Evidence map›Paper›PMID 41131165›Full record

ArticleCommunications medicine2025

Computational modeling enables individual assessment of postprandial glucose and insulin responses after bariatric surgery.

Onur Poyraz, Sini Heinonen, S T John, Tuure Saarinen, Anne Juuti, Pekka Marttinen, Kirsi H Pietiläinen

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Article in Communications medicine, 2025. 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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5 · Who and what money

Authors and funding

7 authors.

Onur Poyraz *Department of Computer Science, Aalto University, Helsinki, Finland. onur.poyraz@aalto.fi.ORCID http://orcid.org/0000-0002-8257-2250
Sini Heinonen *Obesity Research Unit, Research Programs Unit, Clinical and Molecular Metabolism, University of Helsinki, Helsinki, Finland. sini.heinonen@helsinki.fi.
S T JohnDepartment of Computer Science, Aalto University, Helsinki, Finland.
Tuure SaarinenDepartment of Gastrointestinal Surgery, Abdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0002-7508-4849
Anne JuutiDepartment of Gastrointestinal Surgery, Abdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Pekka MarttinenDepartment of Computer Science, Aalto University, Helsinki, Finland.ORCID http://orcid.org/0000-0001-7078-7927
Kirsi H PietiläinenObesity Research Unit, Research Programs Unit, Clinical and Molecular Metabolism, University of Helsinki, Helsinki, Finland.ORCID http://orcid.org/0000-0002-8522-1288

Funding

Novo Nordisk Fonden (Novo Nordisk Foundation) NNF10OC1013354Novo Nordisk Fonden (Novo Nordisk Foundation) NNF17OC0027232Novo Nordisk Fonden (Novo Nordisk Foundation) NNF20OC0060547
6 · The paper itself

Abstract

backgroundBariatric surgery enhances glucose metabolism, yet the detailed postprandial joint glucose and insulin responses, variability in individual outcomes, and differences in surgical approaches remain poorly understood.

methodsWe used hierarchical multi-output Gaussian process (HMOGP) regression to reveal clinically relevant patterns between persons undergoing two types of bariatric surgery by modeling the individual postprandial glucose and insulin responses and estimating the average response curves from individual data. 44 participants with obesity underwent either Roux-en-Y gastric bypass (RYGB; n = 24) or One-Anastomosis gastric bypass (OAGB; n = 20) surgery. The participants were followed up at the 6th and 12th months after the operation, during which they underwent an oral glucose tolerance test (OGTT) and a mixed meal test (MMT).

resultsA marked reduction in glycemia, an earlier glucose peak, and an increase and sharpening in the postprandial glucose and insulin responses are evident in both metabolic tests post-operation. MMT results in higher postprandial glucose and insulin peaks compared with OGTT. Higher glucose and insulin responses are observed after RYGB compared with OAGB, suggesting differences between the procedures that may influence the clinical practice.

conclusionsComputational modeling with HMOGP regression can thus be used to, in detail, predict the combined responses of patient cohorts to ingested glucose or a mixed meal and help in assessing individual metabolic improvement after weight loss. This can lead to new knowledge in personalized metabolic interventions.

Identifiers

PMID41131165
PMCPMC12549876

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