The purpose of this study is to investigate harmful effects of intentional weight loss. Intentional weight loss has been linked to increased risk of cardiovascular disease in overweight individuals, but the link between intentional weight loss and thrombotic disease is poorly understood. Postprandial coagulation activation, including thrombin generation, is a potential mechanism after high-fat meals. Thirty obese patients admitted to gastric bypass will be included in a randomized, cross-over clinical trial. All patients will consume a high-fat meal and a low-fat meal served in a randomized order on two study days (two to seven days apart). This cross-over study will be carried out before weight loss, during lifestyle-induced weight loss, and during weight loss 3-4 months after gastric bypass. Fasting and postprandial blood samples are collected on each study days, while one fecal sample is collected for each study period. The study will contribute to our understanding of mechanisms underlying harmful effects of weight loss, and future, dietary guidelines in relation to intentional weight loss programs must be modified.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
30
The intervention will run concurrently with the gastric bypass treatment at the hospital. The first intervention is carried out before weight loss, and the intervention is repeated two times concurrently with two periods of weight loss (lifestyle and gastric bypass)
Center of Bariatric Research, Dep. of Endocrinology, Hospital of South West Jutland
Esbjerg, Denmark
Postprandial peak mean of prothrombin fragment 1+2 concentrations
Blood samples are collected after high-fat and low-fat meals on two study days.
Time frame: Measures before weight loss, change from baseline to after lifestyle-induced weight loss and 4 months post-surgery.
Postprandial peak mean of cardiovascular risk markers concentrations
Blood samples are collected after high-fat and low-fat meals on two study days.
Time frame: Measures before weight loss, change from baseline to after lifestyle-induced weight loss and 4 months post-surgery.
Laboratory tests of fecal samples
Bacterial components of fecal samples
Time frame: Measures before weight loss, change from baseline to after lifestyle-induced weight loss and 4 months post-surgery.
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