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Nutr Metab Cardiovasc Dis ; 28(5): 494-500, 2018 05.
Article in English | MEDLINE | ID: mdl-29502925

ABSTRACT

BACKGROUND & AIMS: Gender-related differences represent an emerging investigation field to better understand obesity heterogeneity and paradoxically associated cardiovascular (CV) risk. Here, we investigated if high-sensitivity C-reactive protein (hs-CRP) might differently affect adiposity and predict the clinical response to bariatric surgery in obese males and females. METHODS AND RESULTS: In 110 morbidly obese patients undergoing laparoscopic sleeve gastrectomy, hs-CRP as well as anthropometric assessment of adiposity, completed by electric bioimpedance and ultrasonography quantification of visceral fat area (VFA), were measured before and one year after surgery. As compared to males, obese female showed less severe overweight and prevalent subcutaneous fat deposition, but higher circulating hs-CRP. In obese females, hs-CRP was associated with VFA at baseline, independently of body mass index (BMI) and visceral adiposity index (OR 1.022 [95% CI 1.001-1.044]; p = 0.039). Based on decreases and increases in hs-CRP levels after surgery, two distinct subgroups of females were identified. Post-surgery decreases in hs-CRP was predominantly observed in patients with higher baseline levels of hs-CRP and associated with greater reduction of weight, BMI, fat and lean mass, VFA and visceral to subcutaneous fat ratio. Finally, we observed that high baseline values of hs-CRP were able to predict VFA reduction one-year after surgery, independently of BMI and visceral adiposity index (VAI) loss (OR 1.031 [95% CI 1.009-1.053]; p = 0.005). CONCLUSION: In obese females, hs-CRP levels might be a promising biomarker of visceral fat amount and dysfunction, in addition to predict the effectiveness of bariatric surgery in terms of loss of VFA one-year after surgery.


Subject(s)
Adiposity , Bariatric Surgery/methods , C-Reactive Protein/analysis , Gastrectomy/methods , Inflammation Mediators/blood , Intra-Abdominal Fat/physiopathology , Obesity, Morbid/surgery , Adolescent , Adult , Aged , Bariatric Surgery/adverse effects , Biomarkers/blood , Body Mass Index , Electric Impedance , Female , Gastrectomy/adverse effects , Humans , Intra-Abdominal Fat/diagnostic imaging , Male , Middle Aged , Obesity, Morbid/blood , Obesity, Morbid/diagnostic imaging , Obesity, Morbid/physiopathology , Pilot Projects , Risk Factors , Sex Factors , Time Factors , Treatment Outcome , Ultrasonography , Up-Regulation , Weight Loss , Young Adult
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