Obesity

Metabolic surgery-induced changes of the growth hormone system relate to improved adipose tissue function

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

Reversal of alterations of the GH-IGF-1 axis after surgically-induced weight loss is unlikely related to improved leptin secretion and/or insulin sensitivity, but is rather associated with restored adipose tissue function and reduced low-grade inflammation.

Study context

Population
People with obesity undergoing bariatric (metabolic) surgery and lean healthy controls
Participants
79 vs 24
Exposure
People with obesity before and after metabolic surgery vs lean healthy controls
  • Obesity (OBE)n = 79
  • CONn = 24reference
Outcome
GH-IGF-1 axis after metabolic surgery
Follow-up
52 weeks
Methodological detailslongitudinal, before and 2, 12, 24 and 52 weeks after metabolic surgery, lean healthy control comparison, hyperinsulinemic-euglycemic clamps
  • Longitudinal, before and 2, 12, 24 and 52 weeks after metabolic surgery
  • Lean healthy control comparison
  • Hyperinsulinemic-euglycemic clamps

Main finding

As reported in the abstract

OBE lost body weight

33%

Observational data: associations, not effects.

Further findings

Baseline OBE vs CON

OBE had higher glycemia and leptinemia and pronounced peripheral, adipose tissue and hepatic insulin resistance vs CON
Growth hormone (GH) and IGF-binding proteins (IGFBP1) lower in OBE; IGF1 comparable between groups

Original publication

Metabolic surgery-induced changes of the growth hormone system relate to improved adipose tissue function. Int J Obes (Lond). Published 23 March 2023. doi:10.1038/s41366-023-01292-7

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