Bariatric Surgery Impact on Cardiovascular Risk Factors: Is Age a Factor to Consider?

• Type: Article in International Scientific Journal
• Date: 2020

Authors

Mendonça, F (Author) Other; Silva, MM (Author) Other; Salazar, D (Author) Other; Correia, Flora (Author) FCNAUP; Pedro, J (Author) Other; Guerreiro, V (Author) Other; Viana, S (Author) Other; Neves, JS (Author) Other; Belo, S (Author) Other; Varela, A (Author) Other; Freitas, P (Author) Other; Carvalho, Davide (Author) FMUP

Journal

Title: Obesity Facts

Pages: [1-8]

ISSN: 1662-4025

Publisher: Karger

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 2 Citations

Scientific classification

CORDIS: Health sciences

FOS: Medical and Health sciences

Other information

Authenticus ID: P-00T-70K

DOI: 10.1159/000511737

Abstract (EN): Introduction: Despite the abundance of data addressing the influence of patient's age on surgery-related complications, its impact on cardiometabolic outcomes following bariatric surgery has been overlooked. Methods: Retrospective unicentric study of 1,728 obese patients who underwent bariatric surgery between January 2010 and June 2015. Patients were divided in 3 age groups, according to their age at surgery: ?40 (n = 751), 40-59 (n = 879), and ¿60 years (n = 98). Parameters with cardiometabolic impact, such as body anthropometric measures, lipid profile, and glycemic status, before and 24 months after surgery, were compared between these groups. A multiple linear regression was performed, adjusting differences between groups for sex, surgery type, and body mass index variation. Results: The group ?40 years presented more weight loss (-35.4 ± 9.0 kg, p ? 0.001), greater BMI reduction (-15.8 ± 6.1 kg/m2, p ? 0.001), and larger changes in waist (-34 ± 13.8 cm, p ? 0.001) and hip circumferences (-28.7 ± 11.9 cm, p ? 0.05). The group of ¿60 years presented the heaviest reduction in fasting glucose (-17.7 ± 32.8 mg/dL, p ? 0.001) and HbA1c (0.7 ± 1.0, p ? 0.001), and also had a tendency to have the biggest changes in systolic blood pressure (-14.7 ± 18.7 mm Hg, p = 0.071). Conclusion: Patients with ¿60 years benefit the most from bariatric surgery regarding cardiometabolic parameters, presenting heavier reductions in fasting glucose, as well as HbA1c and a tendency towards a higher decrease in systolic blood pressure. No clinically significant differences in lipid profile were observed between groups. © 2020

Language: English

Type (Professor's evaluation): Scientific