title: Vitamin D Deficiency Is Prevalent in Morbidly Obese Adolescents Prior to Bariatric Surgery.
abstract: Obese adults are frequently vitamin D deficient before bariatric surgery; whether similar abnormalities exist in morbidly obese adolescents is unknown.
  
  
  
  To determine the prevalence of vitamin D deficiency in morbidly obese adolescents.
  
  
  
  Cross-sectional study of preoperative laboratory measures from 236 adolescents evaluated for bariatric surgery.
  
  
  
  The group (N= 219 with 25-hydroxyvitamin D (25OHD) and parathyroid hormone (PTH) levels; 76 boys, 143 girls; 15.9 ± 1.2 years; 43% Caucasian, 35% Hispanic, and 15% African American) had mean BMI of 47.6 ± 8.1 kg/m2. 25OHD levels were deficient (<20 ng/mL) in 53%; 8% had severe deficiency (<10 ng/mL); only 18% of patients were replete (>30 ng/mL). 25OHD levels were inversely associated with BMI (r= -0.28, < 0.0001) and PTH levels (r= -0.24,P= 0.0003). Race was the strongest predictor of 25OHD (P< 0.002); 82% of African Americans, 59% of Hispanics, and 37% of Caucasians were deficient. African American race, BMI, and PTH explained 21% of the variance in 25OHD (P< 0.0001).
  
  
  
  Most adolescents presenting for bariatric surgery have suboptimal vitamin D levels, with African Americans and those with higher BMIs at greatest risk for vitamin D deficiency. All morbidly obese adolescents should be screened for vitamin D deficiency before bariatric procedures.
authors.affiliation: Department of Pediatrics, Columbia University Medical Center, 622 West 168th Street, PH 5E-522, New York, NY 10032, USA.
authors.forename: Marisa
authors.initials: M
authors.lastname: Censani
authors.forename: Emily M
authors.initials: EM
authors.lastname: Stein
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Shane
authors.forename: Sharon E
authors.initials: SE
authors.lastname: Oberfield
authors.forename: Donald J
authors.initials: DJ
authors.lastname: McMahon
authors.forename: Shulamit
authors.initials: S
authors.lastname: Lerner
authors.forename: Ilene
authors.initials: I
authors.lastname: Fennoy