Evidence map›Paper›PMID 19556976›Full record

ArticleObesity (Silver Spring, Md.)2009

Roux-en-Y gastric bypass enhances energy expenditure and extends lifespan in diet-induced obese rats.

Nicholas Stylopoulos, Alison G Hoppin, Lee M Kaplan

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 103 papers.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed
15.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02422212 nacompletednot on this mapstarted 2014, after this paper: background citation

Diet-induced Thermogenesis in Patients With Postoperative RYGBP Weight Regain

TypeinterventionalSponsorSilvia Leite FariaRan2014 to 2015Enrolled45ConditionsObesity, Bariatric Surgery Candidate, Protein-energy, ImbalanceArmspatients eat a mixed solid meal
NCT02710370 active not recruitingnot on this mapstarted 2016, after this paper: background citation

Intestinal Metabolic Reprogramming as a Key Mechanism of Gastric Bypass in Humans

TypeobservationalSponsorUniversity of PittsburghRan2016 to 2028Enrolled46ConditionsObesity, Diabetes Mellitus, Type 2, Endocrine System Diseases, Glucose Metabolism Disorders
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 186 citations in OpenAlex.

  1. Trial
  2. Gastric bypass reduces fat intake and preference.American journal of physiology. Regulatory, integrative and comparative physiology · 2011
    Trial
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  20. Bile acids and bariatric surgery.Molecular aspects of medicine · 2017
    Review

43 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Nicholas StylopoulosGastrointestinal Unit and MGH Weight Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Alison G Hoppin
Lee M Kaplan
Harvard University · USMassachusetts General Hospital · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHRISTOPHER P DUGGAN · 1994 to 2026
$31.6M
Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI CORKEY, BARBARA E. · 1992 to 2021
$25.0M
Training Program in Nutrition and MetabolismT32HD052961 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI GRINSPOON, STEVEN K. · 2005 to 2016
$1.3M
LEPTIN REGULATION OF NUTRIENT HANDLINGK08DK002671 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HOPPIN, ALISON G · 1999 to 2003
$510k
WEIGHTCONNECTION-- WEIGHT LOSS MAINTANANCE USING THE WEBR01DK057478 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI KAPLAN, LEE MICHAEL · 1999 to 2001
$431k
NICHD NIH HHS HD052961NICHD NIH HHS T32 HD052961NIDDK NIH HHS DK002671NIDDK NIH HHS DK043351NIDDK NIH HHS DK046200NIDDK NIH HHS DK057478NIDDK NIH HHS K08 DK002671NIDDK NIH HHS P30 DK040561NIDDK NIH HHS P30 DK043351NIDDK NIH HHS P30 DK046200NIDDK NIH HHS R01 DK057478
6 · The paper itself

Abstract

Gastrointestinal weight-loss surgery (GIWLS) is currently the most effective treatment for severe obesity, with Roux en-Y gastric bypass (RYGB) among the best of the available surgical options. Despite its widespread clinical use, the mechanisms by which RYGB induces its profound weight loss remain largely unknown. This procedure effects weight loss by altering the physiology of weight regulation and eating behavior rather than by simple mechanical restriction and/or malabsorption as previously thought. To study how RYGB affects the physiology of energy balance, we developed a rat model of this procedure. In this report, we demonstrate that RYGB in diet-induced obese (DIO) rats induces a 25% weight loss, prolongs mean survival by 45%, and normalizes glucose homeostasis and lipid metabolism. RYGB induced a 19% increase in total and a 31% increase in resting energy expenditure (REE). These effects, along with a 17% decrease in food intake and a 4% decrease in nutrient absorption account for the normalization of body weight after this procedure. These effects indicate that surgery acts by altering the physiology of weight regulation and help to explain the effectiveness of RYGB in comparison to restrictive dieting and other forms of dietary and pharmacological therapies for obesity. The clinical effectiveness of RYGB and its physiological effects on body weight regulation and energy expenditure (EE) suggest that this operation provides a unique opportunity to explore the mechanisms of energy homeostasis and to identify novel therapies for obesity and related metabolic diseases.

Indexed as

Gastric BypassAnimalsBody TemperatureCalorimetry, IndirectEatingEnergy MetabolismFecesGlucoseGlucose Tolerance TestKaplan-Meier EstimateLongevityMaleObesityRatsRats, Sprague-DawleyWeight LossGlucose

Identifiers

PMID19556976
PMCPMC4157127
OpenAlexW2034203849

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.