info:eu-repo/semantics/article
Effect of Roux-en-Y Gastric Bypass on Lipoprotein Metabolism and Markers of HDL Functionality in Morbid Obese Patients
Fecha
2020-10Registro en:
Lozano Chiappe, Ezequiel Silvano; Martin, Maximiliano Emanuel; Iglesias Molli, Andrea Elena; Millan, Andrea; Tetzlaff, Walter Francisco; et al.; Effect of Roux-en-Y Gastric Bypass on Lipoprotein Metabolism and Markers of HDL Functionality in Morbid Obese Patients; Springer; Obesity Surgery : The Official Journal Of The American Society For Bariatric Surgery And Of The Obesity Surgery Society Of Australia And New Zealand.; 31; 3; 10-2020; 1092-1098
0960-8923
CONICET Digital
CONICET
Autor
Lozano Chiappe, Ezequiel Silvano
Martin, Maximiliano Emanuel
Iglesias Molli, Andrea Elena
Millan, Andrea
Tetzlaff, Walter Francisco
Botta, Eliana Elizabeth
Ferraro, Maria Florencia
Sáez, Maria S.
Lorenzon Gonzalez, Maria V.
Boero, Laura Estela
Sorroche, Patricia
Beskow, Axel
Gutierrez, Mercedes
Cerrone, Gloria Edith
Gutt, Susana
Frechtel, Gustavo
Brites, Fernando Daniel
Resumen
Purpose: Morbid obesity represents the most severe form of obesity and surgical intervention would be its only successful treatment. Bariatric surgery could generate modifications in carbohydrate metabolism and in lipid profile plus lipoprotein-associated proteins and enzymes, such as lipoprotein-associated phoslipase A2 (Lp-PLA2), cholesteryl ester transfer protein (CETP), and paraoxonase (PON) 1. The aim of the present study was to analyze changes in inflammation markers, carbohydrate metabolism, and lipid parameters in patients who underwent bariatric surgery. Methods: Thirty-seven patients with morbid obesity were recruited. Evaluations were performed before (T0) and 1 (T1) and 6 (T2) months after surgery. Glucose, insulin, high-sensitivity C-reactive protein (hsCRP), triglycerides, total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol, apolipoproteins (apo) A-I, and B plus Interleukin 1β and 6 levels in addition to CETP, Lp-PLA2, and PON 1 activities were determined. Results: Body mass index decreased at T1 and T2 (p < 0.01). An improvement in all markers of insulin resistance (p < 0.05) was observed at T1. hsCRP levels diminished at T2 (p < 0.05). Triglyceride levels decreased at T1 and T2 (p < 0.05). HDL-C and apo A-I showed a decrease at T1 which was completely reversed at T2 (p < 0.05). Lp-PLA2 activity increased at T1, which was reversed at T2 (p < 0.05), and CETP activity was diminished at T2 (p < 0.05). PON and ARE activities decreased at T1 and partially recovered at T2 (p < 0.05). Conclusions: These results would be indicative of a favorable effect of bariatric surgery on markers of carbohydrate metabolism and cardiovascular disease lipid risk factors.