Course of depressive symptomatology and its association with serum uric acid in one-anastomosis gastric bypass patients.


Journal

Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288

Informations de publication

Date de publication:
27 10 2020
Historique:
received: 20 01 2020
accepted: 13 10 2020
entrez: 28 10 2020
pubmed: 29 10 2020
medline: 11 3 2021
Statut: epublish

Résumé

The changes in depressive symptomatology during the first year following one-anastomosis gastric bypass (OAGB) were evaluated and its association with uric acid (sUA). Fifty patients were included in this analysis. Beck Depression Inventory (BDI) for measuring depressive symptomatology, blood samples, and anthropometric measurements were assessed before (T0), at 6 (T6), and 12 months (T12) after surgery. There was a significant reduction in BDI total score at T6 (- 5.6 (95% CI - 2.1, - 9.1) points; p = 0.001) and at T12 (- 4.3 (95% CI - 0.9, - 7.9) points; p = 0.011). BMI loss was unrelated to depressive symptomatology. Patients with moderate to severe depressive symptomatology presented lower sUA levels than patients with none or minimal to mild (p = 0.028). ROC analysis revealed that sUA levels below 5.0 at T6 and 4.5 mg/dl at T12 had a prognostic accuracy for depression severity. Furthermore, delta sUA was significantly associated with delta BMI (β = 0.473; p = 0.012) and delta waist circumference (β = 0.531; p = 0.003). These findings support an improvement in depressive symptomatology in the first year postoperatively, however, without relation to BMI loss. Patients with moderate to severe depressive symptomatology presented with lower sUA levels over time. Therefore, sUA could be useful to predict moderate to severe depressive symptomatology in patients undergoing OAGB in clinical practice.

Identifiants

pubmed: 33110226
doi: 10.1038/s41598-020-75407-9
pii: 10.1038/s41598-020-75407-9
pmc: PMC7591541
doi:

Substances chimiques

Uric Acid 268B43MJ25

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

18405

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Auteurs

Eva Winzer (E)

Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria.
Special Institute for Preventive Cardiology and Nutrition-SIPCAN, Salzburg, Austria.

Bernhard Ludvik (B)

Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Department of Medicine 1 and Karl Landsteiner Institute for Obesity and Metabolic Diseases, Rudolfstiftung Hospital, Vienna, Austria.

Igor Grabovac (I)

Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria. igor.grabovac@meduniwien.ac.at.

Renate Kruschitz (R)

Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Division of Internal Medicine, General Public Hospital of the Order of Saint Elisabeth, Klagenfurt, Austria.

Karin Schindler (K)

Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.

Gerhard Prager (G)

Division of General Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.

Carmen Klammer (C)

Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.
Department of Internal Medicine, Convent of the Brothers of Saint John of God Linz, Linz, Austria.

Friedrich Hoppichler (F)

Special Institute for Preventive Cardiology and Nutrition-SIPCAN, Salzburg, Austria.
Division of Internal Medicine, General Public Hospital of the Brothers of St. John of God Salzburg, Salzburg, Austria.

Rodrig Marculescu (R)

Clinical Institute for Medical and Chemical Laboratory Diagnostics, Department of Laboratory Medicine, Medical University of Vienna, Vienna, Austria.

Maria Wakolbinger (M)

Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Vienna, Austria.
Special Institute for Preventive Cardiology and Nutrition-SIPCAN, Salzburg, Austria.
Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna, Vienna, Austria.

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