Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery
Purpose One major determinant of weight loss is resting energy expenditure (REE). However, data regarding REE is scarce in patients with severe obesity (SO)—BMI>50kg/m 2 . Most studies used equation in order to estimate REE and not indirect calorimetry (IC) (gold standard). Additionally, there is...
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| Veröffentlicht in: | Obesity surgery 2021-10, Vol.31 (10), p.4347-4355 |
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| creator | Fidilio, Enzamaria Comas, Marta Giribés, Miguel Cárdenas, Guillermo Vilallonga, Ramón Palma, Fiorella Peláez, Rosa Burgos Simó, Rafael Ciudin, Andreea |
| description | Purpose
One major determinant of weight loss is resting energy expenditure (REE). However, data regarding REE is scarce in patients with severe obesity (SO)—BMI>50kg/m
2
. Most studies used equation in order to estimate REE and not indirect calorimetry (IC) (gold standard). Additionally, there is no reliable data on the impact of bariatric surgery (BS) on REE.
Objectives
(a) To evaluate the REE in patients with SO; (b) to compare REE measured by IC (mREE) to that calculated by Mifflin St-Jeor equation (eREE); (c) to evaluate the impact of BS on REE and the relationship with evolution post-BS.
Material and Methods
Single-center observational study including consecutive patients with SO between January 2010 and December 2015, candidates for BS. mREE was determined at baseline, and 1 and 12 months post-BS by IC, using a Vmax metabolic monitor.
Results
Thirty-nine patients were included: mean age 46.5±11.77 years, 64.1%women. Preoperative mREE was 2320.38±750.81 kcal/day. One month post-BS, the mREE significantly decreased (1537.6 ± 117.46 kcal/day,
p
= 0.023) and remained unchanged at 12 months (1526.00 ± 123.35 kcal/day;
p
=0.682). Reduction in mREE after the BS was a predictor of reaching successful weight loss (nadir) and weight regain (5 years follow-up) (AUCROC of 0.841 (95%CI [0.655–0.909],
p
=0.032) and AUCROC of 0.855 (95% CI [0.639–0.901]),
p
= 0.027, respectively). eREE was not valid to identify these changes.
Conclusion
In patients with SO, a significant reduction of mREE occurs 1 month post-BS, unchanged at 12 months, representing the major conditioning of successful weight loss and maintenance post-BS.
Graphical abstract |
| doi_str_mv | 10.1007/s11695-021-05578-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8458189</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2575165982</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-d25e02e9bd26f972958d2e69bf1aba64263a226802fb16502022c0b495eef5f13</originalsourceid><addsrcrecordid>eNp9kU9v1DAQxS0EokvhC3BAlrhwCdiT2LEvSKUKUKlSJQpny0nGW6-yzmI7C_vtMd1S_hw4WZr5veeZeYQ85-w1Z6x9kziXWlQMeMWEaFUlHpAVb5mqWAPqIVkxLVmlNNQn5ElKG1ZICfCYnNRN3QgtxIrEbm-nxWY_Bzo7-glT9mFNu4BxfaDd9x2G0eclIvWBXi_9Boec6Defb-g17rHUr3pMPh-oDSO9KL1uP0_Lrd-ZyxjpOxu9zdEPRR7XGA9PySNnp4TP7t5T8uV99_n8Y3V59eHi_OyyGpq2ydUIAhmg7keQTreghRoBpe4dt72VDcjaAkjFwPVcCgYMYGB9owWiE47Xp-Tt0Xe39FscBww52snsot_aeDCz9ebvTvA3Zj3vjWqE4koXg1d3BnH-upTLmK1PA06TDTgvyYAQium6bWRBX_6DbuYlhrJeoVpR5tMKCgVHaohzShHd_TCcmZ-RmmOkpgRlbiM1oohe_LnGveRXhgWoj0AqrVAu_Pvv_9j-AMFQrdM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575165982</pqid></control><display><type>article</type><title>Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Fidilio, Enzamaria ; Comas, Marta ; Giribés, Miguel ; Cárdenas, Guillermo ; Vilallonga, Ramón ; Palma, Fiorella ; Peláez, Rosa Burgos ; Simó, Rafael ; Ciudin, Andreea</creator><creatorcontrib>Fidilio, Enzamaria ; Comas, Marta ; Giribés, Miguel ; Cárdenas, Guillermo ; Vilallonga, Ramón ; Palma, Fiorella ; Peláez, Rosa Burgos ; Simó, Rafael ; Ciudin, Andreea</creatorcontrib><description>Purpose
One major determinant of weight loss is resting energy expenditure (REE). However, data regarding REE is scarce in patients with severe obesity (SO)—BMI>50kg/m
2
. Most studies used equation in order to estimate REE and not indirect calorimetry (IC) (gold standard). Additionally, there is no reliable data on the impact of bariatric surgery (BS) on REE.
Objectives
(a) To evaluate the REE in patients with SO; (b) to compare REE measured by IC (mREE) to that calculated by Mifflin St-Jeor equation (eREE); (c) to evaluate the impact of BS on REE and the relationship with evolution post-BS.
Material and Methods
Single-center observational study including consecutive patients with SO between January 2010 and December 2015, candidates for BS. mREE was determined at baseline, and 1 and 12 months post-BS by IC, using a Vmax metabolic monitor.
Results
Thirty-nine patients were included: mean age 46.5±11.77 years, 64.1%women. Preoperative mREE was 2320.38±750.81 kcal/day. One month post-BS, the mREE significantly decreased (1537.6 ± 117.46 kcal/day,
p
= 0.023) and remained unchanged at 12 months (1526.00 ± 123.35 kcal/day;
p
=0.682). Reduction in mREE after the BS was a predictor of reaching successful weight loss (nadir) and weight regain (5 years follow-up) (AUCROC of 0.841 (95%CI [0.655–0.909],
p
=0.032) and AUCROC of 0.855 (95% CI [0.639–0.901]),
p
= 0.027, respectively). eREE was not valid to identify these changes.
Conclusion
In patients with SO, a significant reduction of mREE occurs 1 month post-BS, unchanged at 12 months, representing the major conditioning of successful weight loss and maintenance post-BS.
Graphical abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-021-05578-5</identifier><identifier>PMID: 34345955</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Bariatric Surgery ; Calorimetry, Indirect ; Energy Metabolism ; Female ; Gastrointestinal surgery ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Obesity, Morbid - surgery ; Original Contributions ; Surgery ; Weight control ; Weight Loss</subject><ispartof>Obesity surgery, 2021-10, Vol.31 (10), p.4347-4355</ispartof><rights>The Author(s) 2021</rights><rights>2021. The Author(s).</rights><rights>The Author(s) 2021. 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-d25e02e9bd26f972958d2e69bf1aba64263a226802fb16502022c0b495eef5f13</citedby><cites>FETCH-LOGICAL-c474t-d25e02e9bd26f972958d2e69bf1aba64263a226802fb16502022c0b495eef5f13</cites><orcidid>0000-0001-5622-0203</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/s11695-021-05578-5$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-021-05578-5$$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/34345955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fidilio, Enzamaria</creatorcontrib><creatorcontrib>Comas, Marta</creatorcontrib><creatorcontrib>Giribés, Miguel</creatorcontrib><creatorcontrib>Cárdenas, Guillermo</creatorcontrib><creatorcontrib>Vilallonga, Ramón</creatorcontrib><creatorcontrib>Palma, Fiorella</creatorcontrib><creatorcontrib>Peláez, Rosa Burgos</creatorcontrib><creatorcontrib>Simó, Rafael</creatorcontrib><creatorcontrib>Ciudin, Andreea</creatorcontrib><title>Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Purpose
One major determinant of weight loss is resting energy expenditure (REE). However, data regarding REE is scarce in patients with severe obesity (SO)—BMI>50kg/m
2
. Most studies used equation in order to estimate REE and not indirect calorimetry (IC) (gold standard). Additionally, there is no reliable data on the impact of bariatric surgery (BS) on REE.
Objectives
(a) To evaluate the REE in patients with SO; (b) to compare REE measured by IC (mREE) to that calculated by Mifflin St-Jeor equation (eREE); (c) to evaluate the impact of BS on REE and the relationship with evolution post-BS.
Material and Methods
Single-center observational study including consecutive patients with SO between January 2010 and December 2015, candidates for BS. mREE was determined at baseline, and 1 and 12 months post-BS by IC, using a Vmax metabolic monitor.
Results
Thirty-nine patients were included: mean age 46.5±11.77 years, 64.1%women. Preoperative mREE was 2320.38±750.81 kcal/day. One month post-BS, the mREE significantly decreased (1537.6 ± 117.46 kcal/day,
p
= 0.023) and remained unchanged at 12 months (1526.00 ± 123.35 kcal/day;
p
=0.682). Reduction in mREE after the BS was a predictor of reaching successful weight loss (nadir) and weight regain (5 years follow-up) (AUCROC of 0.841 (95%CI [0.655–0.909],
p
=0.032) and AUCROC of 0.855 (95% CI [0.639–0.901]),
p
= 0.027, respectively). eREE was not valid to identify these changes.
Conclusion
In patients with SO, a significant reduction of mREE occurs 1 month post-BS, unchanged at 12 months, representing the major conditioning of successful weight loss and maintenance post-BS.
Graphical abstract</description><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Calorimetry, Indirect</subject><subject>Energy Metabolism</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Surgery</subject><subject>Weight control</subject><subject>Weight Loss</subject><issn>0960-8923</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>eNp9kU9v1DAQxS0EokvhC3BAlrhwCdiT2LEvSKUKUKlSJQpny0nGW6-yzmI7C_vtMd1S_hw4WZr5veeZeYQ85-w1Z6x9kziXWlQMeMWEaFUlHpAVb5mqWAPqIVkxLVmlNNQn5ElKG1ZICfCYnNRN3QgtxIrEbm-nxWY_Bzo7-glT9mFNu4BxfaDd9x2G0eclIvWBXi_9Boec6Defb-g17rHUr3pMPh-oDSO9KL1uP0_Lrd-ZyxjpOxu9zdEPRR7XGA9PySNnp4TP7t5T8uV99_n8Y3V59eHi_OyyGpq2ydUIAhmg7keQTreghRoBpe4dt72VDcjaAkjFwPVcCgYMYGB9owWiE47Xp-Tt0Xe39FscBww52snsot_aeDCz9ebvTvA3Zj3vjWqE4koXg1d3BnH-upTLmK1PA06TDTgvyYAQium6bWRBX_6DbuYlhrJeoVpR5tMKCgVHaohzShHd_TCcmZ-RmmOkpgRlbiM1oohe_LnGveRXhgWoj0AqrVAu_Pvv_9j-AMFQrdM</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Fidilio, Enzamaria</creator><creator>Comas, Marta</creator><creator>Giribés, Miguel</creator><creator>Cárdenas, Guillermo</creator><creator>Vilallonga, Ramón</creator><creator>Palma, Fiorella</creator><creator>Peláez, Rosa Burgos</creator><creator>Simó, Rafael</creator><creator>Ciudin, Andreea</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>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5622-0203</orcidid></search><sort><creationdate>20211001</creationdate><title>Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery</title><author>Fidilio, Enzamaria ; Comas, Marta ; Giribés, Miguel ; Cárdenas, Guillermo ; Vilallonga, Ramón ; Palma, Fiorella ; Peláez, Rosa Burgos ; Simó, Rafael ; Ciudin, Andreea</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-d25e02e9bd26f972958d2e69bf1aba64263a226802fb16502022c0b495eef5f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Calorimetry, Indirect</topic><topic>Energy Metabolism</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Surgery</topic><topic>Weight control</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fidilio, Enzamaria</creatorcontrib><creatorcontrib>Comas, Marta</creatorcontrib><creatorcontrib>Giribés, Miguel</creatorcontrib><creatorcontrib>Cárdenas, Guillermo</creatorcontrib><creatorcontrib>Vilallonga, Ramón</creatorcontrib><creatorcontrib>Palma, Fiorella</creatorcontrib><creatorcontrib>Peláez, Rosa Burgos</creatorcontrib><creatorcontrib>Simó, Rafael</creatorcontrib><creatorcontrib>Ciudin, Andreea</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>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>Fidilio, Enzamaria</au><au>Comas, Marta</au><au>Giribés, Miguel</au><au>Cárdenas, Guillermo</au><au>Vilallonga, Ramón</au><au>Palma, Fiorella</au><au>Peláez, Rosa Burgos</au><au>Simó, Rafael</au><au>Ciudin, Andreea</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2021-10-01</date><risdate>2021</risdate><volume>31</volume><issue>10</issue><spage>4347</spage><epage>4355</epage><pages>4347-4355</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Purpose
One major determinant of weight loss is resting energy expenditure (REE). However, data regarding REE is scarce in patients with severe obesity (SO)—BMI>50kg/m
2
. Most studies used equation in order to estimate REE and not indirect calorimetry (IC) (gold standard). Additionally, there is no reliable data on the impact of bariatric surgery (BS) on REE.
Objectives
(a) To evaluate the REE in patients with SO; (b) to compare REE measured by IC (mREE) to that calculated by Mifflin St-Jeor equation (eREE); (c) to evaluate the impact of BS on REE and the relationship with evolution post-BS.
Material and Methods
Single-center observational study including consecutive patients with SO between January 2010 and December 2015, candidates for BS. mREE was determined at baseline, and 1 and 12 months post-BS by IC, using a Vmax metabolic monitor.
Results
Thirty-nine patients were included: mean age 46.5±11.77 years, 64.1%women. Preoperative mREE was 2320.38±750.81 kcal/day. One month post-BS, the mREE significantly decreased (1537.6 ± 117.46 kcal/day,
p
= 0.023) and remained unchanged at 12 months (1526.00 ± 123.35 kcal/day;
p
=0.682). Reduction in mREE after the BS was a predictor of reaching successful weight loss (nadir) and weight regain (5 years follow-up) (AUCROC of 0.841 (95%CI [0.655–0.909],
p
=0.032) and AUCROC of 0.855 (95% CI [0.639–0.901]),
p
= 0.027, respectively). eREE was not valid to identify these changes.
Conclusion
In patients with SO, a significant reduction of mREE occurs 1 month post-BS, unchanged at 12 months, representing the major conditioning of successful weight loss and maintenance post-BS.
Graphical abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>34345955</pmid><doi>10.1007/s11695-021-05578-5</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5622-0203</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Obesity surgery, 2021-10, Vol.31 (10), p.4347-4355 |
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| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8458189 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Bariatric Surgery Calorimetry, Indirect Energy Metabolism Female Gastrointestinal surgery Humans Medicine Medicine & Public Health Middle Aged Obesity, Morbid - surgery Original Contributions Surgery Weight control Weight Loss |
| title | Evaluation of Resting Energy Expenditure in Subjects with Severe Obesity and Its Evolution After Bariatric Surgery |
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