Changes in Energy Expenditure of Patients with Obesity Following Bariatric Surgery: a Systematic Review of Prospective Studies and Meta-analysis

Overview

Journal Obes Surg

Date 2019 Apr 25

PMID 31016456

Citations 2

Authors

Kun Li

Wentao Shi

Feng Zhao

Chengcan Yang

Qiancheng Dai

Bing Wang

Yousheng Li

Affiliations

Soon will be listed here.

Abstract

We herein summarize the available literature on the effects of bariatric surgery (BS) on energy expenditure in individuals with obesity. We conducted a systematic literature review, and 35 prospective studies met our inclusion criteria. The findings indicate that BS contributes to increased diet-induced thermogenesis (DIT) and decreased total energy expenditure (TEE) and resting energy expenditure (REE) in patients with obesity. The meta-analysis demonstrated a significant decrease in TEE and REE within 6 months following BS. With the sustained decrease in REE, there was no further decrease in TEE between the 6- and 12-month follow-up. Increased DIT might explain the variance between the patterns of REE and TEE change. The postoperative decrease in REE/FFM and increase in REE/BW were observed. The changes in substrate utilization might be consistent with the change in the respiration quotient postoperatively.

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References

Afshin A, Forouzanfar M, Reitsma M, Sur P, Estep K, Lee A . Health Effects of Overweight and Obesity in 195 Countries over 25 Years. N Engl J Med. 2017; 377(1):13-27. PMC: 5477817. DOI: 10.1056/NEJMoa1614362. View

Faria S, Faria O, Buffington C, Cardeal M, de Gouvea H . Energy expenditure before and after Roux-en-Y gastric bypass. Obes Surg. 2012; 22(9):1450-5. DOI: 10.1007/s11695-012-0672-6. View

de Cleva R, Mota F, Gadducci A, Cardia L, DAndrea Greve J, Santo M . Resting metabolic rate and weight loss after bariatric surgery. Surg Obes Relat Dis. 2018; 14(6):803-807. DOI: 10.1016/j.soard.2018.02.026. View

Muzurov I, Vlasov V, Roshchevskaia N . [Normal indicators of the cardiovascular system in laboratory animals (rats)]. Gig Sanit. 1989; (2):84-6. View

Busetto L, Perini P, Giantin V, Valente P, Segato G, Belluco C . Relationship between energy expenditure and visceral fat accumulation in obese women submitted to adjustable silicone gastric banding (ASGB). Int J Obes Relat Metab Disord. 1995; 19(4):227-33. View

Flancbaum L, Choban P, Bradley L, Burge J . Changes in measured resting energy expenditure after Roux-en-Y gastric bypass for clinically severe obesity. Surgery. 1997; 122(5):943-9. DOI: 10.1016/s0039-6060(97)90336-6. View

Sundstrom J, Bruze G, Ottosson J, Marcus C, Naslund I, Neovius M . Weight Loss and Heart Failure: A Nationwide Study of Gastric Bypass Surgery Versus Intensive Lifestyle Treatment. Circulation. 2017; 135(17):1577-1585. PMC: 5404408. DOI: 10.1161/CIRCULATIONAHA.116.025629. View

Adams T, Davidson L, Hunt S . Weight and Metabolic Outcomes 12 Years after Gastric Bypass. N Engl J Med. 2018; 378(1):93-96. DOI: 10.1056/NEJMc1714001. View

Benedetti G, Mingrone G, Marcoccia S, Benedetti M, Giancaterini A, Greco A . Body composition and energy expenditure after weight loss following bariatric surgery. J Am Coll Nutr. 2000; 19(2):270-4. DOI: 10.1080/07315724.2000.10718926. View

10.

Bobbioni-Harsch E, Morel P, Huber O, Assimacopoulos-Jeannet F, Chassot G, Lehmann T . Energy economy hampers body weight loss after gastric bypass. J Clin Endocrinol Metab. 2001; 85(12):4695-700. DOI: 10.1210/jcem.85.12.7083. View

11.

Das S, Roberts S, McCrory M, Hsu L, Shikora S, Kehayias J . Long-term changes in energy expenditure and body composition after massive weight loss induced by gastric bypass surgery. Am J Clin Nutr. 2003; 78(1):22-30. DOI: 10.1093/ajcn/78.1.22. View

12.

Coupaye M, Bouillot J, Coussieu C, Guy-Grand B, Basdevant A, Oppert J . One-year changes in energy expenditure and serum leptin following adjustable gastric banding in obese women. Obes Surg. 2005; 15(6):827-33. DOI: 10.1381/0960892054222768. View

13.

Carey D, Pliego G, Raymond R . Body composition and metabolic changes following bariatric surgery: effects on fat mass, lean mass and basal metabolic rate: six months to one-year follow-up. Obes Surg. 2007; 16(12):1602-8. DOI: 10.1381/096089206779319347. View

14.

Thivel D, Brakonieki K, Duche P, Morio B, Beatrice M, Boirie Y . Surgical weight loss: impact on energy expenditure. Obes Surg. 2012; 23(2):255-66. PMC: 5158101. DOI: 10.1007/s11695-012-0839-1. View

15.

Carrasco F, Papapietro K, Csendes A, Salazar G, Echenique C, Lisboa C . Changes in resting energy expenditure and body composition after weight loss following Roux-en-Y gastric bypass. Obes Surg. 2007; 17(5):608-16. DOI: 10.1007/s11695-007-9117-z. View

16.

Iannelli A, Anty R, Schneck A, Tran A, Hebuterne X, Gugenheim J . Evolution of low-grade systemic inflammation, insulin resistance, anthropometrics, resting energy expenditure and metabolic syndrome after bariatric surgery: a comparative study between gastric bypass and sleeve gastrectomy. J Visc Surg. 2013; 150(4):269-75. DOI: 10.1016/j.jviscsurg.2013.08.005. View

17.

Faria S, Faria O, Cardeal M, Ito M, Buffington C . Diet-induced thermogenesis and respiratory quotient after Roux-en-Y gastric bypass surgery: a prospective study. Surg Obes Relat Dis. 2014; 10(1):138-43. DOI: 10.1016/j.soard.2013.09.020. View

18.

Rabl C, Rao M, Schwarz J, Mulligan K, Campos G . Thermogenic changes after gastric bypass, adjustable gastric banding or diet alone. Surgery. 2014; 156(4):806-12. PMC: 4171693. DOI: 10.1016/j.surg.2014.06.070. View

19.

Werling M, Fandriks L, Olbers T, Bueter M, Sjostrom L, Lonroth H . Roux-en-Y Gastric Bypass Surgery Increases Respiratory Quotient and Energy Expenditure during Food Intake. PLoS One. 2015; 10(6):e0129784. PMC: 4476618. DOI: 10.1371/journal.pone.0129784. View

20.

Schneider J, Peterli R, Gass M, Slawik M, Peters T, Wolnerhanssen B . Laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass lead to equal changes in body composition and energy metabolism 17 months postoperatively: a prospective randomized trial. Surg Obes Relat Dis. 2015; 12(3):563-570. DOI: 10.1016/j.soard.2015.07.002. View