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Evaluation of the biochemical, inflammatory and oxidative profile of obese patients given clinical treatment and bariatric surgery

2016; Elsevier BV; Volume: 465; Linguagem: Inglês

10.1016/j.cca.2016.12.012

1873-3492

Roberta Schmatz, Mariana Rechia Bitencourt, Luciana Patias, Maristela de Oliveira Beck, Glauco da Costa Alvarez, Daniela Zanini, Jessié Martins Gutierres, Lia Natália Diehl, Luciane Belmonte Pereira, Cláudio A.M. Leal, Marta Frescura Duarte, Maria Rosa Chitolina Schetinger, Vera Maria Morsch,

Biomarkers in Disease Mechanisms

We investigated the biochemical and inflammatory parameters as well as biomarkers of oxidative stress in morbidly obese patients before and after bariatric surgery and clinical treatment. This study was conducted using 60 individuals (10 men and 50 women) distributed into 3 groups: the control group, 20 non-diabetic obese patients given clinical treatment, the bariatric group, 20 non-diabetic obese patients given a Roux-en-Y bypass gastroplasty, and the bariatric diabetic group, 20 diabetic obese patients given a Roux-en-Y bypass gastroplasty. Measurements were made before and 1, 3, 6, and 12 months after surgery and clinical treatment. We showed a significant decrease in body weight, body mass index (BMI) and waist circumference, accompanied by a decrease in the lipid profile and glucose and glycated hemoglobin concentrations in the groups that received bariatric surgery. The concentrations of lipid peroxidation, carbonyl protein and NPSH, as well as superoxide dismutase (SOD) and catalase (CAT) activity, significantly decreased in both groups after surgery. The concentrations of inteleukin-6, inteleukin-1, TNF-α and resistin were also significantly lower, while adiponectin concentrations significantly increased 12 months after bariatric surgery. No significant alterations were observed in the biochemical, inflammatory or oxidative parameters of the control group. Our findings demonstrate a decrease in body mass and a subsequent improvement in biochemical, metabolic and anthropometric parameters in patients given bariatric surgery. This may contribute to the reduction of oxidative damage in these patients and consequently a reduction in the risk of the development and progression of multiple co-morbidities associated with obesity.