Weight Loss After Laparoscopic Sleeve Gastrectomy Ameliorates the Cardiac Remodeling in Obese Chinese
This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic...
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| Published in | Frontiers in endocrinology (Lausanne) Vol. 12; p. 799537 |
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| Main Authors | , , , , , , , |
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21.01.2022
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| Abstract | This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic parameters of pre-and postoperative were recorded. The average follow-up time was 12.28 ± 5.80 months. The body mass index (BMI) of the patients with obesity was decreased from 41.6 ± 7.44 to 30.3 ± 5.73kg/m
2
(
P
<0.001) after LSG. The systolic and diastolic blood pressure of the subjects was significantly reduced from 137.9 ± 15.7mmHg to 123.0 ± 16.0 and 83.4 ± 10.8 to 71.3 ± 11.7mmHg (P<0.001), respectively. The levels of fasting insulin and fasting blood glucose were significantly decreased (38.8 ± 32.1 to 8.43 ± 4.16 mU/L,
P
<0.001; 6.95 ± 2.59 to 4.64 ± 0.50mmol/L,
P
<0.001). Total cholesterol (TC, 4.66 ± 0.84 to 4.23 ± 0.75mmol/L, P<0.001) and triglyceride (TG, 1.92 ± 1.21 to 0.85 ± 0.30mmol/L, P<0.001) decreased significantly. Cardiovascular geometric parameters including aortic sinus diameter (ASD, 32.9 ± 2.83mm to 32.0 ± 3.10mm, P<0.05), left atrial diameter (LAD, 38.8 ± 4.03 to 36.2 ± 4.12mm, P<0.001), and interventricular septum thickness(IVS, 10.2 ± 0.93 to 9.64 ± 0.89mm, P<0.001) were significantly reduced. The ratio of weight loss (RWL) was positively correlated with the changes of LAD. The change of IVS was negatively correlated with the change of fasting blood glucose (GLU). Weight loss after LSG could effectively improve cardiac structural, but not functional, abnormality in obese Chinese. |
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| AbstractList | This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic parameters of pre-and postoperative were recorded. The average follow-up time was 12.28 ± 5.80 months. The body mass index (BMI) of the patients with obesity was decreased from 41.6 ± 7.44 to 30.3 ± 5.73kg/m
2
(
P
<0.001) after LSG. The systolic and diastolic blood pressure of the subjects was significantly reduced from 137.9 ± 15.7mmHg to 123.0 ± 16.0 and 83.4 ± 10.8 to 71.3 ± 11.7mmHg (P<0.001), respectively. The levels of fasting insulin and fasting blood glucose were significantly decreased (38.8 ± 32.1 to 8.43 ± 4.16 mU/L,
P
<0.001; 6.95 ± 2.59 to 4.64 ± 0.50mmol/L,
P
<0.001). Total cholesterol (TC, 4.66 ± 0.84 to 4.23 ± 0.75mmol/L, P<0.001) and triglyceride (TG, 1.92 ± 1.21 to 0.85 ± 0.30mmol/L, P<0.001) decreased significantly. Cardiovascular geometric parameters including aortic sinus diameter (ASD, 32.9 ± 2.83mm to 32.0 ± 3.10mm, P<0.05), left atrial diameter (LAD, 38.8 ± 4.03 to 36.2 ± 4.12mm, P<0.001), and interventricular septum thickness(IVS, 10.2 ± 0.93 to 9.64 ± 0.89mm, P<0.001) were significantly reduced. The ratio of weight loss (RWL) was positively correlated with the changes of LAD. The change of IVS was negatively correlated with the change of fasting blood glucose (GLU). Weight loss after LSG could effectively improve cardiac structural, but not functional, abnormality in obese Chinese. This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic parameters of pre-and postoperative were recorded. The average follow-up time was 12.28 ± 5.80 months. The body mass index (BMI) of the patients with obesity was decreased from 41.6 ± 7.44 to 30.3 ± 5.73kg/m ( <0.001) after LSG. The systolic and diastolic blood pressure of the subjects was significantly reduced from 137.9 ± 15.7mmHg to 123.0 ± 16.0 and 83.4 ± 10.8 to 71.3 ± 11.7mmHg (P<0.001), respectively. The levels of fasting insulin and fasting blood glucose were significantly decreased (38.8 ± 32.1 to 8.43 ± 4.16 mU/L, <0.001; 6.95 ± 2.59 to 4.64 ± 0.50mmol/L, <0.001). Total cholesterol (TC, 4.66 ± 0.84 to 4.23 ± 0.75mmol/L, P<0.001) and triglyceride (TG, 1.92 ± 1.21 to 0.85 ± 0.30mmol/L, P<0.001) decreased significantly. Cardiovascular geometric parameters including aortic sinus diameter (ASD, 32.9 ± 2.83mm to 32.0 ± 3.10mm, P<0.05), left atrial diameter (LAD, 38.8 ± 4.03 to 36.2 ± 4.12mm, P<0.001), and interventricular septum thickness(IVS, 10.2 ± 0.93 to 9.64 ± 0.89mm, P<0.001) were significantly reduced. The ratio of weight loss (RWL) was positively correlated with the changes of LAD. The change of IVS was negatively correlated with the change of fasting blood glucose (GLU). Weight loss after LSG could effectively improve cardiac structural, but not functional, abnormality in obese Chinese. This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic parameters of pre-and postoperative were recorded. The average follow-up time was 12.28 ± 5.80 months. The body mass index (BMI) of the patients with obesity was decreased from 41.6 ± 7.44 to 30.3 ± 5.73kg/m2 (P<0.001) after LSG. The systolic and diastolic blood pressure of the subjects was significantly reduced from 137.9 ± 15.7mmHg to 123.0 ± 16.0 and 83.4 ± 10.8 to 71.3 ± 11.7mmHg (P<0.001), respectively. The levels of fasting insulin and fasting blood glucose were significantly decreased (38.8 ± 32.1 to 8.43 ± 4.16 mU/L, P<0.001; 6.95 ± 2.59 to 4.64 ± 0.50mmol/L, P<0.001). Total cholesterol (TC, 4.66 ± 0.84 to 4.23 ± 0.75mmol/L, P<0.001) and triglyceride (TG, 1.92 ± 1.21 to 0.85 ± 0.30mmol/L, P<0.001) decreased significantly. Cardiovascular geometric parameters including aortic sinus diameter (ASD, 32.9 ± 2.83mm to 32.0 ± 3.10mm, P<0.05), left atrial diameter (LAD, 38.8 ± 4.03 to 36.2 ± 4.12mm, P<0.001), and interventricular septum thickness(IVS, 10.2 ± 0.93 to 9.64 ± 0.89mm, P<0.001) were significantly reduced. The ratio of weight loss (RWL) was positively correlated with the changes of LAD. The change of IVS was negatively correlated with the change of fasting blood glucose (GLU). Weight loss after LSG could effectively improve cardiac structural, but not functional, abnormality in obese Chinese. This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic parameters of pre-and postoperative were recorded. The average follow-up time was 12.28 ± 5.80 months. The body mass index (BMI) of the patients with obesity was decreased from 41.6 ± 7.44 to 30.3 ± 5.73kg/m2 (P<0.001) after LSG. The systolic and diastolic blood pressure of the subjects was significantly reduced from 137.9 ± 15.7mmHg to 123.0 ± 16.0 and 83.4 ± 10.8 to 71.3 ± 11.7mmHg (P<0.001), respectively. The levels of fasting insulin and fasting blood glucose were significantly decreased (38.8 ± 32.1 to 8.43 ± 4.16 mU/L, P<0.001; 6.95 ± 2.59 to 4.64 ± 0.50mmol/L, P<0.001). Total cholesterol (TC, 4.66 ± 0.84 to 4.23 ± 0.75mmol/L, P<0.001) and triglyceride (TG, 1.92 ± 1.21 to 0.85 ± 0.30mmol/L, P<0.001) decreased significantly. Cardiovascular geometric parameters including aortic sinus diameter (ASD, 32.9 ± 2.83mm to 32.0 ± 3.10mm, P<0.05), left atrial diameter (LAD, 38.8 ± 4.03 to 36.2 ± 4.12mm, P<0.001), and interventricular septum thickness(IVS, 10.2 ± 0.93 to 9.64 ± 0.89mm, P<0.001) were significantly reduced. The ratio of weight loss (RWL) was positively correlated with the changes of LAD. The change of IVS was negatively correlated with the change of fasting blood glucose (GLU). Weight loss after LSG could effectively improve cardiac structural, but not functional, abnormality in obese Chinese.This study aimed to investigate the impact of weight loss after laparoscopic sleeve gastrectomy (LSG) on cardiac structural and functional remodeling in obese Chinese. A total of 44 obese participants were enrolled consecutively. The physical, laboratory, electrocardiographic, and echocardiographic parameters of pre-and postoperative were recorded. The average follow-up time was 12.28 ± 5.80 months. The body mass index (BMI) of the patients with obesity was decreased from 41.6 ± 7.44 to 30.3 ± 5.73kg/m2 (P<0.001) after LSG. The systolic and diastolic blood pressure of the subjects was significantly reduced from 137.9 ± 15.7mmHg to 123.0 ± 16.0 and 83.4 ± 10.8 to 71.3 ± 11.7mmHg (P<0.001), respectively. The levels of fasting insulin and fasting blood glucose were significantly decreased (38.8 ± 32.1 to 8.43 ± 4.16 mU/L, P<0.001; 6.95 ± 2.59 to 4.64 ± 0.50mmol/L, P<0.001). Total cholesterol (TC, 4.66 ± 0.84 to 4.23 ± 0.75mmol/L, P<0.001) and triglyceride (TG, 1.92 ± 1.21 to 0.85 ± 0.30mmol/L, P<0.001) decreased significantly. Cardiovascular geometric parameters including aortic sinus diameter (ASD, 32.9 ± 2.83mm to 32.0 ± 3.10mm, P<0.05), left atrial diameter (LAD, 38.8 ± 4.03 to 36.2 ± 4.12mm, P<0.001), and interventricular septum thickness(IVS, 10.2 ± 0.93 to 9.64 ± 0.89mm, P<0.001) were significantly reduced. The ratio of weight loss (RWL) was positively correlated with the changes of LAD. The change of IVS was negatively correlated with the change of fasting blood glucose (GLU). Weight loss after LSG could effectively improve cardiac structural, but not functional, abnormality in obese Chinese. |
| Author | Peng, Ronggang Du, Lei Qu, Shen Xu, Yawei Liu, Diya Zheng, Yixing Zhang, Yi Meng, Weilun |
| AuthorAffiliation | 1 Department of Cardiology, Shanghai Tenth People’s Hospital, Nanjing Medical University , Shanghai , China 6 Department of Cardiology, Shanghai Tenth People’s Hospital, Tongji University School of Medicine , Shanghai , China 2 Department of Cardiology, Affiliated Hospital of Jiangnan University , Wuxi , China 3 Department of Metabolic Surgery, Shanghai Tenth People’s Hospital, Tongji University , Shanghai , China 4 Department of Thyroid and Breast Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine , Shanghai , China 5 Department of Endocrinology and Metabolism, Shanghai Tenth People’s Hospital, Tongji University , Shanghai , China |
| AuthorAffiliation_xml | – name: 2 Department of Cardiology, Affiliated Hospital of Jiangnan University , Wuxi , China – name: 1 Department of Cardiology, Shanghai Tenth People’s Hospital, Nanjing Medical University , Shanghai , China – name: 5 Department of Endocrinology and Metabolism, Shanghai Tenth People’s Hospital, Tongji University , Shanghai , China – name: 4 Department of Thyroid and Breast Surgery, Shanghai Tenth People’s Hospital, Tongji University School of Medicine , Shanghai , China – name: 3 Department of Metabolic Surgery, Shanghai Tenth People’s Hospital, Tongji University , Shanghai , China – name: 6 Department of Cardiology, Shanghai Tenth People’s Hospital, Tongji University School of Medicine , Shanghai , China |
| Author_xml | – sequence: 1 givenname: Weilun surname: Meng fullname: Meng, Weilun – sequence: 2 givenname: Ronggang surname: Peng fullname: Peng, Ronggang – sequence: 3 givenname: Lei surname: Du fullname: Du, Lei – sequence: 4 givenname: Yixing surname: Zheng fullname: Zheng, Yixing – sequence: 5 givenname: Diya surname: Liu fullname: Liu, Diya – sequence: 6 givenname: Shen surname: Qu fullname: Qu, Shen – sequence: 7 givenname: Yawei surname: Xu fullname: Xu, Yawei – sequence: 8 givenname: Yi surname: Zhang fullname: Zhang, Yi |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35126313$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_3389_fendo_2024_1355540 crossref_primary_10_1038_s41366_023_01412_3 crossref_primary_10_1007_s11695_022_06396_z crossref_primary_10_3389_fcvm_2025_1525746 |
| Cites_doi | 10.1016/S2352-4642(19)30105-1 10.1152/japplphysiol.00362.2016 10.1161/CIRCULATIONAHA.106.171016 10.1016/j.amjcard.2012.03.045 10.1007/s13679-016-0235-6 10.1161/CIRCULATIONAHA.107.721027 10.1007/s11695-018-3539-7 10.1097/MAJ.0000000000000342 10.1007/s11695-016-2492-6 10.1007/s11695-020-04405-7 10.1007/s11936-019-0754-z 10.1038/ncpcardio0943 10.1016/j.smrv.2018.06.001 10.1016/j.jacc.2005.08.067 10.1007/s00464-015-4251-5 10.1253/circj.CJ-16-0625 10.1007/s11695-014-1294-y 10.21037/atm.2018.11.47 10.1016/j.pcad.2018.07.012 10.1152/ajpheart.00274.2018 10.1007/s11695-017-2564-2 10.1016/s0140-6736(14)60460-8 10.1002/cphy.c160019 10.1016/j.ijcard.2011.02.036 10.1093/eurheartj/ehy339 10.1016/j.amjcard.2009.09.057 10.1111/jne.12708 10.1016/j.ijcard.2006.04.016 10.1007/s11695-015-1866-5 10.1016/j.echo.2005.10.005 10.1016/j.soard.2007.05.006 10.1007/s11695-016-2393-8 |
| ContentType | Journal Article |
| Copyright | Copyright © 2022 Meng, Peng, Du, Zheng, Liu, Qu, Xu and Zhang. Copyright © 2022 Meng, Peng, Du, Zheng, Liu, Qu, Xu and Zhang 2022 Meng, Peng, Du, Zheng, Liu, Qu, Xu and Zhang |
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| Keywords | cardiovascular sleeve gastrectomy cardiac structural and functional remodeling obesity echocardiography |
| Language | English |
| License | Copyright © 2022 Meng, Peng, Du, Zheng, Liu, Qu, Xu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
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| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Edited by: Yuanyuan Wang, Monash University, Australia These authors have contributed equally to this work Reviewed by: Francesca Abbatini, Azienda Sanitaria Locale Roma 6, Italy; Dimitris Zacharoulis, University Hospital of Larissa, Greece This article was submitted to Obesity, a section of the journal Frontiers in Endocrinology |
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| SubjectTerms | Adult Atrial Remodeling Bariatric Surgery Blood Glucose - metabolism Blood Pressure cardiac structural and functional remodeling cardiovascular China Cholesterol - metabolism Echocardiography Electrocardiography Endocrinology Female Gastrectomy Heart Atria - diagnostic imaging Heart Atria - pathology Humans Insulin - metabolism Laparoscopy Male obesity Obesity - metabolism Obesity - physiopathology Obesity - surgery Organ Size Sinus of Valsalva - diagnostic imaging Sinus of Valsalva - pathology sleeve gastrectomy Treatment Outcome Triglycerides - metabolism Ventricular Remodeling Ventricular Septum - diagnostic imaging Ventricular Septum - pathology Weight Loss Young Adult |
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| Title | Weight Loss After Laparoscopic Sleeve Gastrectomy Ameliorates the Cardiac Remodeling in Obese Chinese |
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