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Santos L, Patrone M, Prieto-Echagüe V, Lapi S, Perdomo M, Vaucher A, Rodriguez G, Valsangiacomo P, Naya H, Escande C, Badano JL, Spangenberg L, Bruno G. Impact of Bariatric Surgery on metabolic health in a Uruguayan cohort and the emerging predictive role of FSTL1. Sci Rep 2024; 14:15085. [PMID: 38956222 PMCID: PMC11219826 DOI: 10.1038/s41598-024-65651-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Accepted: 06/21/2024] [Indexed: 07/04/2024] Open
Abstract
Obesity poses significant challenges, necessitating comprehensive strategies for effective intervention. Bariatric Surgery (BS) has emerged as a crucial therapeutic approach, demonstrating success in weight loss and comorbidity improvement. This study aimed to evaluate the outcomes of BS in a cohort of 48 Uruguayan patients and investigate the interplay between BS and clinical and metabolic features, with a specific focus on FSTL1, an emerging biomarker associated with obesity and inflammation. We quantitatively analyzed BS outcomes and constructed linear models to identify variables impacting BS success. The study revealed the effectiveness of BS in improving metabolic and clinical parameters. Importantly, variables correlating with BS success were identified, with higher pre-surgical FSTL1 levels associated with an increased effect of BS on BMI reduction. FSTL1 levels were measured from patient plasma using an ELISA kit pre-surgery and six months after. This research, despite limitations of a small sample size and limited follow-up time, contributes valuable insights into understanding and predicting the success of BS, highlighting the potential role of FSTL1 as a useful biomarker in obesity.
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Affiliation(s)
- Leonardo Santos
- Laboratorio de Patologías del Metabolismo y El Envejecimiento, Institut Pasteur de Montevideo, Mataojo 2020, 11400, Montevideo, Uruguay
| | - Mariana Patrone
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay
| | - Victoria Prieto-Echagüe
- Laboratorio de Genética Molecular Humana, Institut Pasteur de Montevideo, Mataojo 2020, 11400, Montevideo, Uruguay
| | - Silvana Lapi
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay
- Clínica Quirúrgica 2, Facultad de Medicina, Universidad de la República (UDELAR), Gral Flores 2125, 11800, Montevideo, Uruguay
| | - Mauro Perdomo
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay
- Clínica Quirúrgica 3, Facultad de Medicina, Universidad de la República (UDELAR), Gral Flores 2125, 11800, Montevideo, Uruguay
| | - Andrea Vaucher
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay
- Clínica Médica 3, Facultad de Medicina, Universidad de la República (UDELAR), Gral Flores 2125, 11800, Montevideo, Uruguay
| | - Gustavo Rodriguez
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay
- Clínica Quirúrgica 2, Facultad de Medicina, Universidad de la República (UDELAR), Gral Flores 2125, 11800, Montevideo, Uruguay
| | - Pablo Valsangiacomo
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay
- Clínica Quirúrgica 3, Facultad de Medicina, Universidad de la República (UDELAR), Gral Flores 2125, 11800, Montevideo, Uruguay
| | - Hugo Naya
- Unidad de Bioinformática, Institut Pasteur de Montevideo, Mataojo 2020, 11400, Montevideo, Uruguay
- Departamento de Producción Animal y Pasturas, Facultad de Agronomía, Universidad de la República (UDELAR), Av. Gral. Eugenio Garzón 780, 12900, Montevideo, Uruguay
| | - Carlos Escande
- Laboratorio de Patologías del Metabolismo y El Envejecimiento, Institut Pasteur de Montevideo, Mataojo 2020, 11400, Montevideo, Uruguay
| | - Jose L Badano
- Laboratorio de Genética Molecular Humana, Institut Pasteur de Montevideo, Mataojo 2020, 11400, Montevideo, Uruguay
| | - Lucia Spangenberg
- Unidad de Bioinformática, Institut Pasteur de Montevideo, Mataojo 2020, 11400, Montevideo, Uruguay.
- Departamento Básico de Medicina, Hospital de Clínicas, Facultad de Medicina, Universidad de la República (UDELAR), Av Italia S/N, 11600, Montevideo, Uruguay.
| | - Gustavo Bruno
- Programa de Obesidad y Cirugía Bariátrica, Hospital Maciel, 25 Mayo 174, 11000, Montevideo, Uruguay.
- Clínica Médica 3, Facultad de Medicina, Universidad de la República (UDELAR), Gral Flores 2125, 11800, Montevideo, Uruguay.
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Luzi L, Massarini S, Ferrulli A, Senesi P, Carruba M, Romano C, Di Lembo S, Bianchi M, Bulgheroni P, Villa M, Serra F, Lenzi A. Urban diabetes: analysis of diabetes prevalence in cities of the Lombardy region participating in the cities changing diabetes project. Acta Diabetol 2024:10.1007/s00592-024-02324-y. [PMID: 38951224 DOI: 10.1007/s00592-024-02324-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2024] [Accepted: 06/18/2024] [Indexed: 07/03/2024]
Abstract
AIM The urban population increases by about 60 million people/year. Urbanization, unhealthy lifestyle and aging of the population are reflected in a constant growth in the prevalence of diabetes. In 2014, Steno Diabetes Centre in Copenhagen, University College London and Novo Nordisk, launched the Cities Changing Diabetes® program with the aim of creating a unified movement that would stimulate policy-makers to prioritize urban diabetes. METHODS The socio-demographic data derive from (1) ISTAT (National Institute of Statistics of Italy), (2) ATS Metropolitan City of Milan, (3) ATS Val Padana-Cremona, (4) ATS Insubria-Varese, (5) The unemployment rates of the various municipalities have been extrapolated from an ISTAT-MEF elaboration published by Sole 24 Ore journal. RESULTS In the different sanitary districts of the Metropolitan City of Milan, a strong linear correlation was found between the prevalence of diabetes and the prevalence of heart disease (R = 0.695, p < 0.001), as well as between the prevalence of diabetes and of nephropathies (R = 0.316, p < 0.001). The analysis concerning the province of Cremona showed a fair correlation between the prevalence of diabetes and cardiovascular disease (R = 0.658, p < 0.001). Even for the municipalities of Varese, the analysis documented a good correlation between the prevalence of diabetes and heart disease (R = 0.419, p < 0.001), but not between diabetes and nephropathies. CONCLUSIONS Interesting differences in the relationship of diabetes prevalence with several diseases and socio-demographic factors have been found when comparing the metropolitan City of Milan with two smaller size cities as Varese and Cremona. Our present data confirm the hypothesis that urban diabetes will be the challenge for our society during the next decades.
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Affiliation(s)
- Livio Luzi
- Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy.
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
| | - Stefano Massarini
- Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy
| | - Anna Ferrulli
- Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Pamela Senesi
- Department of Endocrinology, Nutrition and Metabolic Diseases, IRCCS MultiMedica, Ospedale San Giuseppe, Via San Vittore 12, 20123, Milan, Italy
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Michele Carruba
- Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
| | - Cristina Romano
- Department of Diabetology and Endocrinology, ASST Sette Laghi, Varese, Italy
| | - Sergio Di Lembo
- Department of Diabetology and Endocrinology, ASST Cremona, Cremona, Italy
| | - Maria Bianchi
- Hygiene, Food and Nutrition Service, ATS Insubria, Varese, Italy
| | - Paolo Bulgheroni
- Department of Hygiene and Prevention, ATS Insubria, Varese, Italy
| | - Marco Villa
- Epidemiological Observatory, ATS Val Padana, Cremona, Italy
| | | | - Andrea Lenzi
- Health City Institute, Rome, Italy
- UNESCO Chair on Urban Health, Venice, Italy
- Department of Experimental Medicine, Sapienza University of Rome, Viale del Policlinico, Rome, Italy
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