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Open Access 03-01-2024 | Bariatric Surgery | REVIEW

Body Composition Changes in Adolescents Who Underwent Bariatric Surgery: A Systematic Review and Meta-analysis

Authors: Andréa Bezerra, Giorjines Boppre, Laura Freitas, Francesca Battista, Federica Duregon, Sara Faggian, Luca Busetto, Andrea Ermolao, Hélder Fonseca

Published in: Current Obesity Reports | Issue 1/2024

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Abstract

Purpose of Review

The purpose of this review and meta-analysis is to characterize the changes in body composition of children and adolescents who underwent bariatric surgery and identify possible negative effects of performing this procedure during pediatric ages.

Recent Findings

Bariatric surgery in children and adolescents is an emerging strategy to promote higher and faster body weight and fat mass losses. However, possible negative effects usually observed in surgical patients’ muscle-skeletal system raise a major concern perform this intervention during growth. Despite these possible issues, most experimental studies and reviews analyze bariatric surgery’s effectiveness only by assessing anthropometric outcomes such as body weight and BMI, disregarding the short- and long-term impact of bariatric surgery on all body composition outcomes.

Summary

Bariatric surgery is effective to reduce fat mass in adolescents, as well as body weight, waist circumference, and BMI. Significant reduction in lean mass and fat-free mass is also observed. Bone mass seems not to be impaired. All outcomes reduction were observed only in the first 12 months after surgery. Sensitivity analysis suggests possible sex and type of surgery-related differences, favoring a higher fat mass, body weight, and BMI losses in boys and in patients who underwent RYGB.
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Metadata
Title
Body Composition Changes in Adolescents Who Underwent Bariatric Surgery: A Systematic Review and Meta-analysis
Authors
Andréa Bezerra
Giorjines Boppre
Laura Freitas
Francesca Battista
Federica Duregon
Sara Faggian
Luca Busetto
Andrea Ermolao
Hélder Fonseca
Publication date
03-01-2024
Publisher
Springer US
Published in
Current Obesity Reports / Issue 1/2024
Electronic ISSN: 2162-4968
DOI
https://doi.org/10.1007/s13679-023-00549-6

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