Excess Body Mass Index Loss at 3 Months: A Predictive Factor of Long-Term Result after Sleeve Gastrectomy

Introduction.Laparoscopic Sleeve Gastrectomy (SG) is considered as successful if the percentage of Excess Body Mass Index Loss (% EBMIL) remains constant over 50% with long-term follow-up. The aim of this study was to evaluate whether early % EBMIL was predictive of success after SG.Methods.This retrospective study included patients who had SG with two years of follow-up. Patients had follow-up appointments at 3 (M3), 6, 12, and 24 months (M24). Data as weight and Body Mass Index (BMI) were collected systematically. We estimated the % EBMIL necessary to establish a correlation between M3 and M24 compared to % EBMIL speeds and calculated a limit value of % EBMIL predictive of success.Results.Data at operative time, M3, and M24 were available for 128 patients. Pearson test showed a correlation between % EBMIL at M3 and that at M24 (r=0.74; p<0.0001). % EBMIL speed between surgery and M3 (p=0.0011) was significant but not between M3 and M24. A linear regression analysis proved that % EBMIL over 20.1% at M3 (p<0.0001) predicted a final % EBMIL over 50%.Conclusions.% EBMIL at M3 after SG is correlated with % EBMIL in the long term. % EBMIL speed was significant in the first 3 months. % EBMIL over 20.1% at M3 leads to the success of SG.

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Differential Effect of Baseline Adiponectin on All-Cause Mortality in Hemodialysis Patients Depending on Initial Body Mass Index. Long-Term Follow-Up Data of 4.5 Years

Journal of Renal Nutrition ◽

10.1053/j.jrn.2011.12.007 ◽

2013 ◽

Vol 23 (1) ◽

pp. 45-56 ◽

Cited By ~ 14

Author(s):

Christina Tsigalou ◽

Georgios Chalikias ◽

Konstantina Kantartzi ◽

Dimitrios Tziakas ◽

Georgia Kampouromiti ◽

...

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Differential Effect ◽

Hemodialysis Patients ◽

All Cause Mortality ◽

Long Term Follow Up ◽

Initial Body Mass Index

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Steeper increases in body mass index during childhood correlate with blood pressure elevation in adolescence: a long-term follow-up study in a Japanese community

Hypertension Research ◽

10.1038/hr.2013.109 ◽

2013 ◽

Vol 37 (2) ◽

pp. 179-184 ◽

Cited By ~ 12

Author(s):

Erika Kuwahara ◽

Keiko Asakura ◽

Yuji Nishiwaki ◽

Hirokazu Komatsu ◽

Akemi Nakazawa ◽

...

Keyword(s):

Blood Pressure ◽

Body Mass Index ◽

Body Mass ◽

Blood Pressure Elevation ◽

Follow Up Study ◽

Pressure Elevation ◽

Long Term Follow Up

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Body mass index in middle life and future risk of hospital admission for psychoses or depression: findings from the Renfrew/Paisley study

Psychological Medicine ◽

10.1017/s0033291707000384 ◽

2007 ◽

Vol 37 (8) ◽

pp. 1151-1161 ◽

Cited By ~ 18

Author(s):

DEBBIE A. LAWLOR ◽

CAROLE L. HART ◽

DAVID J. HOLE ◽

DAVID GUNNELL ◽

GEORGE DAVEY SMITH

Keyword(s):

Body Mass Index ◽

Hospital Admission ◽

Body Mass ◽

Hospital Admissions ◽

Long Term Follow Up ◽

Psychiatric Outcomes ◽

Future Hospital ◽

Reduced Risk

ABSTRACTBackgroundThere is evidence that greater body mass index (BMI) protects against depression, schizophrenia and suicide. However, there is a need for prospective studies.MethodWe examined the association of BMI with future hospital admissions for psychoses or depression/anxiety disorders in a large prospective study of 7036 men and 8327 women. Weight and height were measured at baseline (1972–76) when participants were aged 45–64. Follow-up was for a median of 29 years.ResultsGreater BMI and obesity were associated with a reduced risk of hospital admission for psychoses and depression/anxiety in both genders, with the magnitude of these associations being the same for males and females. With adjustment for age, sex, smoking and social class, a 1 standard deviation (s.d.) greater BMI at baseline was associated with a rate ratio of 0·91 [95% confidence interval (CI) 0·82–1·01] for psychoses and 0·87 (95% CI 0·77–0·98) for depression/anxiety. Further adjustment for baseline psychological distress and total cholesterol did not alter these associations.ConclusionsOur findings add to the growing body of evidence that suggests that greater BMI is associated with a reduced risk of major psychiatric outcomes. Long-term follow-up of participants in randomized controlled trials of interventions that effectively result in weight loss and the use of genetic variants that are functionally related to obesity as instrumental variables could help to elucidate whether these associations are causal.

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