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Effect of Bariatric Surgery on Serum Inflammatory Factors of Obese Patients: a Systematic Review and Meta-Analysis
Obesity is one of the main causes of inflammation. Previous studies have reported inconclusive results regarding the effect of bariatric surgery on inflammatory markers. This systematic review and meta-analysis is aimed at describing the effect of bariatric surgery on C-reactive protein (CRP), inter...
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Published in: | Obesity surgery 2019-08, Vol.29 (8), p.2631-2647 |
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creator | Askarpour, Moein Khani, Dana Sheikhi, Ali Ghaedi, Ehsan Alizadeh, Shahab |
description | Obesity is one of the main causes of inflammation. Previous studies have reported inconclusive results regarding the effect of bariatric surgery on inflammatory markers. This systematic review and meta-analysis is aimed at describing the effect of bariatric surgery on C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α). PubMed/Medline and Scopus were systematically searched for all eligible studies from inception to June 2018. Results are expressed as weighted mean difference (MD) with 95% confidence intervals (CI) using a random effects model. Overall, 116 studies which evaluated serum CRP, IL-6, and TNF-α after bariatric surgery were included. Pooled effect size showed significant reduction in serum CRP (− 5.30 mg/l, 95% CI − 5.46, − 5.15,
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doi_str_mv | 10.1007/s11695-019-03926-0 |
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P
< 0.001), IL-6 (− 0.58 pg/ml, 95% CI − 0.64, − 0.53,
P
< 0.001), and TNF-α (− 0.20 pg/ml, 95% CI − 0.39, − 0.02,
P
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P
< 0.001), IL-6 (− 0.58 pg/ml, 95% CI − 0.64, − 0.53,
P
< 0.001), and TNF-α (− 0.20 pg/ml, 95% CI − 0.39, − 0.02,
P
= 0.031) with significant heterogeneity across studies (> 95% for all factors). Bariatric surgery significantly lowered inflammatory factors; however, baseline BMI, follow-up duration and type of surgery could impact the extent of observed effects.</description><subject>Bariatric Surgery</subject><subject>Biomarkers - blood</subject><subject>C-Reactive Protein - analysis</subject><subject>Gastrointestinal surgery</subject><subject>Humans</subject><subject>Inflammation - blood</subject><subject>Inflammation - complications</subject><subject>Inflammation Mediators - blood</subject><subject>Interleukin-6 - blood</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Obesity - blood</subject><subject>Obesity - complications</subject><subject>Obesity - epidemiology</subject><subject>Obesity - surgery</subject><subject>Postoperative Period</subject><subject>Review Article</subject><subject>Surgery</subject><subject>Systematic review</subject><subject>Tumor Necrosis Factor-alpha - blood</subject><subject>Tumor necrosis factor-TNF</subject><issn>0960-8923</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kU1rFTEUhoMo9lr9Ay4k4MZN9JyTmdyJu1paLVQq3u5DOnMiU-ajJhnl_nszvVXBhdm8kDznTcgjxEuEtwiwfZcQja0VoFWgLRkFj8QGt9AoqKh5LDZgDajGkj4Sz1K6BSA0RE_FkUawujG0EfEsBG6znIP84GPvc-xbuVviN457OU9yx3EZ5cUUBj-OPs9l99y3JdM6cnXDieUXn3uecnovvdztU-YClpav_KPnn9JPnfzM2auTyQ_71Kfn4knwQ-IXD3ksrs_Prk8_qcurjxenJ5eq1ds6q5bIaPJcQWPXLKsz7Duqsasb7nQIoQtMFjwiUW0DdmSQ2bZbrEAfizeH2rs4f184ZTf2qeVh8BPPS3JEmkBX5h59_Q96Oy-xPHelqK4sWmwKRQeqjXNKkYO7i_3o494huFWIOwhxRYi7F-LW6lcP1cvNyN2fkd8GCqAPQCpHU_n2v3f_p_YXfK6WQA</recordid><startdate>20190801</startdate><enddate>20190801</enddate><creator>Askarpour, Moein</creator><creator>Khani, Dana</creator><creator>Sheikhi, Ali</creator><creator>Ghaedi, Ehsan</creator><creator>Alizadeh, Shahab</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20190801</creationdate><title>Effect of Bariatric Surgery on Serum Inflammatory Factors of Obese Patients: a Systematic Review and Meta-Analysis</title><author>Askarpour, Moein ; Khani, Dana ; Sheikhi, Ali ; Ghaedi, Ehsan ; Alizadeh, Shahab</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-c22632ae408932aeeeed6ead251d58ed3fffdfe290a112259f1d261ee9c71403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bariatric Surgery</topic><topic>Biomarkers - blood</topic><topic>C-Reactive Protein - analysis</topic><topic>Gastrointestinal surgery</topic><topic>Humans</topic><topic>Inflammation - blood</topic><topic>Inflammation - complications</topic><topic>Inflammation Mediators - blood</topic><topic>Interleukin-6 - blood</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Obesity - blood</topic><topic>Obesity - complications</topic><topic>Obesity - epidemiology</topic><topic>Obesity - surgery</topic><topic>Postoperative Period</topic><topic>Review Article</topic><topic>Surgery</topic><topic>Systematic review</topic><topic>Tumor Necrosis Factor-alpha - blood</topic><topic>Tumor necrosis factor-TNF</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Askarpour, Moein</creatorcontrib><creatorcontrib>Khani, Dana</creatorcontrib><creatorcontrib>Sheikhi, Ali</creatorcontrib><creatorcontrib>Ghaedi, Ehsan</creatorcontrib><creatorcontrib>Alizadeh, Shahab</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Askarpour, Moein</au><au>Khani, Dana</au><au>Sheikhi, Ali</au><au>Ghaedi, Ehsan</au><au>Alizadeh, Shahab</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of Bariatric Surgery on Serum Inflammatory Factors of Obese Patients: a Systematic Review and Meta-Analysis</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2019-08-01</date><risdate>2019</risdate><volume>29</volume><issue>8</issue><spage>2631</spage><epage>2647</epage><pages>2631-2647</pages><issn>0960-8923</issn><eissn>1708-0428</eissn><abstract>Obesity is one of the main causes of inflammation. Previous studies have reported inconclusive results regarding the effect of bariatric surgery on inflammatory markers. This systematic review and meta-analysis is aimed at describing the effect of bariatric surgery on C-reactive protein (CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α). PubMed/Medline and Scopus were systematically searched for all eligible studies from inception to June 2018. Results are expressed as weighted mean difference (MD) with 95% confidence intervals (CI) using a random effects model. Overall, 116 studies which evaluated serum CRP, IL-6, and TNF-α after bariatric surgery were included. Pooled effect size showed significant reduction in serum CRP (− 5.30 mg/l, 95% CI − 5.46, − 5.15,
P
< 0.001), IL-6 (− 0.58 pg/ml, 95% CI − 0.64, − 0.53,
P
< 0.001), and TNF-α (− 0.20 pg/ml, 95% CI − 0.39, − 0.02,
P
= 0.031) with significant heterogeneity across studies (> 95% for all factors). Bariatric surgery significantly lowered inflammatory factors; however, baseline BMI, follow-up duration and type of surgery could impact the extent of observed effects.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>31093862</pmid><doi>10.1007/s11695-019-03926-0</doi><tpages>17</tpages></addata></record> |
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subjects | Bariatric Surgery Biomarkers - blood C-Reactive Protein - analysis Gastrointestinal surgery Humans Inflammation - blood Inflammation - complications Inflammation Mediators - blood Interleukin-6 - blood Medicine Medicine & Public Health Meta-analysis Obesity - blood Obesity - complications Obesity - epidemiology Obesity - surgery Postoperative Period Review Article Surgery Systematic review Tumor Necrosis Factor-alpha - blood Tumor necrosis factor-TNF |
title | Effect of Bariatric Surgery on Serum Inflammatory Factors of Obese Patients: a Systematic Review and Meta-Analysis |
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