 (27.94%) 134 (43.79%)     11 mg           55 (17.94%)      < 0.00001*
                                                                                          F: 8 mg
                              Selenium  70-150 ng/mL         84 (13.72%)  52 (16.99%)     55 μg            45 (14.7%)      0.4413       91 (14.86%)  61 (19.93%)      55 μg           48 (15.68%)      0.1706

                              Folic acid  2.7-17.0 ng/mL     48 (7.84%)  39 (12.74%)      400 μg           27 (8.82%)      0.1187       55 (8.98%)   42 (13.72%)      400 μg          25 (8.16%)       0.0278*
                              Riboflavin  4-24 µg/dL         74 (12.09%) 41 (13.39%)      2.4 μg           33 (10.78%)     0.3221       79 (12.90%) 46 (15.03%)       2.4 μg          26 (8.49%)       0.0120*
                              Vitamin   200-900 pg/mL        72 (11.76%)  42 (13.72%)     2.4 μg           24 (7.84%)      0.018*       96 (15.68%) 60 (19.6%)        2.4 μg          39 (12.74%)      0.0208*
                              B12
                              Vitamin B1 2.5-7.5 μg/dL       18 (2.94%)  18 (5.88%)       M: 1.2 mg        6 (1.96%)       0.012*       23 (3.75%)   25 (8.16%)       M: 1.2 mg       15 (4.9%)        0.101
                                                                                          F: 1.1 mg                                                                   F: 1.1 mg
                              Vitamin A  20-60 mcg/dL        147 (24.01%) 189 (61.76%)    M: 900 mcg       97 (31.69%)     < 0.00001*   158 (25.81%) 180 (58.82%)     M: 900 mcg      82 (26.79%)      < 0.00001*
                                                                                          F: 700 mcg                                                                  F: 700 mcg
                              Vitamin E  5.5-17 µg/mL        14 (2.28%)  100 (32.67%)     15 mg            59 (19.28%)     0.00016*     153 (25%)    97 (31.69%)      15 mg           43 (14.05%)      < 0.00001*
                              Vitamin C  0.6-2 mg/dL         128 (20.91%) 97 (31.69%)     45 mg            70 (22.87%)     0.014*       145          94 (30.71%)      45 mg           67 (21.89%)      0.01314*
                                                                                                                                        (23.69%)

                              Vitamin D  20-40 ng/mL         172 (28.1%)  104 (33.98%)    15 mcg           41 (13.39%)     < 0.00001*   141 (23.03%) 150 (49.01%)     20 mcg          66 (21.56%)      < 0.00001*

                             *                       1
                              P-value significant at 0.05.  P-value for statistical analysis of variables between the two subgroups of patients who received supplements and patients who did not receive supplements in the younger than 45 years
                                   2
                             group.  P-value for statistical analysis of variables between the two subgroups of patients who received supplements and patients who did not receive supplements in the older than 45 years group.


                             were not only better than in the group without a prescription for supplements postoperative, but also better than their evaluations preoperatively [Table 1].
                             Prevalent nutritional deficiencies in the group with a prescription for supplements were in vitamin A (31.69% for first group; 26.79% for second group; P =
                             0.4354), iron (27.77% for first group; 25.16% for second group; P = 0.7489), vitamin C (22.87% for first group; 21.89% for second group; P = 0.7718), and

                             vitamin E (19.28% for first group; 14.05% for second group; P = 0.08186); the P-values for these variables in the groups of those younger and older than 45
                             years which received supplements mentioned above were not statistically significant. The analysis of the data revealed that the reduction of nutritional
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