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Erschienen in:
01.03.2015 | Original Contributions
Visceral Fat and Body Composition Changes in a Female Population After RYGBP: a Two-Year Follow-Up by DXA
Erschienen in: Obesity Surgery | Ausgabe 3/2015
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Background
Our aim was to monitor the impact of Roux-en-Y gastric bypass (RYGBP) on body composition over a 24-month period by dual-energy X-ray absorptiometry (DXA).
Methods
Forty-one women (40.6 ± 10.0 years old; 42.6 ± 6.6 kg/m2) entering a bariatric surgery programme were submitted to whole-body DXA (Lunar iDXA) before treatment and after 3, 6, 12 and 24 months. Fat mass (FM), non-bone lean mass (LM), bone mineral content (BMC) and density (BMD) were measured at whole body and regionally. Android visceral adipose tissue (VAT) was estimated by a recently validated software.
Results
Twenty-nine patients (44.3 ± 11.8 years old; BMI, 45.4 ± 8.9 kg/m2) concluded the study. Following surgery, the progressive decrease of BMI was associated with reduced whole-body and regional FM. LM showed a moderate decrease at 3 months and stabilized thereafter. A progressive decrease of total FM/LM and android FM/LM ratios were observed in the 3- to 6-month (−19.1 ± 8.4 % and −26.5 ± 10.9 %, respectively; p < 0.0001) and 6- to 12-month periods (−23.5 ± 16.8 % and −29.4 ± 23.9 %, respectively; p < 0.0001). VAT was the parameter showing the largest decrease (−65.6 ± 17.5 % at 12 months; p < 0.0001). Two years after the surgery, a slight but significant decrease of total and regional LM was observed, without any significant change in BMI.
Conclusions
Body composition significantly changes after RYGBP with a metabolically healthier redistribution of total and regional FM and a positive balance of FM/LM variation. DXA should be considered as a valid supplementary tool for the clinical assessment and follow-up in patients undergoing bariatric surgery.