{"title":"评估吸脂术与腹部整形术对血糖正常超重患者胰岛素抵抗的影响:一项前瞻性队列研究。","authors":"Giovanni Cerón-Solano , Ricardo Pacheco-López , Rubén Hernández-Ordoñez , Alejandro Covarrubias-Noriega , Lya Vázquez-Morales , Jean-Pascal Morin","doi":"10.1016/j.ciresp.2023.11.008","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Several studies have evaluated the effect of liposuction or abdominoplasty on metabolic health, including insulin resistance, with mixed results. Many overweight patients, with no marked obesity, are recommended to undergo liposuction combined with abdominoplasty, but no study has evaluated the effectiveness of combining the two procedures on metabolic health.</p></div><div><h3>Methods</h3><p>The present prospective cohort study compares the metabolic parameters of two groups of normoglycemic Hispanic women without obesity. The first group underwent liposuction only (LIPO), while the second group had combined liposuction and abdominoplasty (LIPO<!--> <!-->+<!--> <!-->ABDO).</p></div><div><h3>Results</h3><p>A total of 31 patients were evaluated, including 13 in the LIPO group and 18 in the LIPO<!--> <!-->+<!--> <!-->ABDO group. The two groups had similar HOMA-IR before surgery (<em>P</em> <!-->><!--> <!-->.72). When tested 60<!--> <!-->days after surgery, women in the LIPO group had similar HOMA-IR compared to their preoperative levels (2.98<!--> <!-->±<!--> <!-->0.4 vs. 2.70<!--> <!-->±<!--> <!-->0.3; <em>P</em> <!-->><!--> <!-->.20). However, the LIPO<!--> <!-->+<!--> <!-->ABDO group showed significantly reduced HOMA-IR values compared to their preoperative levels (2.37<!--> <!-->±<!--> <!-->0.2 vs. 1.73<!--> <!-->±<!--> <!-->0.1; <em>P</em> <!--><<!--> <!-->.001). In this group, this decrease also positively correlated with their preoperative HOMA-IR (Spearman <em>r</em> <!-->=<!--> <!-->0.72; <em>P</em> <!--><<!--> <!-->.001) and, interestingly, we observed a negative correlation between the age of the subjects and the drop in HOMA-IR after surgery (Spearman <em>r</em> <!-->=<!--> <!-->−0.56; <em>P</em> <!--><<!--> <!-->.05). No changes were observed in the other biochemical parameters that were assessed.</p></div><div><h3>Conclusions</h3><p>These data suggest that, when combined with abdominoplasty, liposuction does improve insulin resistance in healthy Hispanic females. More studies are warranted to address this possibility.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Evaluación del efecto de la liposucción con o sin abdominoplastia sobre la resistencia a la insulina en pacientes normoglucémicas con sobrepeso: un estudio prospectivo de cohorte\",\"authors\":\"Giovanni Cerón-Solano , Ricardo Pacheco-López , Rubén Hernández-Ordoñez , Alejandro Covarrubias-Noriega , Lya Vázquez-Morales , Jean-Pascal Morin\",\"doi\":\"10.1016/j.ciresp.2023.11.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Several studies have evaluated the effect of liposuction or abdominoplasty on metabolic health, including insulin resistance, with mixed results. Many overweight patients, with no marked obesity, are recommended to undergo liposuction combined with abdominoplasty, but no study has evaluated the effectiveness of combining the two procedures on metabolic health.</p></div><div><h3>Methods</h3><p>The present prospective cohort study compares the metabolic parameters of two groups of normoglycemic Hispanic women without obesity. The first group underwent liposuction only (LIPO), while the second group had combined liposuction and abdominoplasty (LIPO<!--> <!-->+<!--> <!-->ABDO).</p></div><div><h3>Results</h3><p>A total of 31 patients were evaluated, including 13 in the LIPO group and 18 in the LIPO<!--> <!-->+<!--> <!-->ABDO group. The two groups had similar HOMA-IR before surgery (<em>P</em> <!-->><!--> <!-->.72). When tested 60<!--> <!-->days after surgery, women in the LIPO group had similar HOMA-IR compared to their preoperative levels (2.98<!--> <!-->±<!--> <!-->0.4 vs. 2.70<!--> <!-->±<!--> <!-->0.3; <em>P</em> <!-->><!--> <!-->.20). However, the LIPO<!--> <!-->+<!--> <!-->ABDO group showed significantly reduced HOMA-IR values compared to their preoperative levels (2.37<!--> <!-->±<!--> <!-->0.2 vs. 1.73<!--> <!-->±<!--> <!-->0.1; <em>P</em> <!--><<!--> <!-->.001). In this group, this decrease also positively correlated with their preoperative HOMA-IR (Spearman <em>r</em> <!-->=<!--> <!-->0.72; <em>P</em> <!--><<!--> <!-->.001) and, interestingly, we observed a negative correlation between the age of the subjects and the drop in HOMA-IR after surgery (Spearman <em>r</em> <!-->=<!--> <!-->−0.56; <em>P</em> <!--><<!--> <!-->.05). No changes were observed in the other biochemical parameters that were assessed.</p></div><div><h3>Conclusions</h3><p>These data suggest that, when combined with abdominoplasty, liposuction does improve insulin resistance in healthy Hispanic females. More studies are warranted to address this possibility.</p></div>\",\"PeriodicalId\":50690,\"journal\":{\"name\":\"Cirugia Espanola\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cirugia Espanola\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0009739X24000046\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia Espanola","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0009739X24000046","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Evaluación del efecto de la liposucción con o sin abdominoplastia sobre la resistencia a la insulina en pacientes normoglucémicas con sobrepeso: un estudio prospectivo de cohorte
Introduction
Several studies have evaluated the effect of liposuction or abdominoplasty on metabolic health, including insulin resistance, with mixed results. Many overweight patients, with no marked obesity, are recommended to undergo liposuction combined with abdominoplasty, but no study has evaluated the effectiveness of combining the two procedures on metabolic health.
Methods
The present prospective cohort study compares the metabolic parameters of two groups of normoglycemic Hispanic women without obesity. The first group underwent liposuction only (LIPO), while the second group had combined liposuction and abdominoplasty (LIPO + ABDO).
Results
A total of 31 patients were evaluated, including 13 in the LIPO group and 18 in the LIPO + ABDO group. The two groups had similar HOMA-IR before surgery (P > .72). When tested 60 days after surgery, women in the LIPO group had similar HOMA-IR compared to their preoperative levels (2.98 ± 0.4 vs. 2.70 ± 0.3; P > .20). However, the LIPO + ABDO group showed significantly reduced HOMA-IR values compared to their preoperative levels (2.37 ± 0.2 vs. 1.73 ± 0.1; P < .001). In this group, this decrease also positively correlated with their preoperative HOMA-IR (Spearman r = 0.72; P < .001) and, interestingly, we observed a negative correlation between the age of the subjects and the drop in HOMA-IR after surgery (Spearman r = −0.56; P < .05). No changes were observed in the other biochemical parameters that were assessed.
Conclusions
These data suggest that, when combined with abdominoplasty, liposuction does improve insulin resistance in healthy Hispanic females. More studies are warranted to address this possibility.
期刊介绍:
Cirugía Española, an official body of the Asociación Española de Cirujanos (Spanish Association of Surgeons), will consider original articles, reviews, editorials, special articles, scientific letters, letters to the editor, and medical images for publication; all of these will be submitted to an anonymous external peer review process. There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery.