The overall aim is to study the multiple factors determining the variation of weight loss after Roux-en-Y Gastric Bypass (RYGB) and Sleeve surgery. The specific aims are to evaluate: a) what explains the large individual differences in weight loss seen after RYGB and Sleeve surgery, b) if it is possible pre-operatively to identify which patients will not obtain beneficial effects of bariatric surgery in relation to weight loss and quality of life and c) if patients in need of improved care can be identified pre- and/or early post-operatively.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
55
Faculty of Science, NEXS
Frederiksberg, Denmark
Weight loss
Time frame: 3 month preoperatively, 1 week preoperatively, 6 weeks postoperatively, 6 month postoperatively and 18 month postoperatively
Metabolic profile
Insulin, glucose, C-peptide, GIP, glucagon, TSH, thyroid hormones, vitamin D and blood lipids
Time frame: 3 month preoperatively, 1 week preoperatively, 6 month postoperatively and 18 month postoperatively
Physical activity
Time frame: 3 month preoperatively, 1 week preoperatively, 6 month postoperatively and 18 month postoperatively
Appetite sensation
Following a test meal with the use of visual analogue scales (VAS)
Time frame: 3 month preoperatively, 1 week preoperatively, 6 weeks postoperatively, 6 month postoperatively and 18 month postoperatively
Taste preferences and taste perception
Sensory tests, picture displays (all visits) and an ad libitum test meals (3 months preoperatively and 6 months postoperatively) are used to investigate changes in taste and food preferences (liking and wanting) and taste perception
Time frame: 3 month preoperatively, 1 week preoperatively, 6 weeks postoperatively, 6 month postoperatively and 18 month postoperatively
Mental health
Time frame: 3 month preoperatively, 6 month postoperatively and 18 month postoperatively
Social resources
Time frame: 3 month preoperatively, 1 week preoperatively, 6 weeks postoperatively, 6 month postoperatively and 18 month postoperatively
Gut microbiota
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Time frame: 1 week preoperatively, 6 month postoperatively
Appetite-regulating hormones
GLP-1, PYY, leptin, ghrelin, OXM, CCK, glicentin
Time frame: 3 month preoperatively, 1 week preoperatively, 6 month postoperatively and 18 month postoperatively
Bile acids and fibroblast growth factors
Time frame: 3 month preoperatively, 1 week preoperatively, 6 month postoperatively and 18 month postoperatively
Genetics
Time frame: 3 month preoperatively
Body composition
By DXA scans
Time frame: 3 month preoperatively, 1 week preoperatively, 6 weeks postoperatively, 6 month postoperatively and 18 month postoperatively
Cortisol
Measured in hair
Time frame: 3 month preoperatively and 18 month postoperatively
Neural activity in reward-processing brain centers
By functional magnetic resonance imaging (fmri)
Time frame: preoperatively and 6 month postoperatively
Rewarding value of food
Behavioral test
Time frame: preoperatively and 6 month postoperatively