{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T15:30:17Z","timestamp":1778340617037,"version":"3.51.4"},"reference-count":50,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T00:00:00Z","timestamp":1722988800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Assuta Medical Center"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Given the health benefits of carotenoids, it is crucial to evaluate their levels in patients undergoing malabsorptive procedures like one anastomosis gastric bypass (OAGB). This study aimed to assess serum carotenoid levels before and 6 months following OAGB. Prospectively collected data from patients who underwent primary OAGB were analyzed. Data included anthropometrics, dietary intake assessments, and biochemical tests. Serum samples were analyzed for lipid profile and serum carotenoids, including lutein, zeaxanthin, \u03b1-carotene, \u03b2-carotene, phytofluene, \u03b6-carotene, and lycopene. Data from 27 patients (median age 47.0 years and 55.6% female) were available before and 6 months post-OAGB. The median pre-surgical BMI was 39.5 kg\/m2, and the median excess weight loss at 6 months post-surgery was 63.9%. Significant decreases in all carotenoid levels were observed over time (p &lt; 0.001 for all). A median relative decline of 65.1% in absolute total carotenoid levels and 12.7% in total cholesterol levels were found. No associations were observed between changes in clinical outcomes and carotenoid levels during the study period. This study reveals significant decreases in carotenoid levels within the first 6 months following OAGB. Nutritional intervention studies are needed to explore how incorporating carotenoid-rich foods affects post-surgery carotenoid levels and clinical outcomes.<\/jats:p>","DOI":"10.3390\/nu16162596","type":"journal-article","created":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T08:42:28Z","timestamp":1723020148000},"page":"2596","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reduction in Serum Carotenoid Levels Following One Anastomosis Gastric Bypass"],"prefix":"10.3390","volume":"16","author":[{"given":"Ayelet","family":"Harari","sequence":"first","affiliation":[{"name":"The Bert W. Strassburger Lipid Center, Sheba Medical Center, Tel-Hashomer 5262000, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0361-9015","authenticated-orcid":false,"given":"Osnat","family":"Kaniel","sequence":"additional","affiliation":[{"name":"Disaster Readiness Management Unit, Sanz Medical Center, Laniado Hospital, Netanya 4244916, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rom","family":"Keshet","sequence":"additional","affiliation":[{"name":"The Bert W. Strassburger Lipid Center, Sheba Medical Center, Tel-Hashomer 5262000, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aviv","family":"Shaish","sequence":"additional","affiliation":[{"name":"The Bert W. Strassburger Lipid Center, Sheba Medical Center, Tel-Hashomer 5262000, Israel"},{"name":"Achva Academic College, Beer-Tuvia Regional Council 7980400, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yafit","family":"Kessler","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, School of Health Sciences, Ariel University, Ariel 40700, Israel"},{"name":"Assia Medical Group, Assuta Medical Center, Tel-Aviv 6971028, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2238-8670","authenticated-orcid":false,"given":"Amir","family":"Szold","sequence":"additional","affiliation":[{"name":"Assia Medical Group, Assuta Medical Center, Tel-Aviv 6971028, Israel"},{"name":"Assuta Bariatric Centers, Assuta Hospitals, Tel-Aviv 6971028, Israel"},{"name":"Division of General Surgery, Sheba Medical Center, Tel-Hashomer 5262000, Israel"},{"name":"Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Langer","sequence":"additional","affiliation":[{"name":"Assia Medical Group, Assuta Medical Center, Tel-Aviv 6971028, Israel"},{"name":"Assuta Bariatric Centers, Assuta Hospitals, Tel-Aviv 6971028, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2118-9458","authenticated-orcid":false,"given":"Asnat","family":"Raziel","sequence":"additional","affiliation":[{"name":"Assia Medical Group, Assuta Medical Center, Tel-Aviv 6971028, Israel"},{"name":"Assuta Bariatric Centers, Assuta Hospitals, Tel-Aviv 6971028, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6658-8981","authenticated-orcid":false,"given":"Nasser","family":"Sakran","sequence":"additional","affiliation":[{"name":"Assia Medical Group, Assuta Medical Center, Tel-Aviv 6971028, Israel"},{"name":"Assuta Bariatric Centers, Assuta Hospitals, Tel-Aviv 6971028, Israel"},{"name":"Department of Surgery, Holy Family Hospital, Nazareth 1601001, Israel"},{"name":"The Azrieli Faculty of Medicine Safed, Bar-Ilan University, Ramat Gan 5290002, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0570-8150","authenticated-orcid":false,"given":"David","family":"Goitein","sequence":"additional","affiliation":[{"name":"Assia Medical Group, Assuta Medical Center, Tel-Aviv 6971028, Israel"},{"name":"Assuta Bariatric Centers, Assuta Hospitals, Tel-Aviv 6971028, Israel"},{"name":"Division of General Surgery, Sheba Medical Center, Tel-Hashomer 5262000, Israel"},{"name":"Faculty of Medicine, Tel-Aviv University, Tel-Aviv 6997801, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Moran-Gilad","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1225-7551","authenticated-orcid":false,"given":"Shiri","family":"Sherf-Dagan","sequence":"additional","affiliation":[{"name":"Department of Nutrition Sciences, School of Health Sciences, Ariel University, Ariel 40700, Israel"},{"name":"Department of Nutrition, Assuta Medical Center, Tel-Aviv 6971028, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"E875","DOI":"10.1503\/cmaj.191707","article-title":"Obesity in adults: A clinical practice guideline","volume":"192","author":"Wharton","year":"2020","journal-title":"Can. 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