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Obesity Surgery

, Volume 29, Issue 11, pp 3589–3595 | Cite as

Changes in Body Composition, Comorbidities, and Nutritional Status Associated with Lower Weight Loss After Bariatric Surgery in Older Subjects

  • Pauline Faucher
  • Judith Aron-Wisnewsky
  • Cécile Ciangura
  • Laurent Genser
  • Adriana Torcivia
  • Jean-Luc Bouillot
  • Christine Poitou
  • Jean-Michel OppertEmail author
Original Contributions
  • 168 Downloads

Abstract

Background

To provide greater insight into bariatric surgery outcomes in aging patients, we compared changes in body weight, body composition, obesity-related comorbidities, and nutritional status between older and younger subjects.

Methods

We analyzed data collected between January 2004 and December 2014 from our prospective bariatric cohort. Older patients (OP, ≥ 60 years at the time of surgery, n = 93; 66% Roux-en-Y gastric bypass, 34% sleeve gastrectomy) were compared with younger patients (YP, < 60 years, n = 186), matched 1:2 on sex, body mass index, diabetes, and surgical procedure. Body composition was assessed by dual-energy X-ray absorptiometry.

Results

Weight loss and excess weight loss at 12 months were lower in OP vs. YP (mean ± SD, 30.1 ± 10.1 vs. 34.1 ± 11.9 kg, 60.6 ± 21.2 vs. 66.8 ± 23.4%, respectively, p < 0.05 for both). Both lean body mass and fat mass loss were lower in OP vs. YP (8.4 ± 3.4 vs. 9.2 ± 9.0 kg, 19.4 ± 8.7 vs. 21.9 ± 9.1 kg, respectively, p < 0.05). The remission rate for type 2 diabetes was significantly lower in OP vs. YP (24 vs. 45%), as well as improvement in hypertension (14 vs. 46%), dyslipidemia (27 vs. 47%), and knee pain. There was no difference in micronutrient deficiencies between groups.

Conclusions

These data indicate that although bariatric surgery is not as effective for weight loss in older as in younger subjects, it is a safe option regarding a comprehensive set of nutritional variables which enables significant improvement in obesity-related outcomes.

Keywords

Elderly Bariatric surgery Body composition Comorbidities Obesity 

Notes

Acknowledgments

The authors express their thanks to Sophie Festis and to Dr. Florence Marchelli, MD, both at the Nutrition Department, Pitié-Salpêtrière Hospital, Paris, France, for technical assistance with DXA measurements and for assistance with data management, respectively.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Statement

The study was approved by the local ethics committee.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Nutrition DepartmentSorbonne University, Institute of Cardiometabolism and Nutrition (ICAN)ParisFrance
  2. 2.NutriOmics team, INSERM UMRS U1166Sorbonne UniversitésParisFrance
  3. 3.Assistance Publique-Hôpitaux de Paris (AP-HP), Pitié-Salpêtrière Hospital, Department of Hepato-Biliary and Pancreatic SurgerySorbonne UniversityParisFrance
  4. 4.Assistance Publique-Hôpitaux de Paris (AP-HP), Department of General, Digestive and Metabolic Surgery, Ambroise Paré HospitalVersailles-Saint-Quentin-en-Yvelines UniversityBoulogne-BillancourtFrance

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