TITLE

Short-Term Dynamics and Metabolic Impact of Abdominal Fat Depots After Bariatric Surgery

AUTHOR(S)
Weiss, Ram; Appelbaum, Liat; Schweiger, Chaya; Matot, Idit; Constantini, Naama; Idan, Alon; Shussman, Noam; Sosna, Jacob; Keidar, Andrei
PUB. DATE
October 2009
SOURCE
Diabetes Care;Oct2009, Vol. 32 Issue 10, p1910
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE -- Bariatric surgery is gaining acceptance as an efficient treatment modality for obese patients. Mechanistic explanations regarding the effects of bariatric surgery on body composition and fat distribution are still limited. RESEARCH DESIGN AND METHODS -- Intra-abdominal and subcutaneous fat depots were evaluated using computed tomography in 27 obese patients prior to and 6 months following bariatric surgery. Associations with anthropometric and clinical changes were evaluated. RESULTS -- Excess weight loss 6 months following surgery was 47% in male and 42.6% in female subjects. Visceral fat and subcutaneous fat were reduced by 35% and 32%, respectively, in both sexes, thus the visceral-to-subcutaneous fat ratio remained stable. The strongest relation between absolute and relative changes in visceral and subcutaneous fat was demonstrated for the excess weight loss following the operations (r ∼0.6-0.7), and these relations were strengthened further following adjustments for sex, baseline BMI, and fat mass. Changes in waist circumference and fat mass had no relation to changes in abdominal fat depots. All participants met the criteria of the metabolic syndrome at baseline, and 18 lost the diagnosis on follow-up. A lower baseline visceral-to-subcutaneous fat ratio (0.43 ± 0.15 vs. 0.61 ± 0.21, P = 0.02) was associated with clinical resolution of metabolic syndrome parameters. CONCLUSIONS -- The ratio between visceral and subcutaneous abdominal fat remains fairly constant 6 months following bariatric procedures regardless of sex, procedure performed, or presence of metabolic complications. A lower baseline visceral-to-abdominal fat ratio is associated with improvement in metabolic parameters.
ACCESSION #
45060389

 

Related Articles

  • Obesity management in Prader–Willi syndrome: current perspectives. Crinò, Antonino; Fintini, Danilo; Bocchini, Sarah; Grugni, Graziano // Diabetes, Metabolic Syndrome & Obesity: Targets & Therapy;Oct2018, Vol. 11, p579 

    Prader–Willi syndrome (PWS) is a complex multisystem disorder due to the absent expression of the paternally active genes in the PWS critical region on chromosome 15 (15q11.2-q13). The syndrome is considered the most common genetic cause of obesity, occurring in 1:10,000–1:30,000...

  • Let's not admit defeat in fighting obesity. Katelaris, Annette // Medical Journal of Australia;8/1/2011, Vol. 195 Issue 3, p107 

    The article cites a study that calls for bariatric surgery to be made more widely available in public hospitals in Australia to help obese patients. It discusses key factors that make it difficult for obese people to achieve significant and sustained weight loss with diet, exercise, medication...

  • Heavy adjustments. Marshall, Samantha // Crain's New York Business;4/30/2007, Vol. 23 Issue 18, p27 

    The article focuses on the psychological changes that accompany rapid weight loss. Attention to physical attributes is considered responsible for the rising number of bariatric procedures in New York. Psychologists state that emotional changes to food and eating, make patients feel that they...

  • IPEG Guidelines for Surgical Treatment of Extremely Obese Adolescents.  // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2008, Vol. 18 Issue 6, pxiv 

    The article presents International Pharmaco-EEG Group (IPEG) guidelines for surgical treatment of extremely obese adolescents. These guidelines aim to direct surgeons who are thinking of using bariatric surgery for adolescents. The decision for conducting bariatric surgery must be based on a...

  • Blood lipids and adipokines concentrations during a 6-month nutritional and physical activity intervention for metabolic syndrome treatment. Dutheil, Frédéric; Lesourd, Bruno; Courteix, Daniel; Chapier, Robert; Doré, Eric; Lac, Gérard // Lipids in Health & Disease;2010, Vol. 9, p148 

    Background: To report changes in body weight, total and central fat mass, metabolic, hormonal and inflammatory parameters in overweight people who participated in a six months weight loss intervention associating diet management and exercise. Subjects and Methods: Fourteen subjects (10 M, 4 F,...

  • Assessment and Preparation of Patients for Bariatric Surgery. Collazo-Clavell, Maria L.; Clark, Matthew M.; McAlpine, Donald E.; Jensen, Michael D. // Mayo Clinic Proceedings;Oct2006 Supplement, Vol. 81 Issue 10, pS11 

    The number of bariatric surgical procedures performed in the United States has Increased steadily during the past decade. Currently accepted criteria for consideration of bariatric surgery include a body mass index (calculated as weight in kilograms divided by the square of height in meters) of...

  • Surgical Approaches to Obesity. Kendrick, Michael L.; Dakin, Gregory F. // Mayo Clinic Proceedings;Oct2006 Supplement, Vol. 81 Issue 10, pS18 

    Bariatric surgery has evolved considerably since the introduction of jejunoileal bypass in the 1950s. With modifications of early procedures, implementation of new techniques, and establishment of minimally invasive approaches, operative intervention has become the mainstay in the treatment of...

  • A Weight-loss Surgery Breakthrough.  // Westchester County Business Journal;3/23/2015 Supplement NW Health, p1 

    The article discusses the Stomach Intestinal Pylorus-Sparing Surgery (SIPS), a weigh loss surgery developed by director of bariatic surgery Mitchell Roslin of Northern Westchester Hospital (NWH). Topics discussed include the result of the procedure to patient Sharon M., the side effects of the...

  • Assessing the obese diabetic patient for bariatric surgery: which candidate do I choose? Raffaelli, Marco; Sessa, Luca; Mingrone, Geltrude; Bellantone, Rocco // Diabetes, Metabolic Syndrome & Obesity: Targets & Therapy;Jun2015, Vol. 8, p255 

    The worldwide prevalence of type 2 diabetes is rising in association with an increasing frequency of overweight and obesity. Bariatric-metabolic procedures are considered as additional therapeutic options, allowing improved diabetes control in most patients. Multiple factors play in concert to...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics