Handgrip Strength and Phase Angle Predict Outcome After Bariatric Surgery
Background The amount of postoperative weight loss after bariatric surgery varies interindividually. The quality of the pre- and postoperative body composition is an important predictor of success. The aim of this study was to investigate the role of preoperative handgrip strength and phase angle (P...
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| Veröffentlicht in: | Obesity surgery 2021-01, Vol.31 (1), p.200-206 |
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| creator | Gerken, A. L. H. Rohr-Kräutle, K-K. Weiss, C. Seyfried, S. Reissfelder, C. Vassilev, G. Otto, M. |
| description | Background
The amount of postoperative weight loss after bariatric surgery varies interindividually. The quality of the pre- and postoperative body composition is an important predictor of success. The aim of this study was to investigate the role of preoperative handgrip strength and phase angle (PhA) as predictors of sustained postoperative weight loss in order to assess the influence of body composition on the postoperative outcome after bariatric surgery.
Method
In a prospective cohort study, bioelectrical impedance and follow-up data of 198 patients after laparoscopic sleeve gastrectomy (SG;
n
= 68) and Roux-en-Y gastric bypass (GB;
n
= 130) were analyzed for a period of 36 months postoperatively.
Results
The mean preoperative handgrip strength (31.48 kg, SD 9.97) correlates significantly with the postoperative body composition up to 24 months after surgery. Preoperative PhA, gender, size, and body weight influenced postoperative weight loss significantly. A significant correlation between preoperative PhA (mean 6.18°, SD 0.89°) and total weight loss (%TWL) was observed up to 3 months after SG (
r
= 0.31444,
p
= 0.0218) and up to 12 months after GB (
r
= 0.19184,
p
= 0.0467). The optimum cutoff for the prediction of a response of less than 50% excess weight loss was a preoperative PhA of 6.0°.
Conclusions
The preoperative handgrip strength confirmed its suitability for use as a predictor of postoperative body composition, whereas the preoperative PhA predicts postoperative weight loss after bariatric surgery. Further research is necessary to identify the role of these parameters for preconditioning. |
| doi_str_mv | 10.1007/s11695-020-04869-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7808965</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2477825230</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-d5db254fa7dd82a35edb4ad8762d9ed086a40527dd48a9fc26b10f353f4901b83</originalsourceid><addsrcrecordid>eNp9kUtLxDAUhYMoOj7-gAspuHFTvXmnG0EHXyAoqOuQNmmn0mnHJBX890bH98JVyD3fPTc3B6FdDIcYQB4FjEXBcyCQA1OiyOUKmmAJKl2JWkUTKATkqiB0A22G8AhAsCBkHW1QooBKEBN0dWl62_h2kd1F7_omzrJUyG5nJrjspG86l916Z9sqZjdjrIZ5qtbR-ezU-NZE31bZ3egb51-20VptuuB2Ps4t9HB-dj-9zK9vLq6mJ9d5xSSLueW2JJzVRlqriKHc2ZIZq6QgtnAWlDAMOEkqU6aoKyJKDDXltGYF4FLRLXS89F2M5dzZyvXRm04vfDs3_kUPptW_lb6d6WZ41lKBKgRPBgcfBn54Gl2Iet6GynWd6d0wBk0YZZIzjt_Q_T_o4zD6Pq2XKCkV4YRCosiSqvwQgnf112Mw6Lek9DIpnZLS70lpmZr2fq7x1fIZTQLoEghJ6tMPf8_-x_YVui6ewQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2477825230</pqid></control><display><type>article</type><title>Handgrip Strength and Phase Angle Predict Outcome After Bariatric Surgery</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Gerken, A. L. H. ; Rohr-Kräutle, K-K. ; Weiss, C. ; Seyfried, S. ; Reissfelder, C. ; Vassilev, G. ; Otto, M.</creator><creatorcontrib>Gerken, A. L. H. ; Rohr-Kräutle, K-K. ; Weiss, C. ; Seyfried, S. ; Reissfelder, C. ; Vassilev, G. ; Otto, M.</creatorcontrib><description>Background
The amount of postoperative weight loss after bariatric surgery varies interindividually. The quality of the pre- and postoperative body composition is an important predictor of success. The aim of this study was to investigate the role of preoperative handgrip strength and phase angle (PhA) as predictors of sustained postoperative weight loss in order to assess the influence of body composition on the postoperative outcome after bariatric surgery.
Method
In a prospective cohort study, bioelectrical impedance and follow-up data of 198 patients after laparoscopic sleeve gastrectomy (SG;
n
= 68) and Roux-en-Y gastric bypass (GB;
n
= 130) were analyzed for a period of 36 months postoperatively.
Results
The mean preoperative handgrip strength (31.48 kg, SD 9.97) correlates significantly with the postoperative body composition up to 24 months after surgery. Preoperative PhA, gender, size, and body weight influenced postoperative weight loss significantly. A significant correlation between preoperative PhA (mean 6.18°, SD 0.89°) and total weight loss (%TWL) was observed up to 3 months after SG (
r
= 0.31444,
p
= 0.0218) and up to 12 months after GB (
r
= 0.19184,
p
= 0.0467). The optimum cutoff for the prediction of a response of less than 50% excess weight loss was a preoperative PhA of 6.0°.
Conclusions
The preoperative handgrip strength confirmed its suitability for use as a predictor of postoperative body composition, whereas the preoperative PhA predicts postoperative weight loss after bariatric surgery. Further research is necessary to identify the role of these parameters for preconditioning.</description><identifier>ISSN: 0960-8923</identifier><identifier>ISSN: 1708-0428</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-020-04869-7</identifier><identifier>PMID: 32803706</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Bariatric Surgery ; Body composition ; Body Mass Index ; Gastrectomy ; Gastric Bypass ; Gastrointestinal surgery ; Hand Strength ; Humans ; Laparoscopy ; Medicine ; Medicine & Public Health ; Obesity, Morbid - surgery ; Original Contributions ; Prospective Studies ; Retrospective Studies ; Surgery ; Treatment Outcome</subject><ispartof>Obesity surgery, 2021-01, Vol.31 (1), p.200-206</ispartof><rights>The Author(s) 2020</rights><rights>The Author(s) 2020. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-d5db254fa7dd82a35edb4ad8762d9ed086a40527dd48a9fc26b10f353f4901b83</citedby><cites>FETCH-LOGICAL-c474t-d5db254fa7dd82a35edb4ad8762d9ed086a40527dd48a9fc26b10f353f4901b83</cites><orcidid>0000-0001-5780-2344</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-020-04869-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-020-04869-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32803706$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gerken, A. L. H.</creatorcontrib><creatorcontrib>Rohr-Kräutle, K-K.</creatorcontrib><creatorcontrib>Weiss, C.</creatorcontrib><creatorcontrib>Seyfried, S.</creatorcontrib><creatorcontrib>Reissfelder, C.</creatorcontrib><creatorcontrib>Vassilev, G.</creatorcontrib><creatorcontrib>Otto, M.</creatorcontrib><title>Handgrip Strength and Phase Angle Predict Outcome After Bariatric Surgery</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Background
The amount of postoperative weight loss after bariatric surgery varies interindividually. The quality of the pre- and postoperative body composition is an important predictor of success. The aim of this study was to investigate the role of preoperative handgrip strength and phase angle (PhA) as predictors of sustained postoperative weight loss in order to assess the influence of body composition on the postoperative outcome after bariatric surgery.
Method
In a prospective cohort study, bioelectrical impedance and follow-up data of 198 patients after laparoscopic sleeve gastrectomy (SG;
n
= 68) and Roux-en-Y gastric bypass (GB;
n
= 130) were analyzed for a period of 36 months postoperatively.
Results
The mean preoperative handgrip strength (31.48 kg, SD 9.97) correlates significantly with the postoperative body composition up to 24 months after surgery. Preoperative PhA, gender, size, and body weight influenced postoperative weight loss significantly. A significant correlation between preoperative PhA (mean 6.18°, SD 0.89°) and total weight loss (%TWL) was observed up to 3 months after SG (
r
= 0.31444,
p
= 0.0218) and up to 12 months after GB (
r
= 0.19184,
p
= 0.0467). The optimum cutoff for the prediction of a response of less than 50% excess weight loss was a preoperative PhA of 6.0°.
Conclusions
The preoperative handgrip strength confirmed its suitability for use as a predictor of postoperative body composition, whereas the preoperative PhA predicts postoperative weight loss after bariatric surgery. Further research is necessary to identify the role of these parameters for preconditioning.</description><subject>Bariatric Surgery</subject><subject>Body composition</subject><subject>Body Mass Index</subject><subject>Gastrectomy</subject><subject>Gastric Bypass</subject><subject>Gastrointestinal surgery</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Prospective Studies</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0960-8923</issn><issn>1708-0428</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUtLxDAUhYMoOj7-gAspuHFTvXmnG0EHXyAoqOuQNmmn0mnHJBX890bH98JVyD3fPTc3B6FdDIcYQB4FjEXBcyCQA1OiyOUKmmAJKl2JWkUTKATkqiB0A22G8AhAsCBkHW1QooBKEBN0dWl62_h2kd1F7_omzrJUyG5nJrjspG86l916Z9sqZjdjrIZ5qtbR-ezU-NZE31bZ3egb51-20VptuuB2Ps4t9HB-dj-9zK9vLq6mJ9d5xSSLueW2JJzVRlqriKHc2ZIZq6QgtnAWlDAMOEkqU6aoKyJKDDXltGYF4FLRLXS89F2M5dzZyvXRm04vfDs3_kUPptW_lb6d6WZ41lKBKgRPBgcfBn54Gl2Iet6GynWd6d0wBk0YZZIzjt_Q_T_o4zD6Pq2XKCkV4YRCosiSqvwQgnf112Mw6Lek9DIpnZLS70lpmZr2fq7x1fIZTQLoEghJ6tMPf8_-x_YVui6ewQ</recordid><startdate>20210101</startdate><enddate>20210101</enddate><creator>Gerken, A. L. H.</creator><creator>Rohr-Kräutle, K-K.</creator><creator>Weiss, C.</creator><creator>Seyfried, S.</creator><creator>Reissfelder, C.</creator><creator>Vassilev, G.</creator><creator>Otto, M.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>C6C</scope><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>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5780-2344</orcidid></search><sort><creationdate>20210101</creationdate><title>Handgrip Strength and Phase Angle Predict Outcome After Bariatric Surgery</title><author>Gerken, A. L. H. ; Rohr-Kräutle, K-K. ; Weiss, C. ; Seyfried, S. ; Reissfelder, C. ; Vassilev, G. ; Otto, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-d5db254fa7dd82a35edb4ad8762d9ed086a40527dd48a9fc26b10f353f4901b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Bariatric Surgery</topic><topic>Body composition</topic><topic>Body Mass Index</topic><topic>Gastrectomy</topic><topic>Gastric Bypass</topic><topic>Gastrointestinal surgery</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Prospective Studies</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gerken, A. L. H.</creatorcontrib><creatorcontrib>Rohr-Kräutle, K-K.</creatorcontrib><creatorcontrib>Weiss, C.</creatorcontrib><creatorcontrib>Seyfried, S.</creatorcontrib><creatorcontrib>Reissfelder, C.</creatorcontrib><creatorcontrib>Vassilev, G.</creatorcontrib><creatorcontrib>Otto, M.</creatorcontrib><collection>Springer Nature OA Free Journals</collection><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>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gerken, A. L. H.</au><au>Rohr-Kräutle, K-K.</au><au>Weiss, C.</au><au>Seyfried, S.</au><au>Reissfelder, C.</au><au>Vassilev, G.</au><au>Otto, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Handgrip Strength and Phase Angle Predict Outcome After Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-01-01</date><risdate>2021</risdate><volume>31</volume><issue>1</issue><spage>200</spage><epage>206</epage><pages>200-206</pages><issn>0960-8923</issn><issn>1708-0428</issn><eissn>1708-0428</eissn><abstract>Background
The amount of postoperative weight loss after bariatric surgery varies interindividually. The quality of the pre- and postoperative body composition is an important predictor of success. The aim of this study was to investigate the role of preoperative handgrip strength and phase angle (PhA) as predictors of sustained postoperative weight loss in order to assess the influence of body composition on the postoperative outcome after bariatric surgery.
Method
In a prospective cohort study, bioelectrical impedance and follow-up data of 198 patients after laparoscopic sleeve gastrectomy (SG;
n
= 68) and Roux-en-Y gastric bypass (GB;
n
= 130) were analyzed for a period of 36 months postoperatively.
Results
The mean preoperative handgrip strength (31.48 kg, SD 9.97) correlates significantly with the postoperative body composition up to 24 months after surgery. Preoperative PhA, gender, size, and body weight influenced postoperative weight loss significantly. A significant correlation between preoperative PhA (mean 6.18°, SD 0.89°) and total weight loss (%TWL) was observed up to 3 months after SG (
r
= 0.31444,
p
= 0.0218) and up to 12 months after GB (
r
= 0.19184,
p
= 0.0467). The optimum cutoff for the prediction of a response of less than 50% excess weight loss was a preoperative PhA of 6.0°.
Conclusions
The preoperative handgrip strength confirmed its suitability for use as a predictor of postoperative body composition, whereas the preoperative PhA predicts postoperative weight loss after bariatric surgery. Further research is necessary to identify the role of these parameters for preconditioning.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32803706</pmid><doi>10.1007/s11695-020-04869-7</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5780-2344</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Obesity surgery, 2021-01, Vol.31 (1), p.200-206 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Bariatric Surgery Body composition Body Mass Index Gastrectomy Gastric Bypass Gastrointestinal surgery Hand Strength Humans Laparoscopy Medicine Medicine & Public Health Obesity, Morbid - surgery Original Contributions Prospective Studies Retrospective Studies Surgery Treatment Outcome |
| title | Handgrip Strength and Phase Angle Predict Outcome After Bariatric Surgery |
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