Gastric banding induces negative bone remodelling in the absence of secondary hyperparathyroidism: potential role of serum C telopeptides for follow-up
Abstract
Objective Data about the consequences of laparoscopic adjustable gastric banding (LAGB) on phospho-calcic and bone metabolism remain scarce.Subjects We studied a group of 37 obese premenopausal women (age: 24-52 y; mean BMI = 43.7 kg/m2) who underwent LAGB.Methods Serum calcium, phosphate, alkaline phosphatase, parathormone (PTH), vitamin D3, serum C-telopeptides, IGFBP-3 and IGF-1 were measured at baseline, 6, 12, 18 and 24 months after surgery. Body composition, bone mineral content (BMC) and density (BMD) were measured using dual-X-ray absorptiometry (DXA) at baseline, 6, 12 and 24 months after surgery.Results There was no clinically significant decrease of calcemia; PTH remained stable. Serum telopeptides increased by 100% (P < 0.001) and serum IGFBP-3 decreased by 16% (P < 0.001) during the first 6 months, and then stabilized, whereas IGF-1 remained stable over the 2 y. BMC and BMD decreased, especially at the femoral neck; this decrease was significantly correlated with the decrease of waist and hip circumference.Conclusions We concluded that there was no evidence of secondary hyperparathyroidism 24 months after LAGB. The observed bone resorption could be linked to the decrease of IGFBP-3, although this decrease could be attributable to other confounding factors. Serum telopeptides seem to be a reliable marker of bone metabolism after gastric banding. DXA must be interpreted cautiously during major weight loss, because of the artefacts caused by the important variation of fat tissue after LAGB.
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After gastric banding, lumbar spine BMD does not change or increases slightly.
“Studies have reported that LS BMD does not change, or increases slightly 40, 41, 43, 44.”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [43]
In vertical banded gastroplasty, a 9.9% decline at the femoral neck was reported after one year.
“In vertical banded gastroplasty (VBG), another restrictive procedure, a decline of 9.9% at the FN was reported after one year 43”
From Bone loss after bariatric surgery: causes, consequences, and management (2014) · cites this paper as [43]
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- Authors
- Giusti, V, Gasteyger, C., Suter, M., Heraief, E., Gaillard, R. C., & Burckhardt, P.
- Affiliations
- Centre Hospitalier Universitaire Vaudois (CH)
- Corresponding author
- Giusti, V
- Venue
- International Journal of Obesity
- Published
- 2005-08-02
- Volume
- 29
- Issue
- 12
- Pages
- 1429-1435
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2086201136
- Cited by
- 91
- References
- 32
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 5 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 6 · 2017: 6 · 2016: 5 · 2015: 6 · 2014: 10 · 2013: 4 · 2012: 6
- FWCI
- 5.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- laparoscopic adjustable gastric banding, bone remodeling, bone resorption, secondary hyperparathyroidism, C-terminal telopeptide, IGFBP-3, insulin-like growth factor I, bone mineral density, bone mineral content, obesity, weight loss, premenopausal women, bone turnover markers
- MeSH terms
- Adult, Bone Resorption, Female, Humans, Hyperparathyroidism, Secondary, Middle Aged, Obesity, Morbid, Peptides, Gastroplasty, Biomarkers, Absorptiometry, Photon, Bone Density, Premenopause, Collagen Type I
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