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@article{1644596,
author = {Pekař, Matej and Pekařová, Anna and Bužga, Marek and Holéczy, Pavol and Šoltés, Marek},
article_location = {POZNAN},
article_number = {4},
doi = {http://dx.doi.org/10.5114/wiitm.2020.93463},
keywords = {obesity; bariatric surgery; laparoscopy; metabolic surgery; sarcopenia; dual-energy X-ray absorptiometry},
language = {eng},
issn = {1895-4588},
journal = {VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES},
title = {The risk of sarcopenia 24 months after bariatric surgery - assessment by dual energy X-ray absorptiometry (DEXA): a prospective study},
url = {https://doi.org/10.5114/wiitm.2020.93463},
volume = {15},
year = {2020}
}
TY - JOUR
ID - 1644596
AU - Pekař, Matej - Pekařová, Anna - Bužga, Marek - Holéczy, Pavol - Šoltés, Marek
PY - 2020
TI - The risk of sarcopenia 24 months after bariatric surgery - assessment by dual energy X-ray absorptiometry (DEXA): a prospective study
JF - VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES
VL - 15
IS - 4
SP - 583-587
EP - 583-587
PB - TERMEDIA PUBLISHING HOUSE LTD
SN - 18954588
KW - obesity
KW - bariatric surgery
KW - laparoscopy
KW - metabolic surgery
KW - sarcopenia
KW - dual-energy X-ray absorptiometry
UR - https://doi.org/10.5114/wiitm.2020.93463
L2 - https://doi.org/10.5114/wiitm.2020.93463
N2 - Introduction: Bariatric procedures lead to changes in body composition. Desired fat loss may be accompanied by decrease of muscle mass, thus raising the risk of sarcopenia. Aim: To detect the risk of sarcopenia in patients 24 months after different bariatric/metabolic (B/M) procedures by DEXA. Material and methods: Consecutive patients scheduled for a B/M procedure underwent DEXA scan and anthropometric assessment before and 24 months after surgery in a prospective manner. Obtained data were tested for significant differences (p under 0.05) to detect body composition changes and occurrence of sarcopenia. The International Physical Activity Questionnaire (IPAQ) was answered at 24 months to assess physical activity. Results: Nineteen patients were enrolled, with no drop-off at follow-up. Body mass index dropped from 42.4 ±6.3 to 30.3 ±4.9 kg/m2, with excess weight loss of 72 ±25% and substantial improvement of all relevant anthropometric measurements (p under 0.001). Significant changes in DEXA parameters were observed: fat mass index (19.5 ±4.7 vs. 12.1 ±3.7 kg/m2), estimated visceral adipose area (235.8 ±70.0 vs. 126.5 ±50.4 cm2), lean mass index (22.1 ±2.4 vs. 18.1 ±2.3 kg/m2), appendage lean mass index (9.7 ±1.3 vs. 7.7 ±1.1 kg/m2), bone mineral content (1.22 ±0.1 vs. 1.12 ±0.1 kg), Z score (2.32 vs. 0.96) and T score (0.58 vs. –0.58). A low level of physical activity was recorded at 24 months. Conclusions: B/M procedures lead to significant changes in body composition at 24 months after surgery. DEXA detects these changes effectively. Desired fat loss is associated with significant reduction of skeletal muscle and bone mineral mass. As such, patients after B/M surgery are at risk of sarcopenia. A low level of physical activity may also play a negative role.
ER -
PEKAŘ, Matej, Anna PEKAŘOVÁ, Marek BUŽGA, Pavol HOLÉCZY a Marek ŠOLTÉS. The risk of sarcopenia 24 months after bariatric surgery - assessment by dual energy X-ray absorptiometry (DEXA): a prospective study. \textit{VIDEOSURGERY AND OTHER MINIINVASIVE TECHNIQUES}. POZNAN: TERMEDIA PUBLISHING HOUSE LTD, 2020, roč.~15, č.~4, s.~583-587. ISSN~1895-4588. Dostupné z: https://dx.doi.org/10.5114/wiitm.2020.93463.
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