Body Composition Changes in Adolescents Who Underwent Bariatric Surgery: A Systematic Review and Meta-analysis.

IF 9.5 2区医学 Q1 ENDOCRINOLOGY & METABOLISM

Current Obesity Reports Pub Date : 2024-03-01 Epub Date: 2024-01-03 DOI:10.1007/s13679-023-00549-6

Andréa Bezerra, Giorjines Boppre, Laura Freitas, Francesca Battista, Federica Duregon, Sara Faggian, Luca Busetto, Andrea Ermolao, Hélder Fonseca

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引用次数: 0

Abstract

Purpose of review: The purpose of this review and meta-analysis is to characterize the changes in body composition of children and adolescents who underwent bariatric surgery and identify possible negative effects of performing this procedure during pediatric ages.

Recent findings: Bariatric surgery in children and adolescents is an emerging strategy to promote higher and faster body weight and fat mass losses. However, possible negative effects usually observed in surgical patients' muscle-skeletal system raise a major concern perform this intervention during growth. Despite these possible issues, most experimental studies and reviews analyze bariatric surgery's effectiveness only by assessing anthropometric outcomes such as body weight and BMI, disregarding the short- and long-term impact of bariatric surgery on all body composition outcomes. Bariatric surgery is effective to reduce fat mass in adolescents, as well as body weight, waist circumference, and BMI. Significant reduction in lean mass and fat-free mass is also observed. Bone mass seems not to be impaired. All outcomes reduction were observed only in the first 12 months after surgery. Sensitivity analysis suggests possible sex and type of surgery-related differences, favoring a higher fat mass, body weight, and BMI losses in boys and in patients who underwent RYGB.

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接受减肥手术的青少年的身体成分变化：系统回顾与元分析》。

综述的目的：本综述和荟萃分析旨在描述接受减肥手术的儿童和青少年身体成分的变化，并确定在儿科年龄段实施该手术可能产生的负面影响：儿童和青少年减肥手术是一种新兴的策略，可促进体重和脂肪量更高更快地减少。然而，通常在手术患者的肌肉骨骼系统中观察到的可能的负面影响引起了人们对在生长发育期间实施这一干预措施的极大关注。尽管存在这些可能的问题，但大多数实验研究和综述仅通过评估体重和体重指数等人体测量结果来分析减肥手术的有效性，而忽视了减肥手术对所有身体成分结果的短期和长期影响。减肥手术能有效减少青少年的脂肪量、体重、腰围和体重指数。瘦体重和去脂体重也显著减少。骨量似乎没有受到影响。只有在手术后的头 12 个月中，才能观察到所有结果的减少。敏感性分析表明，可能存在与性别和手术类型相关的差异，男孩和接受 RYGB 手术的患者的脂肪量、体重和 BMI 下降幅度更大。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Obesity Reports Medicine-General Medicine

CiteScore

16.40

自引率

1.10%

发文量

期刊介绍： The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.