Literature DB >> 34041699

The Positive Impact of Resistance Training on Muscle Mass and Serum Leptin Levels in Patients 2-7 Years Post-Roux-en-Y Gastric Bypass: A Controlled Clinical Trial.

Isabela Nogueira Martins Sena Rios1, Fernando Lamarca1,2, Flávio Teixeira Vieira1, Heloísa Antoniella Braz de Melo3, Kelly Grace Magalhães3, Kênia Mara Baiocchi de Carvalho1, Nathalia Pizato4,5.   

Abstract

PURPOSE: Resistance training program (RTP) assist the maintenance of optimal body composition and inflammatory response modulation in individuals in late Roux-en-Y gastric bypass (RYGB). This study aimed to investigate the effect of RTP on body composition and serum inflammatory profile in individuals 2-7 years post-RYGB.
METHODS: Volunteers were matched on body mass index (BMI), age, sex, and years after surgery, and they were allocated as control or RTP group. Body composition, visceral fat area (VFA), and inflammatory serum markers were measured at baseline and after 12 weeks of RTP.
RESULTS: The sample baseline characteristics (n = 63; BMI = 29.7 ± 5.3 kg/m2) were similar between the groups. After intervention, the RTP group presented higher fat-free mass (Δ 1.17 ± 1.12 kg, p = 0.003) and skeletal muscle mass (Δ 0.77 ± 0.66 kg, p = 0.002) and decreased leptin levels (Δ -0.15 ± 0.60 pg/mL, p = 0.028). Ultrasensitive C-reactive protein (CRPus), interleukin-6, adiponectin, and monocyte chemotactic protein-1 showed no significant time-by-group interaction. After the categorization of RTP group individuals by VFA median values (129.8 cm2, IQR 90.9; 152.5), participants with VFA values above the median presented a significant decrease in CRPus (Δ -0.20 mg/L, IQR -7.59; -0.03, p = 0.022) when compared to the participants with VFA values below the median.
CONCLUSION: The RTP improved individuals' body composition by a modest but significant enhancing muscle mass and decreasing serum leptin and CRPus levels, especially in individuals with VFA values above the median. RTPs assist in maintaining the adequate body composition as they contribute to a decrease in proinflammatory markers in long-term RYGB.
© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Entities:  

Keywords:  Adipokine; Bariatric surgery; Body composition; Inflammation; Resistance training; Roux-en-Y gastric bypass

Mesh:

Substances:

Year:  2021        PMID: 34041699     DOI: 10.1007/s11695-021-05494-8

Source DB:  PubMed          Journal:  Obes Surg        ISSN: 0960-8923            Impact factor:   4.129


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Review 7.  Adipose tissue as an endocrine organ.

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8.  IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures.

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Review 9.  Genetics of leptin and obesity: a HuGE review.

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10.  Biochemistry of adipose tissue: an endocrine organ.

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Journal:  Arch Med Sci       Date:  2013-02-10       Impact factor: 3.318

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