Publications by authors named "R de Cleva"
Background: Individuals with severe obesity and type 2 diabetes mellitus have reduced secretion of incretins by L cells. Studies suggest an increase in L cell activity according to the length of the Biliopancreatic Loop (BPL).
Objective: Compare the effect of biliopancreatic loop extension on the number and expression of L cells in patients undergoing RYGB METHODS: Subjects (n = 13) undergoing RYGB with a BPL of 100 cm (G1) or 200 cm (G2).
Obesity increases serum triglycerides and decreases high-density lipoprotein cholesterol (HDL-C). The objective is to explore some functions of HDL, cholesterol transfers and antioxidant, in subjects with grade I (G1-OB) and III (G3-OB) obesity and effects of bariatric surgery on G3-OB. Fifteen G3-OB patients (43 ± 6 years, BMI 49 ± 3 kg/m) were studied before and 1 year after bariatric surgery; 15 G1-OB (32 ± 2 years, 32 ± 2 kg/m) and 15 normal weight (NW) (38 ± 6 years, 22 ± 1 kg/m) were also studied.
View Article and Find Full Text PDFMuscle Strength of Lower Limbs as a Postoperative Predictor in Bariatric Surgery.
J Musculoskelet Neuronal Interact
March 2024
Article Synopsis
- The study aimed to determine if muscle strength in the lower limbs after surgery could predict long-term success (36 months) in patients who underwent Roux-en-Y gastric bypass (RYGB).
- Muscle strength was measured at three points: before surgery, six months after, and 36 months after, with 123 patients initially and 79 at the final measure.
- Results showed that increasing muscle strength in the lower limbs by at least 4 Nm/kg at six months was linked to about a 76% chance of surgical success by 36 months.
Objective: To analyze whether changes in RMR 6 months after RYGB could be a predictor of weight loss on late follow-up.
Methods: Prospective study of 45 individuals submitted to RYGB in a university tertiary care hospital. Body composition was evaluated by bioelectrical impedance analysis and RMR by indirect calorimetry before (T0), 6 (T1), and 36 months (T2) after surgery.
Background: Obesity is a disease that may involve disrupted connectivity of brain networks. Bariatric surgery is an effective treatment for obesity, and the positive effects on obesity-related conditions may be enhanced by exercise. Herein, we aimed to investigate the possible synergistic effects of Roux-en-Y Gastric Bypass (RYGB) and exercise training on brain functional networks.
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