[Metabolic, clinical and body composition changes in Mexican adults undergoing bariatric surgery].

IF 2.5 4区医学 Q3 BUSINESS

Nutricion hospitalaria Pub Date : 2024-09-19 DOI:10.20960/nh.05214

Tania Rivera-Carranza, Angélica León-Téllez Girón, Martín E Rojano-Rodríguez, Luz Sujey Romero-Loera, Eduardo Zúñiga-León

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引用次数: 0

Abstract

Background: morbid obesity is a major public health problem that is increasing. Currently, there are a limited number of studies carried out in the Mexican population that describe the effects of bariatric surgery.

Objective: to establish in people undergoing a bariatric procedure the metabolic and body composition difference before and after bariatric surgery.

Material and methods: an observational, analytical, and longitudinal study was carried out in 50 patients with morbid obesity who underwent laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y gastric bypass (LRYGB). Body composition and metabolic markers in blood were measured. Differences in the metabolic profile before and after surgery were analyzed in the entire study group and a subanalysis was performed by bariatric surgical technique, determining the percentage of remission of comorbidities.

Results: after the intervention, there is a significant decrease in all metabolic and body composition markers, except HDL cholesterol, which showed a tendency to increase without being significant. Women with LRYGB have a greater decrease in fat-free mass. LRYGB decreased the prevalence of fatty liver, gastroesophageal reflux, insulin resistance, and hypercholesterolemia more, while LSG decreased the prevalence of hypertension, osteoarthritis, hypothyroidism, and hypertriglyceridemia more.

Conclusion: bariatric surgery induces metabolic changes that could contribute to improving comorbidities associated with obesity. In general, metabolic improvement is greater in LRYGB compared to LSG.

查看原文本刊更多论文

[接受减肥手术的墨西哥成年人的代谢、临床和身体成分变化]。

背景：病态肥胖是一个主要的公共健康问题，而且正在日益严重。材料和方法：对 50 名接受腹腔镜袖带胃切除术（LSG）和腹腔镜 Roux-en-Y 胃旁路术（LRYGB）的病态肥胖患者进行了观察、分析和纵向研究。对身体成分和血液中的代谢标记物进行了测量。对整个研究组手术前后代谢情况的差异进行了分析，并按减肥手术技术进行了子分析，确定了合并症缓解的百分比。结果：干预后，除高密度脂蛋白胆固醇有上升趋势但不明显外，所有代谢指标和身体成分指标均显著下降。接受 LRYGB 治疗的女性的去脂质量下降幅度更大。LRYGB降低了脂肪肝、胃食管反流、胰岛素抵抗和高胆固醇血症的患病率，而LSG降低了高血压、骨关节炎、甲状腺功能减退和高甘油三酯血症的患病率。总的来说，与 LSG 相比，LRYGB 对代谢的改善更大。

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

Nutricion hospitalaria 医学-营养学

CiteScore

1.90

自引率

8.30%

发文量

181

审稿时长

3-6 weeks

期刊介绍： The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.