The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia
Anwar E Ahmed,1,2 Wala R Alanazi,3 Rayan A Ahmed,4 Wijdan AlJohi,2 Doaa A AlBuraikan,2 Budor A AlRasheed,2 Bashayr I ALMuqbil,2 Ali A Al-Zahrani,2,5 Zeyad M Yousef,2,5 Hamdan AL-Jahdali2,5 1King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia; 2King Saud bin Abdulaziz U...
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Dove Medical Press
2018
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oai:doaj.org-article:bcb93c6596da45c095becdf0e10ee9ff2021-12-02T02:13:33ZThe influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia1178-7007https://doaj.org/article/bcb93c6596da45c095becdf0e10ee9ff2018-06-01T00:00:00Zhttps://www.dovepress.com/the-influences-of-bariatric-surgery-on-hemoglobin-a1c-in-a-sample-of-o-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Anwar E Ahmed,1,2 Wala R Alanazi,3 Rayan A Ahmed,4 Wijdan AlJohi,2 Doaa A AlBuraikan,2 Budor A AlRasheed,2 Bashayr I ALMuqbil,2 Ali A Al-Zahrani,2,5 Zeyad M Yousef,2,5 Hamdan AL-Jahdali2,5 1King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia; 2King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 3Al-Maarefa College for Science and Technology, Riyadh, Saudi Arabia; 4Dar Al Uloom University, Riyadh, Saudi Arabia; 5King Abdulaziz Medical City, Riyadh, National Guard Health Affairs, Riyadh, Saudi Arabia Background: Although the frequency of surgical weight loss interventions has increased in Saudi Arabia, literature describing the clinical outcomes of bariatric surgery in Saudi Arabia is limited. This study aimed to assess whether weight loss intervention improves hemoglobin A1c (HbA1c) in obese patients and to identify its associated factors.Patients and methods: A retrospective study was carried out on 318 patients with obesity class 1 or higher (body mass index [BMI] ≥ 30 kg/m2) who underwent laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass at King Abdulaziz Medical City in Riyadh, Saudi Arabia, between January 1, 2001 and March 31, 2017. Preoperatively and 12 months postoperatively, characteristics of patients were collected. BMI reduction was calculated, based on which patients were divided into three groups (0–9, 10–14, and >14 kg/m2).Results: The postoperative HbA1c was 5.83±0.9, while the baseline level was 6.74±2.1 (P=0.001). Fifty-eight of the 318 patients had diabetes. We observed significantly higher HbA1c in diabetic than in non-diabetic patients preoperatively, whereas an insignificantly ­different HbA1c was observed postoperatively. Among those who had minimal reduction in BMI (0–9 kg/m2), we observed significantly higher HbA1c in diabetic than in non-diabetic patients, whereas among those who had large reduction in BMI (10–14 kg/m2) and (>14 kg/m2), we observed insignificant differences in HbA1c in diabetic than in non-diabetic patients.Conclusion: Being a diabetic patient was related to a significant reduction in HbA1c levels postoperatively. The study suggests that the reduction in HbA1c levels could be modified by BMI, wherein greater reduction in BMI leads to greater reduction in HbA1c levels. Keywords: HbA1c, diabetes, weight loss surgery, BMI, morbid obese, sleeveAhmed AEAlanazi WRAhmed RAAlJohi WAlBuraikan DAAlRasheed BAALMuqbil BIAl-Zahrani AAYousef ZMAL-Jahdali HDove Medical PressarticleHb A1cdiabetesweight-loss surgeryBMImorbid obeseSaudi ArabiaSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 11, Pp 271-276 (2018) |
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Hb A1c diabetes weight-loss surgery BMI morbid obese Saudi Arabia Specialties of internal medicine RC581-951 |
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Hb A1c diabetes weight-loss surgery BMI morbid obese Saudi Arabia Specialties of internal medicine RC581-951 Ahmed AE Alanazi WR Ahmed RA AlJohi W AlBuraikan DA AlRasheed BA ALMuqbil BI Al-Zahrani AA Yousef ZM AL-Jahdali H The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia |
| description |
Anwar E Ahmed,1,2 Wala R Alanazi,3 Rayan A Ahmed,4 Wijdan AlJohi,2 Doaa A AlBuraikan,2 Budor A AlRasheed,2 Bashayr I ALMuqbil,2 Ali A Al-Zahrani,2,5 Zeyad M Yousef,2,5 Hamdan AL-Jahdali2,5 1King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia; 2King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; 3Al-Maarefa College for Science and Technology, Riyadh, Saudi Arabia; 4Dar Al Uloom University, Riyadh, Saudi Arabia; 5King Abdulaziz Medical City, Riyadh, National Guard Health Affairs, Riyadh, Saudi Arabia Background: Although the frequency of surgical weight loss interventions has increased in Saudi Arabia, literature describing the clinical outcomes of bariatric surgery in Saudi Arabia is limited. This study aimed to assess whether weight loss intervention improves hemoglobin A1c (HbA1c) in obese patients and to identify its associated factors.Patients and methods: A retrospective study was carried out on 318 patients with obesity class 1 or higher (body mass index [BMI] ≥ 30 kg/m2) who underwent laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass at King Abdulaziz Medical City in Riyadh, Saudi Arabia, between January 1, 2001 and March 31, 2017. Preoperatively and 12 months postoperatively, characteristics of patients were collected. BMI reduction was calculated, based on which patients were divided into three groups (0–9, 10–14, and >14 kg/m2).Results: The postoperative HbA1c was 5.83±0.9, while the baseline level was 6.74±2.1 (P=0.001). Fifty-eight of the 318 patients had diabetes. We observed significantly higher HbA1c in diabetic than in non-diabetic patients preoperatively, whereas an insignificantly ­different HbA1c was observed postoperatively. Among those who had minimal reduction in BMI (0–9 kg/m2), we observed significantly higher HbA1c in diabetic than in non-diabetic patients, whereas among those who had large reduction in BMI (10–14 kg/m2) and (>14 kg/m2), we observed insignificant differences in HbA1c in diabetic than in non-diabetic patients.Conclusion: Being a diabetic patient was related to a significant reduction in HbA1c levels postoperatively. The study suggests that the reduction in HbA1c levels could be modified by BMI, wherein greater reduction in BMI leads to greater reduction in HbA1c levels. Keywords: HbA1c, diabetes, weight loss surgery, BMI, morbid obese, sleeve |
| format |
article |
| author |
Ahmed AE Alanazi WR Ahmed RA AlJohi W AlBuraikan DA AlRasheed BA ALMuqbil BI Al-Zahrani AA Yousef ZM AL-Jahdali H |
| author_facet |
Ahmed AE Alanazi WR Ahmed RA AlJohi W AlBuraikan DA AlRasheed BA ALMuqbil BI Al-Zahrani AA Yousef ZM AL-Jahdali H |
| author_sort |
Ahmed AE |
| title |
The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia |
| title_short |
The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia |
| title_full |
The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia |
| title_fullStr |
The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia |
| title_full_unstemmed |
The influences of bariatric surgery on hemoglobin A1c in a sample of obese patients in Saudi Arabia |
| title_sort |
influences of bariatric surgery on hemoglobin a1c in a sample of obese patients in saudi arabia |
| publisher |
Dove Medical Press |
| publishDate |
2018 |
| url |
https://doaj.org/article/bcb93c6596da45c095becdf0e10ee9ff |
| work_keys_str_mv |
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