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Surgical Weight Loss: Impact on Energy Expenditure

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An Erratum to this article was published on 16 February 2013

Abstract

Diet-induced weight loss is often limited in its magnitude and often of short duration, followed by weight regain. On the contrary, bariatric surgery now commonly used in the treatment of severe obesity favors large and sustained weight loss, with resolution or improvement of most obesity-associated comorbidities. The mechanisms of sustained weight loss are not well understood. Whether changes in the various components of energy expenditure favor weight maintenance after bariatric surgery is unclear. While the impact of diet-induced weight loss on energy expenditure has been widely studied and reviewed, the impact of bariatric surgery on total energy expenditure, resting energy expenditure, and diet-induced thermogenesis remains unclear. Here, we review data on energy expenditure after bariatric surgery from animal and human studies. Bariatric surgery results in decreased total energy expenditure, mainly due to reduced resting energy expenditure and explained by a decreased in both fat-free mass and fat mass. Limited data suggest increased diet-induced thermogenesis after gastric bypass, a surgery that results in gut anatomical changes and modified the digestion processes. Physical activity and sustained intakes of dietary protein may be the best strategies available to increase non-resting and then total energy expenditure, as well as to prevent the decline in lean mass and resting energy expenditure.

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Acknowledgments

The Dr Laferrere and Miss Brakoniecki are supported through the NIH NIDDK ROI 067561 grant. The Dr Thivel is supported by the Clinical Nutrition and Metabolism Society through its 2011 Research Award.

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Authors and Affiliations

  1. New York Obesity Nutrition Research Center, Department of Medicine, St. Luke’s Roosevelt Hospital Center, New York, NY, 10025, USA

    David Thivel, Katrina Brakonieki & Blandine Laferrère

  2. Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), EA 3533, Clermont University, Blaise Pascal University, BP 80026, 63171, Aubière cedex, France

    David Thivel & Pascale Duche

  3. Division of Endocrinology and Diabetes, Department of Medicine, St. Luke’s Roosevelt Hospital Center, New York, NY, 10025, USA

    Katrina Brakonieki & Blandine Laferrère

  4. Columbia University College of Physicians & Surgeons, New York, NY, USA

    Blandine Laferrère

  5. Unité de Nutrition Humaine, Clermont Université, Université d’Auvergne, BP 10448, 63000, Clermont-Ferrand, France

    Morio Béatrice & Boirie Yves

  6. INRA, UMR 1019, UNH, CRNH Auvergne, 63000, Clermont-Ferrand, France

    Morio Béatrice & Boirie Yves

  7. Clinical Nutrition Department, CHU Clermont-Ferrand, Clermont-Ferrand, 63003, France

    Boirie Yves

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  1. David Thivel
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Thivel, D., Brakonieki, K., Duche, P. et al. Surgical Weight Loss: Impact on Energy Expenditure. OBES SURG 23, 255–266 (2013). https://doi.org/10.1007/s11695-012-0839-1

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