Changes in Body Composition, Basal Metabolic Rate, and Blood Albumin during the First Year following Laparoscopic Mini-Gastric Bypass

Author:

Tizmaghz Adnan1ORCID,Bahardoust Mansour23ORCID,Hosseini Mostafa1ORCID,Pazouki Abdulreza4ORCID,Alizadeh Otaghvar Hamidreza5ORCID,Shabestanipour Ghazaal6ORCID

Affiliation:

1. General Surgery, Iran University of Medical Sciences, Tehran, Iran

2. Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3. Minimally Invasive Surgery Research Center, Rasool -e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran

4. General Surgery and Minimally Invasive Surgery, Iran University of Medical Science, Minimally Invasive Research Center, Center of Excellence of European Branch of International Federation for Surgery of Obesity, Tehran, Iran

5. General Surgery and Plastic Surgery, Iran University of Medical Science, Minimally Invasive Research Center, Center of Excellence of European Branch of International Federation for Surgery of Obesity, Tehran, Iran

6. Private Office, Tehran, Iran

Abstract

Bariatric surgery is currently the only method that can significantly and continuously reduce weight and improve obesity-related comorbidities in morbidly obese patients. Significant weight loss through bariatric surgery can lead to changes in body composition. This study shows the changes in body composition, basal metabolic rate (BMR), and serum albumin in obese people following bariatric surgery. The study included 880 patients who underwent laparoscopic mini-gastric bypass surgery (LMGBP) between 2016 and 2020. The body mass index (BMI), bioelectrical impedance analysis (BIA), age, gender, blood albumin, WC (waist circumference), HC (hip circumference), BMR, and blood albumin were recorded at 0, 3, 6, and 12 months, postoperatively. The reduction in serum albumin concentration was not consistent with weight loss. Bariatric surgery promotes the breakdown of both fat and lean mass on the arms, torso, and thighs. This size reduction usually aggravates the concomitant skin redundancy in these areas which is a challenge for the plastic surgery team. Interestingly, the rate of lean mass reduction of the arms is faster than that of the torso and thighs. Excessive loss of lean body mass will also lower BMR and lead to subsequent weight gain. Despite the faster loss of proteins and lean mass in somatic areas, internal organs and viscera lose fats faster than proteins. According to this study, visceral proteins are the latest proteins to be affected by weight loss. This finding shows a different metabolic response of viscera comparing to somatic areas.

Publisher

Hindawi Limited

Subject

Endocrinology, Diabetes and Metabolism

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