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[Not Available].

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Summary

Adiposity, not just BMI, predicts cardiovascular risk after bariatric surgery. Post-operative adiposity correlates with cardiovascular risk indices, offering better therapeutic success markers.

Keywords:
Cirugía bariátrica. Adiposidad. Índice de masa corporal. Riesgo cardiovascular.

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Area of Science:

  • Metabolic Surgery
  • Cardiovascular Health
  • Obesity Management

Background:

  • Body Mass Index (BMI) can be misleading for assessing health in diverse body types.
  • Cardiovascular risk is better predicted by adiposity, Framingham Index (FI), and Atherogenic Index (AI).

Purpose of the Study:

  • To compare adiposity, FI, and AI as therapeutic success markers post-laparoscopic sleeve gastrectomy (LSG).
  • To evaluate these parameters in obese patients undergoing bariatric surgery.

Main Methods:

  • Prospective observational study of 140 patients undergoing LSG with a minimum 1-year follow-up.
  • Analysis of Body Mass Index (BMI), adiposity (CUN-BAE formula), Framingham Index (FI), and Atherogenic Index (AI) evolution.

Main Results:

  • Pre-surgery: BMI 49.1 kg/m², adiposity 54.8%, FI 7.54%, AI 4.2. Post-surgery (12 months): BMI 28.4 kg/m², adiposity 39.4%, FI 3.7%, AI 1.64.
  • Post-operative adiposity correlated significantly with FI (Pearson 0.814, p=0.036) and AI (Pearson 0.517, p=0.049).
  • BMI correlated with adiposity pre- and post-surgery, but adiposity did not correlate with FI or AI pre-surgery.

Conclusions:

  • Adiposity, Framingham Index, and Atherogenic Index are valuable post-bariatric surgery markers.
  • These parameters effectively indicate reduced cardiovascular disease risk following LSG.
  • Adiposity is a more reliable indicator of therapeutic success and cardiovascular risk reduction than BMI alone after bariatric procedures.