Relationship between changes in hemoglobin glycosilated and improvement of body composition in patients with morbid obesity after tubular laparoscopic gastrectomy
| Autor: | Irene Cantarero-Villanueva, Carolina Fernández-Lao, Jacobo Cambil-Martín, Manuel Arroyo-Morales, Tania Gallart-Aragón, José Antonio Jiménez Ríos, Antonio Cózar-Ibañez |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Blood Glucose Male medicine.medical_specialty Waist 030204 cardiovascular system & hematology Gastroenterology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine High-density lipoprotein Gastrectomy Diabetes mellitus Internal medicine Weight Loss Humans Medicine Prospective Studies 030212 general & internal medicine Triglycerides Glycemic Glycated Hemoglobin Analysis of Variance Hip business.industry Type 2 Diabetes Mellitus Middle Aged medicine.disease Obesity Morbid Lipoproteins LDL Diabetes Mellitus Type 2 chemistry Low-density lipoprotein Body Composition Female Laparoscopy Analysis of variance Waist Circumference Lipoproteins HDL business Follow-Up Studies Cohort study |
| Zdroj: | Medicina Clínica (English Edition). 151:131-135 |
| ISSN: | 2387-0206 |
| DOI: | 10.1016/j.medcle.2017.11.050 |
| Popis: | The objective of our study is to analyze the possible relationship between changes in glycemic profile and body composition parameters in morbid obesity patients after tubular laparoscopic gastrectomy.A prospective observational cohort study with 69 patients was performed. The variables analyzed were body weight, blood glucose, hemoglobin, glycosylated, high density lipoprotein, low density lipoprotein, triglycerides, and waist and hip circumference. An analysis of variance of repeated measurements (ANOVA) and a correlation analysis through the Pearson test were carried out.A significant reduction in weight (p.001 after surgery) and in glycosylated hemoglobin (p.036) and waist hip (p.001) were found at 6 months after surgery. There was no significant difference in the rest of the variables studied. In correlation analysis, a significant positive correlation was found between the change in concentration of hemoglobin glycosylated and hip circumference (p=.047; r=0.237), the smaller the hip circumference, the lower the concentration of glycosylated hemoglobin.Tubular laparoscopic gastrectomy is an effective technique for the treatment of morbidly obese patients with type 2 diabetes mellitus. The reduction in the perimeter of hip is related to glycosylated hemoglobin reduction 6 months after intervention. |
| Databáze: | OpenAIRE |
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