Effect of Eradication on Body Weight: A Multicenter Propensity Score-matched Analysis in Korea.

J Neurogastroenterol Motil

Division of Gastroenterology, Department of Internal Medicine, Eunpyeong St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Published: July 2023

Background/aims: There is growing interest in whether eradication (HPE) can affect body weight.

Methods: Data from 5 universities between January 2013 and December 2019 were analyzed retrospectively. -positive subjects who had body weight measurements taken at least twice at intervals of 3 months or longer were included. Using propensity score (PS)-matched data, changes in body mass index (BMI) and the lipid profile after HPE were compared with the non-HPE group.

Results: Among 363 eligible patients, 131 HPE patients were PS-matched to 131 non-HPE patients. The median intervals between the measurements were 610 (range, 154-1250) days and 606 (range, 154-1648) days in the HPE and non-HPE groups, respectively. In both groups, the mean BMI increased (from 24.5 kg/m to 24.7 kg/m in the HPE group, and from 24.4 kg/m to 24.5 kg/m in the non-HPE group). The 2 groups did not show significantly different changes ( = 0.921). In the lowest baseline BMI quartile, the BMI increased after HPE by 1.23 (standard deviation [SD], 3.72) kg/m ( = 0.060), and the non-HPE group showed a decreased BMI at the time of follow-up (by -0.24 [SD, 5.25] kg/m; = 0.937) (between-group = 0.214). Triglyceride levels increased after HPE (mean: 135 [SD, 78] to 153 [SD, 100] mg/dL; between-group = 0.053).

Conclusion: The overall BMI change was not significantly different between the HPE and non-HPE groups, but patients with low BMI showed a tendency to gain weight after HPE. Triglyceride levels increased after HPE with marginal significance.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10334196PMC
http://dx.doi.org/10.5056/jnm22179DOI Listing

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