Association of High-Sensitivity C-Reactive Protein (hs-CRP) with Weight Loss After Sleeve Gastrectomy and Roux-en-Y Gastric Bypass at 10 Years: A Secondary Analysis of the SLEEVEPASS Randomized Clinical Trial
2024

Impact of C-Reactive Protein on Weight Loss After Bariatric Surgery

Sample size: 59 publication Evidence: moderate

Author Information

Author(s): Saarinen Ilmari, Strandberg Marjatta, Hurme Saija, Grönroos Sofia, Juuti Anne, Helmiö Mika, Salminen Paulina

Primary Institution: University of Turku, Turku, Finland

Hypothesis

This study aims to evaluate chronic inflammation in patients with obesity using hs-CRP, and its association with long-term weight loss outcomes after laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB).

Conclusion

Metabolic bariatric surgery decreases hs-CRP at long-term follow-up with weight loss as the driving force.

Supporting Evidence

  • MBS decreases hs-CRP levels at long-term follow-up.
  • Higher hs-CRP correlated with higher BMI at baseline and at 10 years.
  • A greater percentage total weight loss correlated with lower hs-CRP levels at 10 years.

Takeaway

This study found that surgery to help with obesity can lower inflammation levels in the body over a long time, especially if people lose weight.

Methodology

The study used long-term follow-up data from the SLEEVEPASS randomized clinical trial, measuring hs-CRP at multiple time points post-surgery.

Potential Biases

The higher baseline hs-CRP in the LSG group may be influenced by the small sample size.

Limitations

The small number of patients with available hs-CRP values at baseline and follow-up time points limits the generalizability of the results.

Participant Demographics

The study included 59 patients with severe obesity, with a mean age of 47 years, and a mix of genders.

Statistical Information

P-Value

p=0.003

Confidence Interval

95% CI 0.87–1.49

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1007/s11695-024-07567-w

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