Changes in Nutritional Outcomes After Sleeve Gastrectomy: a Systematic Review and Meta-analysis

Wang, Yan; Duan, Leizhen; Han, Xue; Wang, Jinjin; Yan, Guoli

doi:10.1007/s11695-021-05740-z

Cited by 3 publications

(1 citation statement)

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“…Patients' baseline conditions, such as pre-operation BMI and HbA1c, as well as their age, were the underlying clinical causes for this rapid decrease. Other factors that may have an impact after surgery include nutrition [ 15 , 16 ], physical activity [ 17 ], and medicines [ 18 ], which were not examined in this study. As reported in earlier research, baseline metabolic variables and age could account for 63%-88% of the causes for dramatic improvements in bodyweight and HbA1c in the first three months after surgery.…”

Section: Discussionmentioning

confidence: 99%

The Rapid Changes in Bodyweight and Glycemic Control Are Determined by Pre-status After Bariatric Surgery in Both Genders in Young Chinese Individuals

Wen,

Gong,

Wang

et al. 2023

Cureus

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Purposes: The primary aim of this clinical study is to identify the factors associated with rapid glycemic, bodyweight, and lipid profile remission in young obese patients following bariatric surgery. Materials and methods: In a total of 131 Chinese in-patients at Shanghai Pudong Hospital, China, we retrospectively analyzed in-patient data of metabolic parameters, including BMI, waist circumference, blood pressure (BP), and blood laboratory tests, such as plasma lipids and lipoprotein, hemoglobulin A1c (HbA1c), and oral glucose tolerance tests (OGTT) before bariatric surgery. We followed up these indices at the first month, third months, half-year, and one year later. Results: The results showed that bodyweight, BP, fasting plasma glucose (FPG), HbA1c, and triglyceride (TG) levels decreased significantly in one to three months following surgery in both male and female patients (p<0.05). We demonstrated that age (male: β=-0.181; female: β=-0.292) and the pre-operation HbA1c levels (male: β=0.935; female: β=0.919) were independent predictors of HbA1c reduction in both young obese male and female patients in three months after surgery. For body weight loss, age (β=-0.229) and pre-operation bodyweight (β=0.735) are the predictors in females, but only pre-operation body weight (β=0.798) is the independent predictor in obese young male patients. Conclusion: This study discovered that changes in bodyweight were determined by age, pre-operation status of bodyweight, and HbA1C in obese young Chinese.

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