Surgical Management of Obesity and the Relationship to Cardiovascular Disease

Vest, Amanda R.; Heneghan, Helen; Schauer, Philip R.; Young, James B.

doi:10.1161/circulationaha.112.103275

Cited by 61 publications

(35 citation statements)

References 169 publications

(149 reference statements)

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“…97,98 Recently, 12 cohort-matched studies comparing bariatric surgery with nonsurgical controls were reviewed. 99 Collectively, all but 2 of these studies support a lower CVD event rate and all-cause mortality rate among patients who had undergone bariatric surgery. Of these studies, the SOS study has the longest outcomes follow-up (median, 14.7 years).…”

Section: Effect Of Surgery On Glycemic Control Cvd Risk Factors Andmentioning

confidence: 94%

Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes Mellitus in Light of Recent Evidence

Fox¹,

Golden²,

Anderson³

et al. 2015

Circulation

Self Cite

327

131

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Abstract-Cardiovascular disease risk factor control as primary prevention in patients with type 2 diabetes mellitus has changed substantially in the past few years. The input provided by Drs Fox, Ershow, Nelson, and Fradkin is from their own perspective, and the opinions expressed in this article do not reflect the view of the National Institutes of Health, Department of Health and Human Services, or the US government. Dr Pignone is a member of the US Preventive Services Task Force. His contributions here represent his views alone and not necessarily those of the US Preventive Services Task Force.The American Heart Association and the American Diabetes Association make every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This document was approved by the American Heart Association Science Advisory and Coordinating Committee on April 30, 2015, the American Heart Association Executive Committee on May 22, 2015, and the American Diabetes Association on January 7, 2015.The American Heart Association requests that this document be cited as follows: Fox CS, Golden SH, Anderson C, Bray GA, Burke LE, de Boer IH, Deedwania P, Eckel RH, Ershow AG, Fradkin J, Inzucchi SE, Kosiborod M, Nelson RG, Patel MJ, Pignone M, Quinn L, Schauer PR, Selvin E, Vafiadis DK; on behalf of the American Heart Association Diabetes Committee of the Council on Lifestyle and Cardiometabolic Health, Council on Clinical Cardiology, Council on Cardiovascular and Stroke Nursing, Council on Cardiovascular Surgery and Anesthesia, Council on Quality of Care and Outcomes Research, and the American Diabetes Association. Update on prevention of cardiovascular disease in adults with type 2 diabetes mellitus in light of recent evidence: a scientific statement from the American Heart Association and the American Diabetes Association. Circulation. 2015;132:691-718. This article has been copublished in Diabetes Care.Copies: This document is available on the World Wide Web sites of the American Heart Association (my.americanheart.org) and the American Diabetes Association (www.diabetes.org). A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.Expert peer review of AHA Scientific Statements is conducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit http://my.americanheart.org/statements and select the "Policies and Development" link.

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Section: Effect Of Surgery On Glycemic Control Cvd Risk Factors Andmentioning

confidence: 94%

Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes Mellitus in Light of Recent Evidence

Fox¹,

Golden²,

Anderson³

et al. 2015

Circulation

Self Cite

327

131

View full text Add to dashboard Cite

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“…Surgical procedures for obesity have evolved in recent years and today they are associated with reduced mortality and nutritional complications, although they produce slower weight loss, compared with malabsorptive procedures. 26 In this respect, the analysis of the biochemical consequences of surgical procedures for obesity is of great interest, given that it may identify early predictive biomarkers of the outcome of the procedure before substantial weight loss is achieved. For these reasons, we examined a number of markers of inflammation, glucose and lipid dysmetabolism, and platelet activation at various times after banding surgery.…”

Section: Discussionmentioning

confidence: 99%

“…This is consistent with accumulating evidence showing that, in addition to weight, bariatric surgery reduces several cardiovascular risk factors, such as systemic hypertension, dyslipidemia, sleep apnea, cardiac dysfunction, and glucose metabolism disturbances, with a net survival benefit. 25, 26 Moreover, bariatric surgery can prevent DM2, particularly in subjects with altered fasting glucose. 40 We also observed an 83% reduction in the 1-year incidence of the risk over, visceral, but not subcutaneous adipose tissue, is associated with circulating PTX3 level.…”

Section: Discussionmentioning

confidence: 99%

Pentraxin 3 and Platelet Activation in Obese Patients After Gastric Banding

Santilli

Guagnano

Innocenti

et al. 2016

Circ J

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“…A recent systematic review that highlighted a reduction in cardiovascular risk factors in bariatric patients concluded that there remained limitations in cardiovascular risk reporting. 8 The QRISK2 algorithm was developed with the aim of incorporating all fundamental cardiovascular risk factors into a single scoring system. 6 It is a more thorough system than its predecessors, and has undergone both validation and comparison studies in recent years, all of which have identified it as being better calibrated to the UK population.…”

Section: Discussionmentioning

confidence: 99%

Bariatric Surgery Is Associated with a Significant Reduction in 10-Year Cardiovascular Risk

RadwanRami

Al-MomaniHazem

EyreNia

et al. 2015

Bariatric Surgical Practice and Patient Care

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Introduction: Bariatric surgery is the only evidence-based method of long-term weight control in obese individuals. The reduction in individual cardiovascular risk following bariatric surgery has not yet been quantified. QRISK2 is a United Kingdom-designed algorithm that predicts 10-year cardiovascular risk. In this study, we calculated the QRISK2 scores for patients before and after bariatric surgery in an effort to assess cardiovascular risk reduction following bariatric surgery objectively. Materials and Methods: We reviewed all patients who had undergone bariatric surgery over a 10-year period ( June 2003-June 2013) at our institute. QRISK2 score was calculated pre-and postoperatively for all patients. The postoperative score was calculated at the point of longest available follow-up. Results: A total of 250 patients were included, with a median age of 36 years (interquartile range 29-44). Median follow-up postoperatively for all patients was 24 months (interquartile range 6-36). A hundred patients underwent sleeve gastrectomy, 67 (26.8%) patients had biliopancreatic diversion (BPD), 50 (20%) patients had a Roux-en-Y gastric bypass (RYG), and 33 (13.2%) were fitted with gastric bands. The median preoperative QRISK2 score was 5.6%; the median postoperative QRISK2 score was lower at 4.4% ( p < 0.001).Conclusion: This study is the first to use a validated scoring system to assess 10-year cardiovascular risk reduction in bariatric patients. We have demonstrated a significant reduction in cardiovascular risk following bariatric surgery.

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Surgical Management of Obesity and the Relationship to Cardiovascular Disease

Cited by 61 publications

References 169 publications

Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes Mellitus in Light of Recent Evidence

Update on Prevention of Cardiovascular Disease in Adults With Type 2 Diabetes Mellitus in Light of Recent Evidence

Pentraxin 3 and Platelet Activation in Obese Patients After Gastric Banding

Bariatric Surgery Is Associated with a Significant Reduction in 10-Year Cardiovascular Risk

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