The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy

Introduction: We previously reported that preoperative serum insulin-like growth factor-1 (IGF-1) is a predictor of total weight loss percentage (%TWL) after laparoscopic sleeve gastrectomy (LSG). IGF-1 may suppress muscle loss after surgery. IGF-1 almost accurately reflects the growth hormone (GH)...

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Autores principales: Masahiro Ohira, Yasuhiro Watanabe, Takashi Yamaguchi, Hiroki Onda, Shuhei Yamaoka, Kazuki Abe, Shoko Nakamura, Shou Tanaka, Naoyuki Kawagoe, Taiki Nabekura, Atsuhito Saiki, Takashi Oshiro, Daiji Nagayama, Ichiro Tatsuno
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Publicado: Karger Publishers 2021
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Acceso en línea:https://doaj.org/article/1404a8903d364bafa29f5386e3798c51
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spelling oai:doaj.org-article:1404a8903d364bafa29f5386e3798c512021-11-11T10:40:44ZThe Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy1662-40251662-403310.1159/000519610https://doaj.org/article/1404a8903d364bafa29f5386e3798c512021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519610https://doaj.org/toc/1662-4025https://doaj.org/toc/1662-4033Introduction: We previously reported that preoperative serum insulin-like growth factor-1 (IGF-1) is a predictor of total weight loss percentage (%TWL) after laparoscopic sleeve gastrectomy (LSG). IGF-1 may suppress muscle loss after surgery. IGF-1 almost accurately reflects the growth hormone (GH) secretion status, and GH has lipolytic effects. Therefore, IGF-1 may influence both the maintenance of skeletal muscle and the reduction of adipose tissue after LSG. The identification of the relationship between preoperative serum IGF-1 and body composition changes after LSG can help in understanding the pathophysiology of obesity. Methods: We retrospectively reviewed 72 patients with obesity who underwent LSG and were followed up for 12 months. We analyzed the relationship between preoperative serum IGF-1 levels and body composition changes after LSG. A multiple regression model was used. Results: LSG led to a significant reduction in body weight. Both body fat mass and skeletal muscle mass decreased after LSG. Preoperative serum IGF-1 levels significantly correlated with %TWL, changes in skeletal muscle mass, and body fat mass after LSG. The multiple regression model showed that preoperative serum IGF-1 levels were related to decreased body fat mass and maintaining skeletal muscle mass after LSG. Discussion/Conclusion: Preoperative IGF-1 measurement helps predict not only successful weight loss but also decreases body fat mass and maintains skeletal muscle mass after LSG.Masahiro OhiraYasuhiro WatanabeTakashi YamaguchiHiroki OndaShuhei YamaokaKazuki AbeShoko NakamuraShou TanakaNaoyuki KawagoeTaiki NabekuraAtsuhito SaikiTakashi OshiroDaiji NagayamaIchiro TatsunoKarger Publishersarticlelaparoscopic sleeve gastrectomyinsulin-like growth factor-1obesitybody fatskeletal muscleNutrition. Foods and food supplyTX341-641Nutritional diseases. Deficiency diseasesRC620-627ENObesity Facts, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic laparoscopic sleeve gastrectomy
insulin-like growth factor-1
obesity
body fat
skeletal muscle
Nutrition. Foods and food supply
TX341-641
Nutritional diseases. Deficiency diseases
RC620-627
spellingShingle laparoscopic sleeve gastrectomy
insulin-like growth factor-1
obesity
body fat
skeletal muscle
Nutrition. Foods and food supply
TX341-641
Nutritional diseases. Deficiency diseases
RC620-627
Masahiro Ohira
Yasuhiro Watanabe
Takashi Yamaguchi
Hiroki Onda
Shuhei Yamaoka
Kazuki Abe
Shoko Nakamura
Shou Tanaka
Naoyuki Kawagoe
Taiki Nabekura
Atsuhito Saiki
Takashi Oshiro
Daiji Nagayama
Ichiro Tatsuno
The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy
description Introduction: We previously reported that preoperative serum insulin-like growth factor-1 (IGF-1) is a predictor of total weight loss percentage (%TWL) after laparoscopic sleeve gastrectomy (LSG). IGF-1 may suppress muscle loss after surgery. IGF-1 almost accurately reflects the growth hormone (GH) secretion status, and GH has lipolytic effects. Therefore, IGF-1 may influence both the maintenance of skeletal muscle and the reduction of adipose tissue after LSG. The identification of the relationship between preoperative serum IGF-1 and body composition changes after LSG can help in understanding the pathophysiology of obesity. Methods: We retrospectively reviewed 72 patients with obesity who underwent LSG and were followed up for 12 months. We analyzed the relationship between preoperative serum IGF-1 levels and body composition changes after LSG. A multiple regression model was used. Results: LSG led to a significant reduction in body weight. Both body fat mass and skeletal muscle mass decreased after LSG. Preoperative serum IGF-1 levels significantly correlated with %TWL, changes in skeletal muscle mass, and body fat mass after LSG. The multiple regression model showed that preoperative serum IGF-1 levels were related to decreased body fat mass and maintaining skeletal muscle mass after LSG. Discussion/Conclusion: Preoperative IGF-1 measurement helps predict not only successful weight loss but also decreases body fat mass and maintains skeletal muscle mass after LSG.
format article
author Masahiro Ohira
Yasuhiro Watanabe
Takashi Yamaguchi
Hiroki Onda
Shuhei Yamaoka
Kazuki Abe
Shoko Nakamura
Shou Tanaka
Naoyuki Kawagoe
Taiki Nabekura
Atsuhito Saiki
Takashi Oshiro
Daiji Nagayama
Ichiro Tatsuno
author_facet Masahiro Ohira
Yasuhiro Watanabe
Takashi Yamaguchi
Hiroki Onda
Shuhei Yamaoka
Kazuki Abe
Shoko Nakamura
Shou Tanaka
Naoyuki Kawagoe
Taiki Nabekura
Atsuhito Saiki
Takashi Oshiro
Daiji Nagayama
Ichiro Tatsuno
author_sort Masahiro Ohira
title The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy
title_short The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy
title_full The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy
title_fullStr The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy
title_full_unstemmed The Relationship between Serum Insulin-Like Growth Factor-1 Levels and Body Composition Changes after Sleeve Gastrectomy
title_sort relationship between serum insulin-like growth factor-1 levels and body composition changes after sleeve gastrectomy
publisher Karger Publishers
publishDate 2021
url https://doaj.org/article/1404a8903d364bafa29f5386e3798c51
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