Meta-analysis of changes in skeletal muscle mass within 1 year after bariatric surgery.

IF 2.7 2区医学 Q2 SURGERY Surgical Endoscopy And Other Interventional Techniques Pub Date : 2025-04-01 Epub Date: 2025-02-25 DOI:10.1007/s00464-024-11512-4

Mingbo Hua, Jie Li, Tianxiu Wang, Yeming Xu, Yuqiu Zhao, Qiannan Sun, Haijuan Yuan, Daorong Wang

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Abstract

Backgrounds: A growing number of studies have shown that bariatric surgery can cause changes in the body composition of patients. This meta-analysis aims to reveal changes in skeletal muscle mass 1 year after bariatric surgery and analyze the causes of changes in skeletal muscle in postoperative patients, to provide a more comprehensive clinical basis for preserving muscle mass in patients.

Methods: We systematically searched PubMed, Embase, Web of Science, and Cochrane databases, and included six studies. The search time limit was from establishing the databases to October 10, 2024. Data on weight, BMI, and skeletal muscle mass at 1-year follow-up after bariatric surgery were collected. Meta-analysis was conducted using Review Manager 5.2 statistical software.

Results: After analysis, the skeletal muscle mass decreased significantly from preoperative to postoperative 3 months, and the difference was statistically significant ([WMD = 3.30 kg, 95%CI (2.18, 4.41)], P < 0.00001). Skeletal muscle mass was not statistically significant from 3 to 6 months after surgery and 6 to 12 months after surgery.

Conclusion: The skeletal muscle mass of patients after bariatric surgery showed a downward trend within 1 year after surgery, especially in the first 3 months.

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减肥手术后1年内骨骼肌质量变化的meta分析。

背景：越来越多的研究表明，减肥手术可以引起患者身体成分的改变。本荟萃分析旨在揭示减肥手术后1年骨骼肌质量的变化，分析术后患者骨骼肌变化的原因，为患者保留肌肉质量提供更全面的临床依据。方法：系统检索PubMed、Embase、Web of Science和Cochrane数据库，纳入6项研究。搜索时限为从建立数据库到2024年10月10日。收集减肥手术后1年随访的体重、BMI和骨骼肌质量数据。meta分析采用Review Manager 5.2统计软件。结果：经分析，术前至术后3个月骨骼肌质量明显下降，差异有统计学意义([WMD = 3.30 kg, 95%CI (2.18, 4.41)]， P结论：减肥手术后患者骨骼肌质量在术后1年内呈下降趋势，尤其是前3个月。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery