CT evaluation of bone fragility 2 years after bariatric surgery: an observational study.
Male
Humans
Female
Middle Aged
Osteoporosis
/ complications
Absorptiometry, Photon
/ methods
Spinal Fractures
/ etiology
Retrospective Studies
Tomography, X-Ray Computed
/ methods
Fractures, Bone
/ complications
Lumbar Vertebrae
/ diagnostic imaging
Bariatric Surgery
/ adverse effects
Obesity
/ surgery
Bone Density
Bariatric surgery
Bone mineral density
CT or computed tomography
Obesity
SBAC-L1
Journal
Journal of bone and mineral metabolism
ISSN: 1435-5604
Titre abrégé: J Bone Miner Metab
Pays: Japan
ID NLM: 9436705
Informations de publication
Date de publication:
Jan 2023
Jan 2023
Historique:
received:
01
07
2022
accepted:
30
10
2022
pubmed:
24
11
2022
medline:
3
2
2023
entrez:
23
11
2022
Statut:
ppublish
Résumé
The objectives were to evaluate bone fragility on computed tomography (CT) in patients with obesity before and 2 years after bariatric surgery and to identify risk factors for a decrease in the scanographic bone attenuation coefficient of the first lumbar vertebra (SBAC-L1). Patients with obesity who underwent bariatric surgery and CT before and 2 years (± 6 months) after bariatric surgery were included. SBAC-L1 was measured on CT with a fracture threshold at 145 HU. 78 patients were included, 85.9% women, mean age of 48.5 years (± 11.4); the mean BMI was 46.2 kg/m SBAC-L1 was significantly lower two years after bariatric surgery. Men sex and older patients were the risk factors for having an SBAC-L1 below the fracture threshold 2 years after surgery.
Identifiants
pubmed: 36418588
doi: 10.1007/s00774-022-01386-8
pii: 10.1007/s00774-022-01386-8
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
105-112Informations de copyright
© 2022. The Japanese Society Bone and Mineral Research.
Références
Toledano E, Candelas G, Rosales Z, Martínez Prada C, León L et al (2012) A meta-analysis of mortality in rheumatic diseases. Reumatol Clin 8:334–341
doi: 10.1016/j.reuma.2012.05.006
Lane JM, Russell L, Khan SN (2000) Osteoporosis. Clin Orthop Relat Res 372:139–150
doi: 10.1097/00003086-200003000-00016
Dimai HP (2017) Use of dual-energy X-ray absorptiometry (DXA) for diagnosis and fracture risk assessment; WHO-criteria, T- and Z-score, and reference databases. Bone 104:39–43
doi: 10.1016/j.bone.2016.12.016
Murray TÉ, Williams D, Lee MJ (2017) Osteoporosis, obesity, and sarcopenia on abdominal CT: a review of epidemiology, diagnostic criteria, and management strategies for the reporting radiologist. Abdom Radiol (NY) 42:2376–2386
doi: 10.1007/s00261-017-1124-5
Pickhardt PJ, Pooler BD, Lauder T, del Rio AM, Bruce RJ, Binkley N (2013) Opportunistic screening for osteoporosis using abdominal computed tomography scans obtained for other indications. Ann Intern Med 158:588–595
doi: 10.7326/0003-4819-158-8-201304160-00003
Obesity: preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser. 2000;894, 1–253.
Borisenko O, Colpan Z, Dillemans B, Funch-Jensen P, Hedenbro J, Ahmed AR (2015) Clinical indications, utilization, and funding of bariatric surgery in Europe. Obes Surg 25:1408–1416
doi: 10.1007/s11695-014-1537-y
Stahl JM, Malhotra S (2021) obesity surgery indications and contraindications. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 [cited 2021 May 7]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK513285/
Lespessailles E, Paccou J, Javier R-M, Thomas T, Cortet B, Obesity G, GRIO Scientific Committee (2019) Bariatric surgery, and fractures. J Clin Endocrinol Metab. 104:4756–4768
doi: 10.1210/jc.2018-02084
Gonnelli S, Caffarelli C, Nuti R (2014) Obesity and fracture risk. Clin Cases Miner Bone Metab 11:9–14
Ambrosi TH, Scialdone A, Graja A, Gohlke S, Jank A-M et al (2017) Adipocyte accumulation in the bone marrow during obesity and aging impairs stem cell-based hematopoietic and bone regeneration. Cell Stem Cell 20:771-784.e6
doi: 10.1016/j.stem.2017.02.009
Greco EA, Fornari R, Rossi F, Santiemma V, Prossomariti G et al (2010) Is obesity protective for osteoporosis? Evaluation of bone mineral density in individuals with high body mass index. Int J Clin Pract 64:817–820
doi: 10.1111/j.1742-1241.2009.02301.x
Compston JE, Flahive J, Hosmer DW, Watts NB, Siris ES et al (2014) Relationship of weight, height, and body mass index with fracture risk at different sites in postmenopausal women: the Global Longitudinal study of Osteoporosis in Women (GLOW). J Bone Miner Res 29:487–493
doi: 10.1002/jbmr.2051
Ko B-J, Myung SK, Cho K-H, Park YG, Kim SG et al (2016) Relationship between bariatric surgery and bone mineral density: a meta-analysis. Obes Surg 26:1414–1421
doi: 10.1007/s11695-015-1928-8
Paccou J, Martignène N, Lespessailles E, Babykina E, Pattou F et al (2020) Gastric bypass but not sleeve gastrectomy increases risk of major osteoporotic fracture: French population-based cohort study. J Bone Miner Res 35:1415–1423
doi: 10.1002/jbmr.4012
Lu C-W, Chang Y-K, Chang H-H, Kuo C-S, Huang C-T et al (2015) Fracture risk after bariatric surgery: a 12-year nationwide cohort study. Medicine (Baltimore) 94:e2087
doi: 10.1097/MD.0000000000002087
Fauny M, Bauer E, Albuisson E, Perrier-Cornet J, Deibener J et al (2018) Vertebral fracture prevalence and measurement of the scanographic bone attenuation coefficient on CT-scan in patients with systemic sclerosis. Rheumatol Int 38:1901–1910
doi: 10.1007/s00296-018-4139-5
Genant HK, Wu CY, van Kuijk C, Nevitt MC (1993) Vertebral fracture assessment using a semiquantitative technique. J Bone Miner Res 8:48
Kanter R, Caballero B (2012) Global gender disparities in obesity: a review. Adv Nutr 3:491–498
doi: 10.3945/an.112.002063
Hales CM, Carroll MD, Fryar CD, Ogden CL (2020) Prevalence of obesity and severe obesity among adults: US, 2017–2018. In: NCHS Data Brief, no 360. Hyattsville, MD: National Center for Health Statistics
Barnes AS (2011) The epidemic of obesity and diabetes: trends and treatments. Tex Heart Inst J 38:142–144
Pereira-Santos M, Costa PR, Assis AM, Santos CA, Santos DB (2015) Obesity and vitamin D deficiency: a systematic review and meta-analysis. Obes Rev 16:341–349
doi: 10.1111/obr.12239
Jammah AA (2015) Endocrine and metabolic complications after bariatric surgery. Saudi J Gastroenterol. 21:269–277
doi: 10.4103/1319-3767.164183
Silva LB, Oliveira BMPM, Correia F (2019) Evolution of body composition of obese patients undergoing bariatric surgery. Clin Nutr ESPEN 31:95–99
doi: 10.1016/j.clnesp.2019.02.002
JunqueraBañares S, Ramírez Real L, Camuñas Segovia J, Martín García-Almenta M, Llanos Egüez K, Álvarez HJ (2021) Evaluation of quality of life, weight loss and evolution of comorbidities at 6 years after bariatric surgery. Endocrinol Diabetes Nutr 68:501–508
Jang S, Graffy PM, Ziemlewicz TJ, Lee SJ, Summers RM, Pickhardt PJ (2019) Opportunistic osteoporosis screening at routine abdominal and thoracic CT: normative L1 trabecular attenuation values in more than 20 000 adults. Radiology 291:360–367
doi: 10.1148/radiol.2019181648
Paccou J, Caiazzo R, Lespessailles E, Cortet B (2021) Bariatric surgery and osteoporosis. Calcif Tissue Int.
Kelsey JL (1989) Risk factors for osteoporosis and associated fractures. Public Health Rep 104:14–20
Kurra S, Fink DA, Siris ES (2014) Osteoporosis-associated fracture and diabetes. Endocrinol Metab Clin North Am 43:233–243
doi: 10.1016/j.ecl.2013.09.004
Paschou SA, Vryonidou A (2019) Diabetes mellitus and osteoporosis. Minerva Endocrinol 44:333–335
Uppot RN, Sahani DV, Hahn PF, Gervais D (2007) Impact of obesity on medical imaging and image-guided intervention. AJR Am J Roentgenol 188:433–440
doi: 10.2214/AJR.06.0409
Law W-Y, Huang G-L, Yang C-C (2022) Effect of body mass index in coronary CT angiography performed on a 256-slice multi-detector CT scanner. Diagnostics (Basel) 12:319
doi: 10.3390/diagnostics12020319