[Metabolic, clinical and body composition changes in Mexican adults undergoing bariatric surgery].
| Autor: | Rivera-Carranza T; Colegio de Ciencias y Humanidades. Academia de Nutrición y Salud. Universidad Autónoma de la Ciudad de México., León-Téllez Girón A; División de Nutriología Clínica. Hospital General Dr. Manuel Gea González., Rojano-Rodríguez ME; Clínica de Obesidad. Hospital General Dr. Manuel Gea González., Romero-Loera LS; Clínica de Obesidad. Hospital General Dr. Manuel Gea González., Zúñiga-León E; Departamento de Ciencias Ambientales. División de Ciencias Biológicas y de la Salud. Universidad Autónoma Metropolitana. |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Nutricion hospitalaria [Nutr Hosp] 2024 Sep 19. Date of Electronic Publication: 2024 Sep 19. |
| DOI: | 10.20960/nh.05214 |
| Abstrakt: | 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. |
| Databáze: | MEDLINE |
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