Abstract:
BACKGROUND:Currently, the two most common bariatric procedures are laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB). Long-term data comparing the two interventions in terms of their effect on body composition and bone mass density (BMD) are scarce. OBJECTIVE:The aim of this study was to assess body composition and BMD at least 5 years after LSG and LRYGB. SETTING:Department of Endocrinology and Nutrition, St. Claraspital Basel and St. Clara Research Ltd., Basel, Switzerland. METHODS:Bariatric patients at least 5 years after surgery (LSG or LRYGB) were recruited, and body composition and BMD were measured by means of dual-energy X-ray absorptiometry. Data from body composition before surgery were included in the analysis. Blood samples were taken for determination of plasma calcium, parathyroid hormone, vitamin D3, alkaline phosphatase, and C-terminal telopeptide, and the individual risk for osteoporotic fracture assessed by the Fracture Risk Assessment Tool score was calculated. After surgery, all patients received multivitamins, vitamin D3, and zinc. In addition, LRYGB patients were prescribed calcium. RESULTS:A total of 142 patients were included, 72 LSG and 70 LRYGB, before surgery: median body mass index 43.1, median age 45.5 years, 62.7% females. Follow-up after a median of 6.7 years. For LRYGB, the percentage total weight loss at follow-up was 26.3% and for LSG 24.1% (p = 0.243). LRYGB led to a slightly lower fat percentage in body composition. At follow-up, 45% of both groups had a T score at the femoral neck below -1, indicating osteopenia. No clinically relevant difference in BMD was found between the groups. CONCLUSIONS:At 6.7 years after surgery, no difference in body composition and BMD between LRYGB and LSG was found. Deficiencies and bone loss remain an issue after both interventions and should be monitored.
journal_name
Obes Factsjournal_title
Obesity factsauthors
Bühler J,Rast S,Beglinger C,Peterli R,Peters T,Gebhart M,Meyer-Gerspach AC,Wölnerhanssen BKdoi
10.1159/000512450subject
Has Abstractpub_date
2020-12-17 00:00:00pages
1-10eissn
1662-4025issn
1662-4033pii
000512450pub_type
杂志文章相关文献
Obesity Facts文献大全abstract:BACKGROUND:Both group and individual modes of delivery are employed for obesity treatments. Commercial weight loss groups commonly employ group-based delivery, while many clinical based settings employ one-to-one delivery. We systematically reviewed randomised controlled trials of treatments for adult obesity to compar...
journal_title:Obesity facts
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000186144
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Cystatin C, a protein coded by CST3 gene, is implicated in adipose tissue biology. Our hypothesis is that common variants in CST3 gene could play a role in the development of corpulence during lifetime. METHODS:Two tag SNPs were selected to capture all SNPs in the CST3 region. We first investigated the assoc...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000327797
更新日期:2011-01-01 00:00:00
abstract:AIMS:Patients' perceptions about weight-related stigma and discrimination were assessed in 2 groups of patients, obese and laparoscopic adjustable gastric banding (LAGB). METHODS:Seven focus group sessions were held including a total of 32 women, 8 obese (body mass index 35+) and 24 who had lost 50% of excess weight f...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000273206
更新日期:2010-02-01 00:00:00
abstract::The relationship between overeating, substance abuse and (behavioral) addiction is controversial. Medically established forms of addiction so far pertain to substance use disorders only. But the preliminary Diagnostic and Statistical Manual for Mental Disorders V (DSM V) suggests replacing the previous category 'Subst...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000338310
更新日期:2012-01-01 00:00:00
abstract:AIMS:To determine whether baseline levels of self-reported sleep and sleep problems among obese adolescents referred to an outpatient multidisciplinary family-based weight management program predict reduction in BMI 3 months later. METHODS:A retrospective medical chart review was conducted for 83 obese adolescents. Th...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000351819
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND/AIMS:To examine whether body image mediates the association between overweight/obesity and chronic disease-related health practices (CDRHP), including lack of physical activity (PA), infrequent breakfast consumption (IBC), screen-based media use (SBM), and smoking. METHODS:The 2006 Health Behaviors in Schoo...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000357601
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to assess the association between overnutrition and scholastic achievement (SA). METHODS:A representative and proportional sample of 477 children of the 5th elementary school grade of both genders was randomly chosen during 2010, in the Metropolitan Region of Chile. SA was measured ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000492004
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy of a nutritional program, which is characterized by a different modulation of proteins, in adult patients with sarcopenic obesity. METHODS:We studied 18 obese women aged 41-74 years. Obesity was diagnosed as fat mass > 34.8% and sarcopenia was defined when l...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000468153
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Considering the large economic consequences of severe childhood obesity for the society, we aimed to conduct an economic evaluation comparing two intensive 1-year lifestyle treatments with varying inpatient periods for severely obese children and adolescents with regard to standard deviation score BMI (SDS-B...
journal_title:Obesity facts
pub_type: 杂志文章,随机对照试验
doi:10.1159/000458759
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Worldwide, the incidence of morbid obesity is increasing, and surgery is the only effective longterm treatment. Laparoscopic sleeve gastrectomy (LSG) is associated with acceptable weight loss and reduced comorbidities. It is considered a safe procedure with sporadic complications. This publication aims to de...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000327343
更新日期:2011-01-01 00:00:00
abstract:AIM:The aim of this study was to systematically describe the gender and ethnic differences regarding the prevalence of general/central obesity and cardiovascular disease (CVD) risk factors such as diabetes mellitus type 2, hypertension, and hypercholesterolemia among the indigenous and immigrant Pakistani communities. ...
journal_title:Obesity facts
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000357176
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Even though risks are higher and long-term results may be less favorable, the elderly obese can still benefit from bariatric surgery. Whether the higher surgical risk is worth the benefits is yet to be determined. MATERIALS AND METHODS:We reviewed our database and identified all patients aged 65 or older wh...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000502697
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:As long-term results of conservative treatment for obesity are discouraging, bariatric surgery is becoming a treatment option for extremely obese adolescents. However, mental and behavioral problems need to be respected when treating this vulnerable target group. METHODS:A detailed systematic literature revi...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000365793
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:This study aimed to compare the effects of a low-intensity face-to-face therapy provided by a trained paediatrician to an intensive group therapy provided by a multidisciplinary team on the BMI of adolescents with obesity. METHODS:This longitudinal cohort study included 233 adolescents aged 11-18 years (mean...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000443694
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Our aim was to review the effectiveness of physical activity promotion interventions in the worksite setting in Europe in order to identify those studies that had measured obesity-related outcomes and to evaluate how external validity of the findings had been assessed. METHODS:We conducted a review of studie...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000335255
更新日期:2011-01-01 00:00:00
abstract::Obesity is a major public health problem of pandemic proportion. Despite its high prevalence and widespread distribution (consistent with a common underlying etiology), clinical psychologists and primary care physicians routinely approach the problem with individualized but often ineffective treatments like psychother...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000261422
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to define body fat percentiles for German children and adolescents aged 3-16 years using the largest German database. METHODS:The study population included 11,632 girls and 11,604 boys. Data were pooled from: i) Kiel Obesity Prevention Study (KOPS), acquisition period: 1996-2008, n ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000336780
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Bariatric surgery is associated with greater and more sustainable weight loss compared with lifestyle intervention programs. On the other hand, bariatric surgery may also be associated with physical and psychosocial complications. The influence of psychological evaluation on treatment choice, however, is not...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000494333
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Abdominal obesity is considered an independent risk factor for cardiovascular disease (CVD). AIM:To compare the distance between the lower edge of xiphisternum and the center of the umbilicus (XUD) with other anthropometric measurements in predicting risk factors for CVD. METHODS:A random sample of 4,485 (m...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000315127
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:To test the association between obesity and specific types and anatomical sites of unintentional injuries in older adults. METHODS:Participants consisted of 52,857 men and women aged ≥65 years from the 2003 and 2005 Canadian Community Health Survey. Weight, height, and details on injuries occurring in the pa...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000322873
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:The global obesity epidemic continues, new approaches are needed to understand the causes. We analyzed data from an evolutionary perspective, stressing developmental plasticity. METHODS:We present diachronical height, weight, and BMI data for 702,902 Swiss male conscripts aged 18-20 years, a representative, ...
journal_title:Obesity facts
pub_type: 历史文章,杂志文章
doi:10.1159/000446966
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:This study assessed if lower than predicted serum leptin concentrations seen during weight loss persisted during weight regain, with possible implications for weight control. METHODS:115 children were investigated during a 12-week weight loss program. 90 children completed the program, and 68 children entere...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000226619
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Malposition or misplacement of gastric bands is a rare but recognised early complication of gastric band surgery. Malposition of the band would not normally result in significant weight loss after surgery. CASE REPORT:To our knowledge, we report the first case in the English literature of a malpositioned gas...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000342817
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The performance of the Cockcroft-Gault (CG) equation, the Modification of Diet in Renal Disease (MDRD) formula, and the Chronic Kidney Disease Epidemiology Collaboration equation (CKD-EPI) was evaluated in body mass index (BMI) categories. MATERIAL AND METHODS:In this retrospective cohort study in diabetic ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000333399
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND:The choice between different bariatric procedures for each patient is an important question in bariatric surgery. In this article, we explain criteria for patient selection for laparoscopic Roux-en-Y gastric bypass at the Obesity Center Wuerzburg and compare the corresponding outcomes for these selection cri...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000198261
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:As in many other countries around the world, the Netherlands has a high prevalence of overweight and obesity in children. About 1 in 7 of children aged 2-19 years has either overweight or obesity. SUMMARY:In this paper the national and local activities aimed at the prevention and management of obesity in ch...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000509588
更新日期:2020-01-01 00:00:00
abstract:INTRODUCTION:Despite the abundance of data addressing the influence of patient's age on surgery-related complications, its impact on cardiometabolic outcomes following bariatric surgery has been overlooked. METHODS:Retrospective unicentric study of 1,728 obese patients who underwent bariatric surgery between January 2...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000511737
更新日期:2020-12-15 00:00:00
abstract:OBJECTIVE:The success of treatment for pediatric obesity is variable and often unsatisfactory. This study elucidates the influence of inattention and hyperactivity/impulsivity on short- and long-term weight loss and maintenance after outpatient treatment. METHODS:We included 8- to 16-year-old overweight and obese part...
journal_title:Obesity facts
pub_type: 临床试验,杂志文章
doi:10.1159/000346138
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:Obesity has been demonstrated to be associated with elevated leukocytes in adults and children. This study assessed the associations between peripheral total and differential leukocyte counts and obesity-related complications in young adults. METHODS:12 obese (median age 21.5 (range 19-28) years, median BMI ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000373881
更新日期:2015-01-01 00:00:00
abstract::The molecular genetic analysis of obesity has led to the identification of a limited number of confirmed major genes. While such major genes have a clear influence on the development of the phenotype, the underlying mutations are however (extremely) infrequent and thus of minor clinical importance only. The genetic pr...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000113935
更新日期:2008-01-01 00:00:00