Energy Adaptations Persist 2 Years After Sleeve Gastrectomy and Gastric Bypass

被引：25
作者：
Tam, Charmaine S. [1 ,2 ]
Rigas, Georgia [3 ]
Heilbronn, Leonie K. [4 ]
Matisan, Tania [3 ]
Probst, Yasmine [5 ]
Talbot, Michael [3 ]
机构：
[1] Univ Sydney, Charles Perkins Ctr, Sydney, NSW 2006, Australia
[2] Univ Sydney, Sch Biol Sci, Sydney, NSW 2006, Australia
[3] St George Private Hosp, Dept Surg, Upper Gastrointestinal Unit, Kogarah, NSW, Australia
[4] Univ Adelaide, Discipline Med, Adelaide, SA, Australia
[5] Univ Wollongong, Smart Foods Ctr, Sch Med, Wollongong, NSW, Australia
来源：
OBESITY SURGERY | 2016年 / 26卷 / 02期
关键词：
Energy expenditure; Resting metabolic rate; Metabolic adaptation; MASSIVE WEIGHT-LOSS; METABOLIC ADAPTATION; BODY-COMPOSITION; SURGERY; EXPENDITURE; THERMOGENESIS;
D O I：
10.1007/s11695-015-1972-4
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Non-surgical weight loss induces a greater than expected decrease in energy expenditure, a phenomenon known as 'metabolic adaptation'. The effects of different bariatric surgery procedures on metabolic adaptation are not yet known and may partially contribute to weight loss success. We compared resting energy expenditure (REE) in 35 subjects (nine males; age = 46 +/- 11 years; BMI = 42.1 +/- 6.5 kg/m(2)) undergoing gastric band, sleeve gastrectomy or Roux-en-Y gastric bypass (RYGB) up to 2 years after surgery. We found a greater than expected reduction of 130-300 kcal/day at 6 weeks after sleeve and bypass surgery which was not explained by changes in body composition; this change was not seen in the band group. The suppression in REE after sleeve and RYGB remained up to 2 years, even after weight loss had plateaued. Our findings suggest that energy adaptation is not a contributing mechanism to medium-term weight maintenance after sleeve and RYGB bariatric surgeries.
引用
收藏
页码：459 / 463
页数：5
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