Literature DB >> 27986549

Evaluation of the biochemical, inflammatory and oxidative profile of obese patients given clinical treatment and bariatric surgery.

Roberta Schmatz1, Mariana R Bitencourt2, Luciana D Patias2, Maristela Beck2, Glauco da C Alvarez2, Daniela Zanini3, Jessié M Gutierres3, Lia Natália Diehl2, Luciane B Pereira3, Claudio Alberto Leal3, Marta Frescura Duarte3, Maria Rosa Schetinger3, Vera Maria Morsch3.   

Abstract

BACKGROUND: We investigated the biochemical and inflammatory parameters as well as biomarkers of oxidative stress in morbidly obese patients before and after bariatric surgery and clinical treatment.
METHODS: This study was conducted using 60 individuals (10 men and 50 women) distributed into 3 groups: the control group, 20 non-diabetic obese patients given clinical treatment, the bariatric group, 20 non-diabetic obese patients given a Roux-en-Y bypass gastroplasty, and the bariatric diabetic group, 20 diabetic obese patients given a Roux-en-Y bypass gastroplasty. Measurements were made before and 1, 3, 6, and 12months after surgery and clinical treatment.
RESULTS: We showed a significant decrease in body weight, body mass index (BMI) and waist circumference, accompanied by a decrease in the lipid profile and glucose and glycated hemoglobin concentrations in the groups that received bariatric surgery. The concentrations of lipid peroxidation, carbonyl protein and NPSH, as well as superoxide dismutase (SOD) and catalase (CAT) activity, significantly decreased in both groups after surgery. The concentrations of inteleukin-6, inteleukin-1, TNF-α and resistin were also significantly lower, while adiponectin concentrations significantly increased 12months after bariatric surgery. No significant alterations were observed in the biochemical, inflammatory or oxidative parameters of the control group.
CONCLUSIONS: Our findings demonstrate a decrease in body mass and a subsequent improvement in biochemical, metabolic and anthropometric parameters in patients given bariatric surgery. This may contribute to the reduction of oxidative damage in these patients and consequently a reduction in the risk of the development and progression of multiple co-morbidities associated with obesity.
Copyright © 2016 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Bariatric surgery; Clinical treatment; Inflammatory; Metabolism; Morbid obesity; Oxidative stress

Mesh:

Substances:

Year:  2016        PMID: 27986549     DOI: 10.1016/j.cca.2016.12.012

Source DB:  PubMed          Journal:  Clin Chim Acta        ISSN: 0009-8981            Impact factor:   3.786


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