CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY
ABSTRACT BACKGROUND: Obesity is a predisposing factor for serious comorbidities, particularly those related to elevated cardiovascular mortality. The atherogenic index of plasma (AIP) has been shown to be a useful indicator of patients with insulin resistance. AIMS: The aim of this study was to as...
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Colégio Brasileiro de Cirurgia Digestiva
2025-01-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100344&lng=en&tlng=en |
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| author | Lilian CARDIA Alexandre Viera GADDUCCI Denis PAJECKI Marco Aurelio SANTO Roberto DE CLEVA |
| author_facet | Lilian CARDIA Alexandre Viera GADDUCCI Denis PAJECKI Marco Aurelio SANTO Roberto DE CLEVA |
| author_sort | Lilian CARDIA |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: Obesity is a predisposing factor for serious comorbidities, particularly those related to elevated cardiovascular mortality. The atherogenic index of plasma (AIP) has been shown to be a useful indicator of patients with insulin resistance. AIMS: The aim of this study was to assess cardiovascular risk before and after surgical treatment of obesity. METHODS: A total of 615 patients undergoing bariatric surgery between 2007 and 2012 were evaluated using the analysis of electronic records (triglyceride/high-density lipoprotein cholesterol) before and after surgery. The AIP levels >3.5 mg/dL for men and >2.5 mg/dL for women were insulin-resistant and predisposed to cardiovascular events. RESULTS: A total of 117 men had an AIP >3.5 mg/dL during the preoperative period, 13.5% during the early postoperative period, 14.3% during the intermediate period, and 18.2% during the late postoperative period. Among 498 women, 56.2% had an AIP >2.5 mg/dL before surgery, 17.9% in early postoperative period, 13.5% in the intermediate period, and 11.4% in the late period. CONCLUSIONS: Bariatric surgery resulted in a significant effect on the AIP, insulin resistance, metabolic syndrome, and therefore, the risk of cardiovascular diseases. |
| format | Article |
| id | doaj-art-60e2d1ff311642859ffbbfe1c4d66f77 |
| institution | Kabale University |
| issn | 0102-6720 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj-art-60e2d1ff311642859ffbbfe1c4d66f772025-02-04T07:36:03ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202025-01-013710.1590/0102-6720202400066e1860CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITYLilian CARDIAhttps://orcid.org/0000-0002-3227-3287Alexandre Viera GADDUCCIhttps://orcid.org/0000-0002-9160-2941Denis PAJECKIhttps://orcid.org/0000-0002-0898-9285Marco Aurelio SANTOhttps://orcid.org/0000-0002-7813-6210Roberto DE CLEVAhttps://orcid.org/0000-0001-8673-9014ABSTRACT BACKGROUND: Obesity is a predisposing factor for serious comorbidities, particularly those related to elevated cardiovascular mortality. The atherogenic index of plasma (AIP) has been shown to be a useful indicator of patients with insulin resistance. AIMS: The aim of this study was to assess cardiovascular risk before and after surgical treatment of obesity. METHODS: A total of 615 patients undergoing bariatric surgery between 2007 and 2012 were evaluated using the analysis of electronic records (triglyceride/high-density lipoprotein cholesterol) before and after surgery. The AIP levels >3.5 mg/dL for men and >2.5 mg/dL for women were insulin-resistant and predisposed to cardiovascular events. RESULTS: A total of 117 men had an AIP >3.5 mg/dL during the preoperative period, 13.5% during the early postoperative period, 14.3% during the intermediate period, and 18.2% during the late postoperative period. Among 498 women, 56.2% had an AIP >2.5 mg/dL before surgery, 17.9% in early postoperative period, 13.5% in the intermediate period, and 11.4% in the late period. CONCLUSIONS: Bariatric surgery resulted in a significant effect on the AIP, insulin resistance, metabolic syndrome, and therefore, the risk of cardiovascular diseases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100344&lng=en&tlng=enObesityBariatric SurgeryInsulin ResistanceMetabolic SyndromeLipoproteins |
| spellingShingle | Lilian CARDIA Alexandre Viera GADDUCCI Denis PAJECKI Marco Aurelio SANTO Roberto DE CLEVA CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY ABCD: Arquivos Brasileiros de Cirurgia Digestiva Obesity Bariatric Surgery Insulin Resistance Metabolic Syndrome Lipoproteins |
| title | CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY |
| title_full | CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY |
| title_fullStr | CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY |
| title_full_unstemmed | CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY |
| title_short | CARDIOVASCULAR RISK BEFORE AND AFTER SURGICAL TREATMENT OF SEVERE OBESITY |
| title_sort | cardiovascular risk before and after surgical treatment of severe obesity |
| topic | Obesity Bariatric Surgery Insulin Resistance Metabolic Syndrome Lipoproteins |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202024000100344&lng=en&tlng=en |
| work_keys_str_mv | AT liliancardia cardiovascularriskbeforeandaftersurgicaltreatmentofsevereobesity AT alexandrevieragadducci cardiovascularriskbeforeandaftersurgicaltreatmentofsevereobesity AT denispajecki cardiovascularriskbeforeandaftersurgicaltreatmentofsevereobesity AT marcoaureliosanto cardiovascularriskbeforeandaftersurgicaltreatmentofsevereobesity AT robertodecleva cardiovascularriskbeforeandaftersurgicaltreatmentofsevereobesity |