Evolution of 29 Anthropometric, Nutritional, and Cardiometabolic Parameters Among Morbidly Obese Adolescents 2 Years Post Sleeve Gastrectomy

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Elhag, WahibaDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar (author)

Evolution of 29 Anthropometric, Nutritional, and Cardiometabolic Parameters Among Morbidly Obese Adolescents 2 Years Post Sleeve Gastrectomy

Article/chapterEnglish2018

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2017-08-18
Springer,2018
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LIBRIS-ID:oai:DiVA.org:his-14728
https://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-14728URI
https://doi.org/10.1007/s11695-017-2868-2DOI

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Language:English
Summary in:English

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CC BY 4.0
Background Laparoscopic sleeve gastrectomy (LSG) is a popular treatment for adolescent morbid obesity. Research on LSG outcomes among adolescents assessed a narrow range of anthropometric, nutritional, or cardiometabolic parameters, leading to an incomplete picture of these changes. We examined a wide variety of anthropometric, nutritional, and cardiometabolic parameters among adolescents before and after LSG. Methods We retrospectively reviewed medical charts of all obese adolescents who underwent LSG at Hamad Medical Corporation, Qatar, between January 2011 and June 2015 (N = 102). We assessed preoperative levels and postoperative changes in 4 anthropometric, 15 nutritional, and 10 cardiometabolic parameters. Results The study sample comprised 79 patients with complete information (36 males, mean age 15.99 +/- 1.1 years). At a mean of 24.2 months post-LSG, we observed (1) significantly reduced mean weight and body mass index by 51.82 +/- 28.1 kg and 17 +/- 6.24 kg/m(2), respectively; (2) the highest prevalence of post-LSG deficiencies pertained to vitamin D, albumin, and ferritin (89.3, 38, and 33.3%, respectively); (3) low hemoglobin levels (29.3%) only in females; (4) trace elements were not deficient; (4) significant reductions in percentage of adolescents with elevated low-density lipoprotein (from 66.1 to 38.9%), alanine aminotransferase (from 45.3 to 10.9%), and aspartate aminotransferase (from 24.1 to 8.6%) levels; (5) 100% remission of prediabetes cases; and (6) 80% remission of type 2 diabetes cases. Conclusions LSG achieved significant weight loss and improvement of cardiometabolic risk factors among adolescents. However, the slight worsening of preexisting nutritional deficiencies warrants careful preoperative surveillance and appropriate postoperative nutritional supplementation.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
Adolescents
Obesity
Sleeve gastrectomy
Bariatric surgery
Nutrient deficiency
Macronutrients
Cardio metabolic risk factors
Individual and Society VIDSOC
Individ och samhälle VIDSOC

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El Ansari, WalidHögskolan i Skövde,Institutionen för hälsa och lärande,Forskningsmiljön hälsa, hållbarhet och digitalisering,Department of Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar / College of Medicine, Qatar University, Doha, State of Qatar,Individ och samhälle (VIDSOC), Individual and Society(Swepub:his)alaw (author)
Abdulrazzaq, SamaDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar (author)
Abdullah, AliDepartment of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar (author)
Elsherif, MohamedDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar (author)
Elgenaied, IsraaDepartment of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, State of Qatar (author)
Department of Bariatric Surgery, Hamad General Hospital, Hamad Medical Corporation, Doha, State of QatarInstitutionen för hälsa och lärande (creator_code:org_t)

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In:Obesity Surgery: Springer28:2, s. 474-4820960-89231708-0428

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By the author/editor: Elhag, Wahiba; El Ansari, Walid; Abdulrazzaq, Sam ...; Abdullah, Ali; Elsherif, Mohame ...; Elgenaied, Israa

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