A total weight loss of 25% shows better predictivity in evaluating the efficiency of bariatric surgery
Objectives The need for a unified definition of weight loss (WL) after bariatric surgery has recently been highlighted. We aimed to evaluate the reliability of two clinically common WL indications including percentage of total WL (%TWL) and percentage of excess WL (%EWL) through comparing their perf...
Gespeichert in:
| Veröffentlicht in: | International Journal of Obesity 2021-02, Vol.45 (2), p.396-403 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 403 |
|---|---|
| container_issue | 2 |
| container_start_page | 396 |
| container_title | International Journal of Obesity |
| container_volume | 45 |
| creator | Tu, Yinfang Pan, Yunhui Han, Junfeng Pan, Jiemin Zhang, Pin Jia, Weiping Bao, Yuqian Yu, Haoyong |
| description | Objectives
The need for a unified definition of weight loss (WL) after bariatric surgery has recently been highlighted. We aimed to evaluate the reliability of two clinically common WL indications including percentage of total WL (%TWL) and percentage of excess WL (%EWL) through comparing their performances in predicting metabolic syndrome (MetS) remission 1 year after bariatric surgery.
Methods
A total of 430 individuals with obesity who underwent bariatric surgery were enrolled. Participants were evaluated for changes in anthropometric parameters, metabolic indexes, MetS components and medications before and 1 year after surgery. MetS was defined using the criteria of the National Cholesterol Education Program Adult Treatment Panel III criteria for Asian-Americans.
Results
The prevalence of MetS is 92.3% (397) at baseline. One year after bariatric surgery, 337 individuals (84.9%) were in MetS remission. The multivariate adjusted ORs were 1.16 (95% confidence interval [CI] 1.10–1.22) for each 1% increase in %TWL for MetS remission and 1.18 (95% CI 1.11–1.25) for each 5% increase in %EWL. This association with MetS remission remained statistically significant for %TWL after additional adjustment for %EWL (
P
for trend 0.029), and disappeared for %EWL. Receiver operating curve (ROC) analyses showed that the %TWL was more predictive than the %EWL (AUC
%TWL
vs. AUC
%EWL
, 0.749 vs. 0.700,
p
= 0.023). The Youden index indicated that the optimal %TWL cutoff point to identify MetS remission was 25%.
Conclusions
We recommend that good responders to bariatric surgery should be defined as those exhibiting %TWL ≥ 25%. |
| doi_str_mv | 10.1038/s41366-020-00690-5 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2446989497</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A655716148</galeid><sourcerecordid>A655716148</sourcerecordid><originalsourceid>FETCH-LOGICAL-c539t-e8d04b6189ddbe690bb3f71961c7ecdaa64142945c37c6b0205221a9a0b649773</originalsourceid><addsrcrecordid>eNp9ksFvFCEYxYnR2G31H_BgSIzGy1RggBmOm0arSRMveibAfLNDww4rMG32vy_rVm2NMRxI4Pe-8HgPoVeUnFPS9h8yp62UDWGkIUQq0ognaEV5JxvBVfcUrUhLuoYIKU7Qac7XhBAhCHuOTlqmeqqYWqFxjUssJuBb8Jup4BBzxnHETLzFeYq3GVsoBRLeJRi8K_7Glz32M4YbExZT_LzBZQIM4-idh9ntD2prkjcleYfzkjaQ9i_Qs9GEDC_v9zP0_dPHbxefm6uvl18u1leNE60qDfQD4VbSXg2DhWrJ2nbsqJLUdeAGYySnnCkuXNs5aatzwRg1yhArq-WuPUPvj3N3Kf5YIBe99dlBCGaGuGTNOJeqV5Wt6Ju_0Ou4pLm-rlI95ZSq_gG1MQG0n8dYknGHoXotheiopLyv1Pk_qLoG2HoXZxh9PX8kePdAMIEJZcoxLMXHOT8G2RF0qSaTYNS75Lcm7TUl-tACfWyBrn-hf7ZAiyp6fW9tsVsYfkt-xV6B9gjkejXXgP54_8_YO_pgueI</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2481411987</pqid></control><display><type>article</type><title>A total weight loss of 25% shows better predictivity in evaluating the efficiency of bariatric surgery</title><source>MEDLINE</source><source>Nature</source><source>SpringerLink Journals - AutoHoldings</source><creator>Tu, Yinfang ; Pan, Yunhui ; Han, Junfeng ; Pan, Jiemin ; Zhang, Pin ; Jia, Weiping ; Bao, Yuqian ; Yu, Haoyong</creator><creatorcontrib>Tu, Yinfang ; Pan, Yunhui ; Han, Junfeng ; Pan, Jiemin ; Zhang, Pin ; Jia, Weiping ; Bao, Yuqian ; Yu, Haoyong</creatorcontrib><description>Objectives
The need for a unified definition of weight loss (WL) after bariatric surgery has recently been highlighted. We aimed to evaluate the reliability of two clinically common WL indications including percentage of total WL (%TWL) and percentage of excess WL (%EWL) through comparing their performances in predicting metabolic syndrome (MetS) remission 1 year after bariatric surgery.
Methods
A total of 430 individuals with obesity who underwent bariatric surgery were enrolled. Participants were evaluated for changes in anthropometric parameters, metabolic indexes, MetS components and medications before and 1 year after surgery. MetS was defined using the criteria of the National Cholesterol Education Program Adult Treatment Panel III criteria for Asian-Americans.
Results
The prevalence of MetS is 92.3% (397) at baseline. One year after bariatric surgery, 337 individuals (84.9%) were in MetS remission. The multivariate adjusted ORs were 1.16 (95% confidence interval [CI] 1.10–1.22) for each 1% increase in %TWL for MetS remission and 1.18 (95% CI 1.11–1.25) for each 5% increase in %EWL. This association with MetS remission remained statistically significant for %TWL after additional adjustment for %EWL (
P
for trend 0.029), and disappeared for %EWL. Receiver operating curve (ROC) analyses showed that the %TWL was more predictive than the %EWL (AUC
%TWL
vs. AUC
%EWL
, 0.749 vs. 0.700,
p
= 0.023). The Youden index indicated that the optimal %TWL cutoff point to identify MetS remission was 25%.
Conclusions
We recommend that good responders to bariatric surgery should be defined as those exhibiting %TWL ≥ 25%.</description><identifier>ISSN: 0307-0565</identifier><identifier>EISSN: 1476-5497</identifier><identifier>DOI: 10.1038/s41366-020-00690-5</identifier><identifier>PMID: 32981929</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/163/2743 ; 692/699/2743/393 ; Adult ; Bariatric Surgery - statistics & numerical data ; Body weight loss ; Care and treatment ; Cholesterol ; Confidence intervals ; Epidemiology ; Female ; Fish oils ; Gastrointestinal surgery ; Health Promotion and Disease Prevention ; Humans ; Internal Medicine ; Male ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Metabolic disorders ; Metabolic syndrome ; Metabolic Syndrome - complications ; Metabolic syndrome X ; Metabolism ; Middle Aged ; Obesity ; Obesity, Morbid - complications ; Obesity, Morbid - epidemiology ; Obesity, Morbid - surgery ; Performance prediction ; Prognosis ; Public Health ; Reliability analysis ; Remission ; Retrospective Studies ; Statistical analysis ; Statistics ; Surgery ; Treatment Outcome ; Weight loss ; Weight Loss - physiology</subject><ispartof>International Journal of Obesity, 2021-02, Vol.45 (2), p.396-403</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020</rights><rights>COPYRIGHT 2021 Nature Publishing Group</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-e8d04b6189ddbe690bb3f71961c7ecdaa64142945c37c6b0205221a9a0b649773</citedby><cites>FETCH-LOGICAL-c539t-e8d04b6189ddbe690bb3f71961c7ecdaa64142945c37c6b0205221a9a0b649773</cites><orcidid>0000-0002-6244-2168 ; 0000-0002-1357-9539 ; 0000-0002-8621-4960 ; 0000-0003-1600-2716 ; 0000-0003-0474-1917 ; 0000-0001-6021-229X ; 0000-0001-8280-5213</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/s41366-020-00690-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/s41366-020-00690-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32981929$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tu, Yinfang</creatorcontrib><creatorcontrib>Pan, Yunhui</creatorcontrib><creatorcontrib>Han, Junfeng</creatorcontrib><creatorcontrib>Pan, Jiemin</creatorcontrib><creatorcontrib>Zhang, Pin</creatorcontrib><creatorcontrib>Jia, Weiping</creatorcontrib><creatorcontrib>Bao, Yuqian</creatorcontrib><creatorcontrib>Yu, Haoyong</creatorcontrib><title>A total weight loss of 25% shows better predictivity in evaluating the efficiency of bariatric surgery</title><title>International Journal of Obesity</title><addtitle>Int J Obes</addtitle><addtitle>Int J Obes (Lond)</addtitle><description>Objectives
The need for a unified definition of weight loss (WL) after bariatric surgery has recently been highlighted. We aimed to evaluate the reliability of two clinically common WL indications including percentage of total WL (%TWL) and percentage of excess WL (%EWL) through comparing their performances in predicting metabolic syndrome (MetS) remission 1 year after bariatric surgery.
Methods
A total of 430 individuals with obesity who underwent bariatric surgery were enrolled. Participants were evaluated for changes in anthropometric parameters, metabolic indexes, MetS components and medications before and 1 year after surgery. MetS was defined using the criteria of the National Cholesterol Education Program Adult Treatment Panel III criteria for Asian-Americans.
Results
The prevalence of MetS is 92.3% (397) at baseline. One year after bariatric surgery, 337 individuals (84.9%) were in MetS remission. The multivariate adjusted ORs were 1.16 (95% confidence interval [CI] 1.10–1.22) for each 1% increase in %TWL for MetS remission and 1.18 (95% CI 1.11–1.25) for each 5% increase in %EWL. This association with MetS remission remained statistically significant for %TWL after additional adjustment for %EWL (
P
for trend 0.029), and disappeared for %EWL. Receiver operating curve (ROC) analyses showed that the %TWL was more predictive than the %EWL (AUC
%TWL
vs. AUC
%EWL
, 0.749 vs. 0.700,
p
= 0.023). The Youden index indicated that the optimal %TWL cutoff point to identify MetS remission was 25%.
Conclusions
We recommend that good responders to bariatric surgery should be defined as those exhibiting %TWL ≥ 25%.</description><subject>692/163/2743</subject><subject>692/699/2743/393</subject><subject>Adult</subject><subject>Bariatric Surgery - statistics & numerical data</subject><subject>Body weight loss</subject><subject>Care and treatment</subject><subject>Cholesterol</subject><subject>Confidence intervals</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Fish oils</subject><subject>Gastrointestinal surgery</subject><subject>Health Promotion and Disease Prevention</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - complications</subject><subject>Metabolic syndrome X</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>Obesity</subject><subject>Obesity, Morbid - complications</subject><subject>Obesity, Morbid - epidemiology</subject><subject>Obesity, Morbid - surgery</subject><subject>Performance prediction</subject><subject>Prognosis</subject><subject>Public Health</subject><subject>Reliability analysis</subject><subject>Remission</subject><subject>Retrospective Studies</subject><subject>Statistical analysis</subject><subject>Statistics</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Weight loss</subject><subject>Weight Loss - physiology</subject><issn>0307-0565</issn><issn>1476-5497</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9ksFvFCEYxYnR2G31H_BgSIzGy1RggBmOm0arSRMveibAfLNDww4rMG32vy_rVm2NMRxI4Pe-8HgPoVeUnFPS9h8yp62UDWGkIUQq0ognaEV5JxvBVfcUrUhLuoYIKU7Qac7XhBAhCHuOTlqmeqqYWqFxjUssJuBb8Jup4BBzxnHETLzFeYq3GVsoBRLeJRi8K_7Glz32M4YbExZT_LzBZQIM4-idh9ntD2prkjcleYfzkjaQ9i_Qs9GEDC_v9zP0_dPHbxefm6uvl18u1leNE60qDfQD4VbSXg2DhWrJ2nbsqJLUdeAGYySnnCkuXNs5aatzwRg1yhArq-WuPUPvj3N3Kf5YIBe99dlBCGaGuGTNOJeqV5Wt6Ju_0Ou4pLm-rlI95ZSq_gG1MQG0n8dYknGHoXotheiopLyv1Pk_qLoG2HoXZxh9PX8kePdAMIEJZcoxLMXHOT8G2RF0qSaTYNS75Lcm7TUl-tACfWyBrn-hf7ZAiyp6fW9tsVsYfkt-xV6B9gjkejXXgP54_8_YO_pgueI</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Tu, Yinfang</creator><creator>Pan, Yunhui</creator><creator>Han, Junfeng</creator><creator>Pan, Jiemin</creator><creator>Zhang, Pin</creator><creator>Jia, Weiping</creator><creator>Bao, Yuqian</creator><creator>Yu, Haoyong</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</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>7T2</scope><scope>7TK</scope><scope>7TS</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6244-2168</orcidid><orcidid>https://orcid.org/0000-0002-1357-9539</orcidid><orcidid>https://orcid.org/0000-0002-8621-4960</orcidid><orcidid>https://orcid.org/0000-0003-1600-2716</orcidid><orcidid>https://orcid.org/0000-0003-0474-1917</orcidid><orcidid>https://orcid.org/0000-0001-6021-229X</orcidid><orcidid>https://orcid.org/0000-0001-8280-5213</orcidid></search><sort><creationdate>20210201</creationdate><title>A total weight loss of 25% shows better predictivity in evaluating the efficiency of bariatric surgery</title><author>Tu, Yinfang ; Pan, Yunhui ; Han, Junfeng ; Pan, Jiemin ; Zhang, Pin ; Jia, Weiping ; Bao, Yuqian ; Yu, Haoyong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-e8d04b6189ddbe690bb3f71961c7ecdaa64142945c37c6b0205221a9a0b649773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/163/2743</topic><topic>692/699/2743/393</topic><topic>Adult</topic><topic>Bariatric Surgery - statistics & numerical data</topic><topic>Body weight loss</topic><topic>Care and treatment</topic><topic>Cholesterol</topic><topic>Confidence intervals</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Fish oils</topic><topic>Gastrointestinal surgery</topic><topic>Health Promotion and Disease Prevention</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Metabolic disorders</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - complications</topic><topic>Metabolic syndrome X</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>Obesity</topic><topic>Obesity, Morbid - complications</topic><topic>Obesity, Morbid - epidemiology</topic><topic>Obesity, Morbid - surgery</topic><topic>Performance prediction</topic><topic>Prognosis</topic><topic>Public Health</topic><topic>Reliability analysis</topic><topic>Remission</topic><topic>Retrospective Studies</topic><topic>Statistical analysis</topic><topic>Statistics</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Weight loss</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tu, Yinfang</creatorcontrib><creatorcontrib>Pan, Yunhui</creatorcontrib><creatorcontrib>Han, Junfeng</creatorcontrib><creatorcontrib>Pan, Jiemin</creatorcontrib><creatorcontrib>Zhang, Pin</creatorcontrib><creatorcontrib>Jia, Weiping</creatorcontrib><creatorcontrib>Bao, Yuqian</creatorcontrib><creatorcontrib>Yu, Haoyong</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 and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</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 One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Biological Science 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>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>International Journal of Obesity</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tu, Yinfang</au><au>Pan, Yunhui</au><au>Han, Junfeng</au><au>Pan, Jiemin</au><au>Zhang, Pin</au><au>Jia, Weiping</au><au>Bao, Yuqian</au><au>Yu, Haoyong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A total weight loss of 25% shows better predictivity in evaluating the efficiency of bariatric surgery</atitle><jtitle>International Journal of Obesity</jtitle><stitle>Int J Obes</stitle><addtitle>Int J Obes (Lond)</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>45</volume><issue>2</issue><spage>396</spage><epage>403</epage><pages>396-403</pages><issn>0307-0565</issn><eissn>1476-5497</eissn><abstract>Objectives
The need for a unified definition of weight loss (WL) after bariatric surgery has recently been highlighted. We aimed to evaluate the reliability of two clinically common WL indications including percentage of total WL (%TWL) and percentage of excess WL (%EWL) through comparing their performances in predicting metabolic syndrome (MetS) remission 1 year after bariatric surgery.
Methods
A total of 430 individuals with obesity who underwent bariatric surgery were enrolled. Participants were evaluated for changes in anthropometric parameters, metabolic indexes, MetS components and medications before and 1 year after surgery. MetS was defined using the criteria of the National Cholesterol Education Program Adult Treatment Panel III criteria for Asian-Americans.
Results
The prevalence of MetS is 92.3% (397) at baseline. One year after bariatric surgery, 337 individuals (84.9%) were in MetS remission. The multivariate adjusted ORs were 1.16 (95% confidence interval [CI] 1.10–1.22) for each 1% increase in %TWL for MetS remission and 1.18 (95% CI 1.11–1.25) for each 5% increase in %EWL. This association with MetS remission remained statistically significant for %TWL after additional adjustment for %EWL (
P
for trend 0.029), and disappeared for %EWL. Receiver operating curve (ROC) analyses showed that the %TWL was more predictive than the %EWL (AUC
%TWL
vs. AUC
%EWL
, 0.749 vs. 0.700,
p
= 0.023). The Youden index indicated that the optimal %TWL cutoff point to identify MetS remission was 25%.
Conclusions
We recommend that good responders to bariatric surgery should be defined as those exhibiting %TWL ≥ 25%.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>32981929</pmid><doi>10.1038/s41366-020-00690-5</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-6244-2168</orcidid><orcidid>https://orcid.org/0000-0002-1357-9539</orcidid><orcidid>https://orcid.org/0000-0002-8621-4960</orcidid><orcidid>https://orcid.org/0000-0003-1600-2716</orcidid><orcidid>https://orcid.org/0000-0003-0474-1917</orcidid><orcidid>https://orcid.org/0000-0001-6021-229X</orcidid><orcidid>https://orcid.org/0000-0001-8280-5213</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0307-0565 |
| ispartof | International Journal of Obesity, 2021-02, Vol.45 (2), p.396-403 |
| issn | 0307-0565 1476-5497 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2446989497 |
| source | MEDLINE; Nature; SpringerLink Journals - AutoHoldings |
| subjects | 692/163/2743 692/699/2743/393 Adult Bariatric Surgery - statistics & numerical data Body weight loss Care and treatment Cholesterol Confidence intervals Epidemiology Female Fish oils Gastrointestinal surgery Health Promotion and Disease Prevention Humans Internal Medicine Male Medicine Medicine & Public Health Metabolic Diseases Metabolic disorders Metabolic syndrome Metabolic Syndrome - complications Metabolic syndrome X Metabolism Middle Aged Obesity Obesity, Morbid - complications Obesity, Morbid - epidemiology Obesity, Morbid - surgery Performance prediction Prognosis Public Health Reliability analysis Remission Retrospective Studies Statistical analysis Statistics Surgery Treatment Outcome Weight loss Weight Loss - physiology |
| title | A total weight loss of 25% shows better predictivity in evaluating the efficiency of bariatric surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T01%3A24%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20total%20weight%20loss%20of%2025%25%20shows%20better%20predictivity%20in%20evaluating%20the%20efficiency%20of%20bariatric%20surgery&rft.jtitle=International%20Journal%20of%20Obesity&rft.au=Tu,%20Yinfang&rft.date=2021-02-01&rft.volume=45&rft.issue=2&rft.spage=396&rft.epage=403&rft.pages=396-403&rft.issn=0307-0565&rft.eissn=1476-5497&rft_id=info:doi/10.1038/s41366-020-00690-5&rft_dat=%3Cgale_proqu%3EA655716148%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2481411987&rft_id=info:pmid/32981929&rft_galeid=A655716148&rfr_iscdi=true |