Evidence map›Paper›PMID 42803905›Full record

ArticleObesity surgery2026

Metabolic and Bariatric Surgery and Bone Mineral Density: A 9-Year Prospective Study.

Kinga Kędzierska, Maria Humięcka, Ada Sawicka, Iwona Walczak, Dorota Ołtarzewska, Krzysztof Bieliński, Maria Koczkodaj, Michał Kotowicz, Marcin Dymkowski, Zofia Jędral and 7 more

Abstract read
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In one paragraph

Article in Obesity surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

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

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Kinga KędzierskaDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland. kinga.kedzierska229@gmail.com.ORCID http://orcid.org/0009-0000-6388-9044
Maria HumięckaDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0009-0004-4009-1717
Ada SawickaDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Iwona WalczakDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Dorota OłtarzewskaDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Krzysztof BielińskiDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0009-0004-3082-5254
Maria KoczkodajDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Michał KotowiczDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Marcin DymkowskiDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0009-0004-4689-2099
Zofia JędralDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0009-0009-7660-8657
Michał WąsowskiDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Agata Bogołowska-StieblichDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Alina KuryłowiczDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Artur BindaDepartment of General, Oncological and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0000-0003-4132-0863
Paweł JaworskiDepartment of General, Oncological and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.
Wiesław TarnowskiDepartment of General, Oncological and Bariatric Surgery, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0000-0003-2638-8595
Piotr JankowskiDepartment of Internal Medicine and Geriatric Cardiology, Centre of Postgraduate Medical Education, Orłowski Hospital, 00-416 Warsaw, Poland.ORCID http://orcid.org/0000-0001-6223-8821

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic and bariatric surgery is the most effective long-term treatment for obesity; however, it may have adverse effects on skeletal health. This study aimed to evaluate long-term changes in skeletal health following sleeve gastrectomy.

methodsWe included consecutive patients who underwent sleeve gastrectomy between 2010 and 2016. All participants underwent dual-energy X-ray absorptiometry of the lumbar spine (L1-L4) and femoral neck at baseline and follow-up.

resultsThe study cohort consisted of 72 patients (62 women and 10 men; mean age 43.6 ± 9.2 years). The median follow-up was 9 [9-10] years. Body weight decreased from 112.8 [102.4-124.5] kg to 91.5 [82.1-105.6] kg (p < 0.001), and body mass index from 41.2 [38.5-44.2] to 34.3 [30.4-38.2] kg/m² (p < 0.001). Significant reductions in femoral neck bone mineral density (BMD) (-0.10 [-0.17-(-0.04)] g/cm

conclusionsNearly a decade after metabolic and bariatric surgery, bone mineral density may be significantly decreased at the femoral neck. Further prospective studies are warranted to clarify the mechanical, hormonal, and metabolic mechanisms underlying long-term skeletal health following metabolic and bariatric surgery.

Indexed as

Bariatric SurgeryBone DensityGastrectomyObesity, MorbidAbsorptiometry, PhotonAdultBody Mass IndexFemaleFemur NeckFollow-Up StudiesHumansLumbar VertebraeMaleMiddle AgedProspective StudiesWeight Loss

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Registered trials

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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.