Key result
Less trunk fat marginally links to lower cardiovascular risk in obese bariatric surgery candidates.
Why the study?
Fat, muscle, and bone influence metabolic profile and cardiovascular risk, and understanding their relationship is important for early intervention in overweight patients.
Cross-Sectional (n=60)
No
p-value: p=0.05
In obese patients awaiting bariatric surgery, physical inactivity and alcohol dependence risk were independently associated with cardiovascular risk, whereas body mass components assessed by DEXA were not.
Physical inactivity and alcohol risk merit screening in bariatric candidates; cross-sectional data leave causality and intervention effects open.
BACKGROUND: Fat, muscle, and bone are endocrine organs capable of affecting the metabolic profile and cardiovascular risk. Relating these components is important to the establishment of early intervention strategies for overweight patients. AIMS: This study aimed to evaluate the influence of body mass components on the metabolic profile and cardiovascular risk in the preoperative period of bariatric surgery. METHODS: A cross-sectional study was conducted with patients admitted for bariatric surgery at a university hospital in the city of Recife, Brazil, between 2018 and 2019. Body composition was determined using dual-energy x-ray absorptiometry. Cardiovascular risk was assessed using the Framingham risk score. Data were collected on anthropometric, clinical, and lifestyle characteristics. The lipid profile (total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglycerides), blood glucose, and vitamin D were determined using the standard methods of the hospital laboratory. RESULTS: A total of 60 patients were analyzed, 86.7% of whom had comorbidities, 33.3% had moderate/high cardiovascular risk, and 71.4% had vitamin D insufficiency/deficiency. Lower lean body mass (adjusted PR 3.24; 95%CI 1.19-5.77) was independently associated with the severity of obesity. The body mass index and waist circumference were negatively correlated with lean body mass (r=-0.52; p<0.01)/r=-0.36; p<0.01). Lean body mass was negatively correlated with fat mass (r=-0.26; p<0.05), trunk fat (r=-0.29; p<0.05), fasting glucose (r=-0.26; p<0.05), and bone mineral density (r=-0.26; p<0.05). A total of 84.2% of individuals with less trunk fat tended to have low cardiovascular risk (p=0.05). However, physical inactivity (adjusted PR 2.14; 95%CI 1.19-5.54) and the risk of alcohol dependence (adjusted PR 2.41; 95%CI 1.76-4.15) were the only variables independently associated with cardiovascular risk. CONCLUSION: Obese patients in the preoperative period of bariatric surgery with less trunk fat tended to have low cardiovascular risk. However, the other components of body mass were also not associated with cardiovascular risk.
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Sá et al. (2023) conducted a cross-sectional in Obesity prior to bariatric surgery (n=60). Body mass components (assessed by DXA) was evaluated on Low cardiovascular risk in individuals with less trunk fat (p=0.05). In obese patients awaiting bariatric surgery, less trunk fat was marginally associated with low cardiovascular risk (p=0.05), while physical inactivity and alcohol dependence risk were independently associated with cardiovascular risk.
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