Cardiovascular Risk Factors and DXA-Assessed Body Composition Changes after Laparoscopic Sleeve Gastrectomy: A One-Year Retrospective Study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F25%3AA2603DNC" target="_blank" >RIV/61988987:17110/25:A2603DNC - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/25:00143018 RIV/00843989:_____/25:E0112058

Result on the web

<a href="http://e-coretvasa.cz/doi/10.33678/cor.2025.020.html" target="_blank" >http://e-coretvasa.cz/doi/10.33678/cor.2025.020.html</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.33678/cor.2025.020" target="_blank" >10.33678/cor.2025.020</a>

Result language

angličtina

Original language name

Cardiovascular Risk Factors and DXA-Assessed Body Composition Changes after Laparoscopic Sleeve Gastrectomy: A One-Year Retrospective Study

Original language description

Background: While laparoscopic sleeve gastrectomy (LSG) is known to reduce weight, its impact on cardiovascular risk profile through changes in body composition remains unclear. Methods: This retrospective study evaluated 98 patients who underwent LSG, analyzing body composition via dual-energy X-ray absorptiometry (DXA) and cardiovascular risk parameters at baseline and 12 months post-surgery. Changes in weight, fat mass, lean mass, atherogenic lipid profile, and glucose metabolism were assessed, along with their interrelationships. Results: Significant reductions were observed in total body weight, fat mass, and lean mass at 12 months post-surgery (all p <0.001). Metabolic parameters showed marked improvements, with significant decreases in fasting glucose, HbA1c, and triglycerides, alongside an increase in HDL cholesterol (all p <0.001). The LDL/ HDL ratio improved from median (IQR) 2.79 (1.59) to 2.20 (0.91) (p <0.001). The atherogenic index of plasma decreased from 0.23 (0.30) to-0.10 (0.29) (p <0.001), representing a shift from increased to low cardiovascular risk. A moderate negative correlation was identified between changes in lean mass and HDL cholesterol (r = -0.331, p <0.001), while weak but significant correlations were found between changes in waist-to-hip ratio and glycemic parameters. Conclusions: LSG results in significant improvements in cardiovascular risk profile at one year post-surgery, with favorable changes in atherogenic lipid parameters and body composition. The novel correlation between lean mass preservation and HDL cholesterol suggests that maintaining muscle mass might be crucial for optimizing cardiovascular benefits following bariatric surgery.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

<a href="/en/project/NW24-09-00016" target="_blank" >NW24-09-00016: Prevention of sarcopenia in patients after bariatric-metabolic surgery: the effect of programmed aerobic and strength training on the functionality, volume and morphology of muscle tissue</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cor et Vasa

ISSN

0010-8650

e-ISSN

1803-7712

Volume of the periodical

—

Issue of the periodical within the volume

5

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

6

Pages from-to

555-560

UT code for WoS article

001618286800001

EID of the result in the Scopus database

2-s2.0-105023972843