Relative Energy Expenditure Decreases during the First Year after Bariatric Surgery: A Systematic Review and Meta-Analysis

被引:10
|
作者
Lamarca, Fernando [1 ]
Melendez-Araujo, Mariana Silva [1 ]
de Toledo, Isabela Porto [2 ]
Dutra, Eliane Said [1 ]
Baiocchi de Carvalho, Kenia Mara [1 ,3 ]
机构
[1] Univ Brasilia, Grad Program Human Nutr, Brasilia, DF, Brazil
[2] Univ Brasilia, Candidate Hlth Sci Grad Program, Brasilia, DF, Brazil
[3] Univ Brasilia, Grad Program Human Nutr, Fac Hlth Sci, BR-70910900 Brasilia, DF, Brazil
关键词
Bariatric surgery; Calorimetry; Energy metabolism; Body composition; Resting energy expenditure; Systematic review; FAT-FREE MASS; BODY-COMPOSITION; WEIGHT-LOSS; GASTRIC BYPASS; METABOLIC-RATE; PROTEIN-INTAKE; OBESE WOMEN; MORBID-OBESITY; LEAN MASS; HORMONES;
D O I
10.1007/s11695-019-03934-0
中图分类号
R61 [外科手术学];
学科分类号
摘要
The effect of bariatric surgery on resting energy expenditure (REE) remains unclear, particularly in terms of the REE/fat-free mass (FFM) ratio. We performed a systematic review with a meta-analysis on Roux-en-Y gastric bypass (RYGB) studies to investigate the effect of bariatric surgery on the REE/FFM ratio 6 and 12 months postoperatively. Five of the 13 records of 6-month data (n = 406) showed a reduction in the REE/FFM ratio without significant summary effects. As regards 12-month data (10 records, n = 713), there was a significant relative REE mean reduction of 1.95 kcal/kg in FFM (CI: -2.82 to -1.09; I-2 = 28%; p < 0.00001). These findings suggest that bariatric surgery, specifically RYGB, leads to a decrease in the REE/FFM ratio during the first postoperative year, which may compromise long-term treatment outcomes.
引用
收藏
页码:2648 / 2659
页数:12
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