Evidence map›Paper›PMID 33909267›Full record

ArticleObesity surgery2021

Five-year Changes in Body Composition in Type 2 Diabetes Mellitus Patients with a BMI < 32.5 kg/m

Beibei Cui, Xulong Sun, Weizheng Li, Pengzhou Li, Guohui Wang, Zhaomei Yu, Haibo Tang, Jiapu Ling, Xianhao Yi, Liyong Zhu and 1 more

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Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Beibei Cui *Department of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Xulong Sun *Department of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Weizheng LiDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Pengzhou LiDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Guohui WangDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Zhaomei YuDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Haibo TangDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Jiapu LingDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Xianhao YiDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China.
Liyong ZhuDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China. zly8128@csu.edu.cn.ORCID http://orcid.org/0000-0003-2696-4177
Shaihong ZhuDepartment of General Surgery, The Third Xiangya Hospital, Central South University, Changsha, 410013, Hunan, China. shzhu@csu.edu.cn.
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInformation is scarce on the five-year effect of laparoscopic Roux-en-Y Gastric Bypass (LRYGB) on body composition for Type 2 diabetes mellitus (T2DM) patients with a low BMI. This study aimed to evaluate the five-year changes in body composition in a Chinese T2DM cohort with a BMI < 32.5 kg/m

methodsTwenty-seven T2DM patients were assessed preoperatively (baseline) and 3 months, 6 months, 1 year, 3 years, and 5 years after LRYGB with dual-energy X-ray absorptiometry (DXA).

resultsDXA assessments were completed in 100%, 85%, 85%, 85%, 48%, and 37% at baseline and 3 months, 6 months, 1 year, 3 years, and 5 years, respectively. For the whole body, fat-free mass and muscle mass decreased from 6 months to 5 years after LRYGB (P < 0.05), while bone mineral content decreased at 5 years after LRYGB (P < 0.05). Fat mass of different regions decreased from 3 months to 1 year (P < 0.05), and a similar magnitude of variation was observed in body fat mass percentage. A fat redistribution characterized by the regional fat proportion of trunk and android decreasing and the regional fat proportion of limbs gaining (P < 0.05) occurred at 5 years after LRYGB.

conclusionFor low BMI patients with T2DM, LRYGB led to a short-term reduction in FM and a lasting reduction in FFM. A metabolically healthy fat redistribution occurring 5 years after LRYGB might be a promising mechanism to explain the lasting benefits of LRYGB for T2DM patients with a low BMI.

Indexed as

Diabetes Mellitus, Type 2Gastric BypassLaparoscopyObesity, MorbidBody CompositionBody Mass IndexHumansTreatment OutcomeBody compositionDual-energy X-ray absorptiometryRoux-en-Y gastric bypassType 2 diabetes mellitus

Identifiers

PMID33909267
OpenAlexW3158455801

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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.