Cited by 424Bariatric Surgery and OutcomesBone health and osteoporosis researchBone Metabolism and Diseases

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Gastric Bypass Surgery for Morbid Obesity Leads to an Increase in Bone Turnover and a Decrease in Bone Mass

Coates, Penelope S., Fernstrom, John D., Fernstrom, Madelyn H., Schauer, Philip R., Greenspan, Susan L.·2004·The Journal of Clinical Endocrinology & Metabolism

DOI 10.1210/jc.2003-031756

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Abstract

Little is known about the effects on the skeleton of laparoscopic Roux-en-Y gastric bypass (LRGB) surgery for morbid obesity and subsequent weight loss. We compared 25 patients who had undergone LRGB 11 ± 3 months previously with 30 obese controls matched for age, gender, and menopausal status. Compared with obese controls, patients post LRGB had significantly lower weight (92 ± 16 vs. 133 ± 20 kg; P < 0.001) and body mass index (31 ± 5 vs. 48 ± 7 kg/m2; P < 0.001). Markers of bone turnover were significantly elevated in patients post LRGB compared with controls (urinary N-telopeptide cross-linked collagen type 1, 93 ± 38 vs. 24 ± 11 nmol bone collagen equivalents per mmol creatinine; and osteocalcin, 11.6 ± 3.4 vs. 7.6 ± 3.6 ng/ml; both P < 0.001). Fifteen patients were studied prospectively for an average of 9 months after LRGB. They lost 37 ± 9 kg and had a 29 ± 8% fall in body mass index (both P < 0.001). Urinary N-telopeptide cross-linked collagen type 1 increased by 174 ± 168% at 3 months (P < 0.01) and 319 ± 187% at 9 months (P < 0.01). Bone mineral density decreased significantly at the total hip (7.8 ± 4.8%; P < 0.001), trochanter (9.3 ± 5.7%; P < 0.001), and total body (1.6 ± 2.0%; P < 0.05), with significant decreases in bone mineral content at these sites. In summary, within 3 to 9 months after LRGB, morbidly obese patients have an increase in bone resorption associated with a decrease in bone mass. Additional studies are needed to examine these findings over the longer term.

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Rogula, T. G., Brethauer, S. A., Thodiyil, P. A., Mattar, S. G., & Schauer, P. R. (2009) · Elsevier eBooks · doi:10.1016/b978-84-8086-428-2.50023-x
Self-citation
Editorial Comment
Raum, W. J., & Martin, L. F. (2006) · Surgery for Obesity and Related Diseases · doi:10.1016/j.soard.2006.02.010
Association Between Out-of-Pocket Expenses and Attendance at the Six Month Post-Operative Appointment in a Cohort of Gastric Bypass Patients
Machovec, K. A. (2019) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/802a-da72
Skeletal health after bariatric surgery
Wu, K. C., Yu, E. W.-Y., & Schafer, A. L. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-813073-5.00051-4
Big, Beautiful Affect: Exploring the Emotional Environment of BBW Social Events and its Relationship to Fat Women's Embodiment
Kotow, C. (2020) · YorkSpace (York University)
Evolución del metabolismo óseo en los pacientes con obesidad mórbida tras la realización de cirugía bariátrica = Bone metabolism in morbidly obese patients after bariatric surgery
Ramos, M. A. (2021) · doi:10.18002/10612/12772

Authors: Coates, P. S., Fernstrom, J. D., Fernstrom, M. H., Schauer, P. R., & Greenspan, S. L.
Affiliations: University of Pittsburgh (US)
ORCID: Schauer, Philip R.
Venue: The Journal of Clinical Endocrinology & Metabolism
Publisher: The Endocrine Society
Published: 2004-03-01
Volume: 89
Issue: 3
Pages: 1061-1065
ISSN: 0021-972X (ISSN-L)
1945-7197
DOI: 10.1210/jc.2003-031756
OpenAlex: W2116196260
Cited by: 423
References: 34
Citations by year: 2026: 1 · 2025: 4 · 2024: 6 · 2023: 1 · 2022: 10 · 2021: 14 · 2020: 25 · 2019: 9 · 2018: 16 · 2017: 23 · 2016: 21 · 2015: 20 · 2014: 33 · 2013: 23 · 2012: 20
FWCI: 29.06
Type: journal article
Language: en
Open access: closed
Locations: The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
PubMed (publishedVersion)
Funders: National Center for Research Resources (M01RR000056, M01-RR00056-39)
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 Roux-en-Y gastric bypass, morbid obesity, bone turnover, bone mineral density, bone mineral content, bone resorption, osteocalcin, N-telopeptide, weight loss, bariatric surgery
MeSH terms: Adult, Bone and Bones, Calcium, Dietary, Female, Humans, Longitudinal Studies, Male, Middle Aged, Obesity, Morbid, Prospective Studies, Vitamin D, Gastric Bypass, Weight Loss, Bone Density, Bone Remodeling

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Gastric Bypass Surgery for Morbid Obesity Leads to an Increase in Bone Turnover and a Decrease in Bone Mass

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