Improvement of Atherosclerotic Markers in Non-diabetic Patients After Bariatric Surgery
Background The objective of this study was to assess the impact of bariatric surgery performed in extremely obese non-diabetic subjects on the following parameters: endothelial function, inflammatory processes (assessed by high-sensitivity C-reactive protein [hs-CRP]), carotid artery intima-media th...
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| Veröffentlicht in: | Obesity surgery 2012-11, Vol.22 (11), p.1701-1707 |
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| creator | Saleh, Mohamed Hassan Bertolami, Marcelo Chiara Assef, Jorge Eduardo Taha, Mohamed Ibrahim de Freitas, Wilson Petisco, Ana Claudia Gomes Barretto, Rodrigo Bellio Mattos Le Bihan, David Costa Barbosa, Jose Eduardo Martins de Jesus, Carlos Alberto Sousa, Amanda Guerra Moraes Rego |
| description | Background
The objective of this study was to assess the impact of bariatric surgery performed in extremely obese non-diabetic subjects on the following parameters: endothelial function, inflammatory processes (assessed by high-sensitivity C-reactive protein [hs-CRP]), carotid artery intima-media thickness (CIMT), and glucose and lipid profiles.
Methods
Forty-seven obese individuals with body mass index >40 kg/m
2
underwent bariatric surgery and returned for post-procedure assessment between 6 and 19 months after surgery. Ninety-three percent of patients were female. Their age ranged from 18 to 65 (mean 41) years old at baseline. Baseline was defined as the maximum of 30 days before surgery. Before and after surgery, all patients were subjected to a brachial artery ultrasound examination to evaluate endothelial-dependent dilation, CIMT by ultrasound, and laboratory analyses including glucose, lipid and inflammatory profiles were performed.
Results
Subjects lost an average of 33 % of their original weight (
p
|
| doi_str_mv | 10.1007/s11695-012-0706-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1112341049</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1112341049</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-5800c359aa92e2ea009af7d1ff738050cf75bc46f8f0f1c6bcaeb62133bbc6d63</originalsourceid><addsrcrecordid>eNp1kE1LxDAURYMozjj6A9xIwY2b6HtJm7TLcfAL_AIVlyHNJNpx2mrSCv57M1RFBDcJ5J17kxxCdhEOEUAeBURRZBSQUZAgKKyRMUrIKaQsXydjKATQvGB8RLZCWAAwFIxtkhFjUkqGOCaPF_Wrb99tbZsuaV0y7Z6tb4NZxrWrTHKl_Yv1Iama5Lpt6LzSpV2d3-quipGQTF1nfXKsfaU7Hwd3vX-y_mObbDi9DHbna5-Qh9OT-9k5vbw5u5hNL6nhknU0ywEMzwqtC2aZ1QCFdnKOzkmeQwbGyaw0qXC5A4dGlEbbUjDkvCyNmAs-IQdDb_zFW29Dp-oqGLtc6sa2fVCIyHiKkBYR3f-DLtreN_F1kYI0B8Zj74TgQJmoIXjr1Kuvau0_FIJaWVeDdRWtq5V1BTGz99Xcl7Wd_yS-NUeADUCIoyb6-XX1v62fvHSMug</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1104802313</pqid></control><display><type>article</type><title>Improvement of Atherosclerotic Markers in Non-diabetic Patients After Bariatric Surgery</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Saleh, Mohamed Hassan ; Bertolami, Marcelo Chiara ; Assef, Jorge Eduardo ; Taha, Mohamed Ibrahim ; de Freitas, Wilson ; Petisco, Ana Claudia Gomes ; Barretto, Rodrigo Bellio Mattos ; Le Bihan, David Costa ; Barbosa, Jose Eduardo Martins ; de Jesus, Carlos Alberto ; Sousa, Amanda Guerra Moraes Rego</creator><creatorcontrib>Saleh, Mohamed Hassan ; Bertolami, Marcelo Chiara ; Assef, Jorge Eduardo ; Taha, Mohamed Ibrahim ; de Freitas, Wilson ; Petisco, Ana Claudia Gomes ; Barretto, Rodrigo Bellio Mattos ; Le Bihan, David Costa ; Barbosa, Jose Eduardo Martins ; de Jesus, Carlos Alberto ; Sousa, Amanda Guerra Moraes Rego</creatorcontrib><description>Background
The objective of this study was to assess the impact of bariatric surgery performed in extremely obese non-diabetic subjects on the following parameters: endothelial function, inflammatory processes (assessed by high-sensitivity C-reactive protein [hs-CRP]), carotid artery intima-media thickness (CIMT), and glucose and lipid profiles.
Methods
Forty-seven obese individuals with body mass index >40 kg/m
2
underwent bariatric surgery and returned for post-procedure assessment between 6 and 19 months after surgery. Ninety-three percent of patients were female. Their age ranged from 18 to 65 (mean 41) years old at baseline. Baseline was defined as the maximum of 30 days before surgery. Before and after surgery, all patients were subjected to a brachial artery ultrasound examination to evaluate endothelial-dependent dilation, CIMT by ultrasound, and laboratory analyses including glucose, lipid and inflammatory profiles were performed.
Results
Subjects lost an average of 33 % of their original weight (
p
< 0.001). Flow-mediated dilation showed significant improvement after surgery from 7.4 % to 18.9 % (
p
< 0.001) on average
.
There was regression of CIMT, with the median being reduced from 0.8 to 0.5 mm (
p
< 0.001). The median Hs-CRP reduced from 0.83 to 0.18 mg/dl (
p
< 0.001), while glucose and lipid profiles were also improved after surgery.
Conclusions
This study shows that severely obese, non-diabetic patients who had pronounced weight loss after bariatric surgery had an overall improvement in brachial flow-mediated dilation, CIMT, high-sensitivity CRP, and glucose and lipid metabolism. The best responses of the brachial flow-mediated dilation after surgery were observed in non-smokers and in younger subjects.</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-012-0706-0</identifier><identifier>PMID: 22777211</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Atherosclerosis ; Atherosclerosis - blood ; Atherosclerosis - physiopathology ; Atherosclerosis - prevention & control ; Bariatric Surgery ; Biomarkers ; Biomarkers - blood ; Blood Glucose - metabolism ; Body Mass Index ; Brachial Artery - diagnostic imaging ; Brachial Artery - physiopathology ; C-Reactive Protein - metabolism ; Carotid Intima-Media Thickness ; Clinical Research ; Female ; Gastrointestinal surgery ; Humans ; Inflammation - blood ; Inflammation - physiopathology ; Lipids - blood ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity ; Obesity, Morbid - blood ; Obesity, Morbid - physiopathology ; Obesity, Morbid - surgery ; Surgery ; Treatment Outcome ; Weight Loss ; Young Adult</subject><ispartof>Obesity surgery, 2012-11, Vol.22 (11), p.1701-1707</ispartof><rights>Springer Science + Business Media, LLC 2012</rights><rights>Springer Science+Business Media New York 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-5800c359aa92e2ea009af7d1ff738050cf75bc46f8f0f1c6bcaeb62133bbc6d63</citedby><cites>FETCH-LOGICAL-c372t-5800c359aa92e2ea009af7d1ff738050cf75bc46f8f0f1c6bcaeb62133bbc6d63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-012-0706-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-012-0706-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22777211$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saleh, Mohamed Hassan</creatorcontrib><creatorcontrib>Bertolami, Marcelo Chiara</creatorcontrib><creatorcontrib>Assef, Jorge Eduardo</creatorcontrib><creatorcontrib>Taha, Mohamed Ibrahim</creatorcontrib><creatorcontrib>de Freitas, Wilson</creatorcontrib><creatorcontrib>Petisco, Ana Claudia Gomes</creatorcontrib><creatorcontrib>Barretto, Rodrigo Bellio Mattos</creatorcontrib><creatorcontrib>Le Bihan, David Costa</creatorcontrib><creatorcontrib>Barbosa, Jose Eduardo Martins</creatorcontrib><creatorcontrib>de Jesus, Carlos Alberto</creatorcontrib><creatorcontrib>Sousa, Amanda Guerra Moraes Rego</creatorcontrib><title>Improvement of Atherosclerotic Markers in Non-diabetic Patients After Bariatric Surgery</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
The objective of this study was to assess the impact of bariatric surgery performed in extremely obese non-diabetic subjects on the following parameters: endothelial function, inflammatory processes (assessed by high-sensitivity C-reactive protein [hs-CRP]), carotid artery intima-media thickness (CIMT), and glucose and lipid profiles.
Methods
Forty-seven obese individuals with body mass index >40 kg/m
2
underwent bariatric surgery and returned for post-procedure assessment between 6 and 19 months after surgery. Ninety-three percent of patients were female. Their age ranged from 18 to 65 (mean 41) years old at baseline. Baseline was defined as the maximum of 30 days before surgery. Before and after surgery, all patients were subjected to a brachial artery ultrasound examination to evaluate endothelial-dependent dilation, CIMT by ultrasound, and laboratory analyses including glucose, lipid and inflammatory profiles were performed.
Results
Subjects lost an average of 33 % of their original weight (
p
< 0.001). Flow-mediated dilation showed significant improvement after surgery from 7.4 % to 18.9 % (
p
< 0.001) on average
.
There was regression of CIMT, with the median being reduced from 0.8 to 0.5 mm (
p
< 0.001). The median Hs-CRP reduced from 0.83 to 0.18 mg/dl (
p
< 0.001), while glucose and lipid profiles were also improved after surgery.
Conclusions
This study shows that severely obese, non-diabetic patients who had pronounced weight loss after bariatric surgery had an overall improvement in brachial flow-mediated dilation, CIMT, high-sensitivity CRP, and glucose and lipid metabolism. The best responses of the brachial flow-mediated dilation after surgery were observed in non-smokers and in younger subjects.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Atherosclerosis</subject><subject>Atherosclerosis - blood</subject><subject>Atherosclerosis - physiopathology</subject><subject>Atherosclerosis - prevention & control</subject><subject>Bariatric Surgery</subject><subject>Biomarkers</subject><subject>Biomarkers - blood</subject><subject>Blood Glucose - metabolism</subject><subject>Body Mass Index</subject><subject>Brachial Artery - diagnostic imaging</subject><subject>Brachial Artery - physiopathology</subject><subject>C-Reactive Protein - metabolism</subject><subject>Carotid Intima-Media Thickness</subject><subject>Clinical Research</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Inflammation - blood</subject><subject>Inflammation - physiopathology</subject><subject>Lipids - blood</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - blood</subject><subject>Obesity, Morbid - physiopathology</subject><subject>Obesity, Morbid - surgery</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><subject>Young Adult</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAURYMozjj6A9xIwY2b6HtJm7TLcfAL_AIVlyHNJNpx2mrSCv57M1RFBDcJ5J17kxxCdhEOEUAeBURRZBSQUZAgKKyRMUrIKaQsXydjKATQvGB8RLZCWAAwFIxtkhFjUkqGOCaPF_Wrb99tbZsuaV0y7Z6tb4NZxrWrTHKl_Yv1Iama5Lpt6LzSpV2d3-quipGQTF1nfXKsfaU7Hwd3vX-y_mObbDi9DHbna5-Qh9OT-9k5vbw5u5hNL6nhknU0ywEMzwqtC2aZ1QCFdnKOzkmeQwbGyaw0qXC5A4dGlEbbUjDkvCyNmAs-IQdDb_zFW29Dp-oqGLtc6sa2fVCIyHiKkBYR3f-DLtreN_F1kYI0B8Zj74TgQJmoIXjr1Kuvau0_FIJaWVeDdRWtq5V1BTGz99Xcl7Wd_yS-NUeADUCIoyb6-XX1v62fvHSMug</recordid><startdate>20121101</startdate><enddate>20121101</enddate><creator>Saleh, Mohamed Hassan</creator><creator>Bertolami, Marcelo Chiara</creator><creator>Assef, Jorge Eduardo</creator><creator>Taha, Mohamed Ibrahim</creator><creator>de Freitas, Wilson</creator><creator>Petisco, Ana Claudia Gomes</creator><creator>Barretto, Rodrigo Bellio Mattos</creator><creator>Le Bihan, David Costa</creator><creator>Barbosa, Jose Eduardo Martins</creator><creator>de Jesus, Carlos Alberto</creator><creator>Sousa, Amanda Guerra Moraes Rego</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20121101</creationdate><title>Improvement of Atherosclerotic Markers in Non-diabetic Patients After Bariatric Surgery</title><author>Saleh, Mohamed Hassan ; Bertolami, Marcelo Chiara ; Assef, Jorge Eduardo ; Taha, Mohamed Ibrahim ; de Freitas, Wilson ; Petisco, Ana Claudia Gomes ; Barretto, Rodrigo Bellio Mattos ; Le Bihan, David Costa ; Barbosa, Jose Eduardo Martins ; de Jesus, Carlos Alberto ; Sousa, Amanda Guerra Moraes Rego</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-5800c359aa92e2ea009af7d1ff738050cf75bc46f8f0f1c6bcaeb62133bbc6d63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Atherosclerosis</topic><topic>Atherosclerosis - blood</topic><topic>Atherosclerosis - physiopathology</topic><topic>Atherosclerosis - prevention & control</topic><topic>Bariatric Surgery</topic><topic>Biomarkers</topic><topic>Biomarkers - blood</topic><topic>Blood Glucose - metabolism</topic><topic>Body Mass Index</topic><topic>Brachial Artery - diagnostic imaging</topic><topic>Brachial Artery - physiopathology</topic><topic>C-Reactive Protein - metabolism</topic><topic>Carotid Intima-Media Thickness</topic><topic>Clinical Research</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Inflammation - blood</topic><topic>Inflammation - physiopathology</topic><topic>Lipids - blood</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - blood</topic><topic>Obesity, Morbid - physiopathology</topic><topic>Obesity, Morbid - surgery</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saleh, Mohamed Hassan</creatorcontrib><creatorcontrib>Bertolami, Marcelo Chiara</creatorcontrib><creatorcontrib>Assef, Jorge Eduardo</creatorcontrib><creatorcontrib>Taha, Mohamed Ibrahim</creatorcontrib><creatorcontrib>de Freitas, Wilson</creatorcontrib><creatorcontrib>Petisco, Ana Claudia Gomes</creatorcontrib><creatorcontrib>Barretto, Rodrigo Bellio Mattos</creatorcontrib><creatorcontrib>Le Bihan, David Costa</creatorcontrib><creatorcontrib>Barbosa, Jose Eduardo Martins</creatorcontrib><creatorcontrib>de Jesus, Carlos Alberto</creatorcontrib><creatorcontrib>Sousa, Amanda Guerra Moraes Rego</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saleh, Mohamed Hassan</au><au>Bertolami, Marcelo Chiara</au><au>Assef, Jorge Eduardo</au><au>Taha, Mohamed Ibrahim</au><au>de Freitas, Wilson</au><au>Petisco, Ana Claudia Gomes</au><au>Barretto, Rodrigo Bellio Mattos</au><au>Le Bihan, David Costa</au><au>Barbosa, Jose Eduardo Martins</au><au>de Jesus, Carlos Alberto</au><au>Sousa, Amanda Guerra Moraes Rego</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improvement of Atherosclerotic Markers in Non-diabetic Patients After Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2012-11-01</date><risdate>2012</risdate><volume>22</volume><issue>11</issue><spage>1701</spage><epage>1707</epage><pages>1701-1707</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Background
The objective of this study was to assess the impact of bariatric surgery performed in extremely obese non-diabetic subjects on the following parameters: endothelial function, inflammatory processes (assessed by high-sensitivity C-reactive protein [hs-CRP]), carotid artery intima-media thickness (CIMT), and glucose and lipid profiles.
Methods
Forty-seven obese individuals with body mass index >40 kg/m
2
underwent bariatric surgery and returned for post-procedure assessment between 6 and 19 months after surgery. Ninety-three percent of patients were female. Their age ranged from 18 to 65 (mean 41) years old at baseline. Baseline was defined as the maximum of 30 days before surgery. Before and after surgery, all patients were subjected to a brachial artery ultrasound examination to evaluate endothelial-dependent dilation, CIMT by ultrasound, and laboratory analyses including glucose, lipid and inflammatory profiles were performed.
Results
Subjects lost an average of 33 % of their original weight (
p
< 0.001). Flow-mediated dilation showed significant improvement after surgery from 7.4 % to 18.9 % (
p
< 0.001) on average
.
There was regression of CIMT, with the median being reduced from 0.8 to 0.5 mm (
p
< 0.001). The median Hs-CRP reduced from 0.83 to 0.18 mg/dl (
p
< 0.001), while glucose and lipid profiles were also improved after surgery.
Conclusions
This study shows that severely obese, non-diabetic patients who had pronounced weight loss after bariatric surgery had an overall improvement in brachial flow-mediated dilation, CIMT, high-sensitivity CRP, and glucose and lipid metabolism. The best responses of the brachial flow-mediated dilation after surgery were observed in non-smokers and in younger subjects.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>22777211</pmid><doi>10.1007/s11695-012-0706-0</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2012-11, Vol.22 (11), p.1701-1707 |
| issn | 0960-8923 1708-0428 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1112341049 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Adolescent Adult Aged Atherosclerosis Atherosclerosis - blood Atherosclerosis - physiopathology Atherosclerosis - prevention & control Bariatric Surgery Biomarkers Biomarkers - blood Blood Glucose - metabolism Body Mass Index Brachial Artery - diagnostic imaging Brachial Artery - physiopathology C-Reactive Protein - metabolism Carotid Intima-Media Thickness Clinical Research Female Gastrointestinal surgery Humans Inflammation - blood Inflammation - physiopathology Lipids - blood Male Medicine Medicine & Public Health Middle Aged Obesity Obesity, Morbid - blood Obesity, Morbid - physiopathology Obesity, Morbid - surgery Surgery Treatment Outcome Weight Loss Young Adult |
| title | Improvement of Atherosclerotic Markers in Non-diabetic Patients After Bariatric Surgery |
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