Severe and morbid obesity Nutritional, Metabolic, Endocrine Obesity
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adut pre-menopausal women with body mass index (BMI) > 35 plus some co-morbidities such as hypertension, diabetes, insulin resistance, sleep apnea, dyslipidemia or BMR > 40 regardless the presence of co-morbidities 2. Indication of Roux-en-Y gastric bypass or sleeve gastrectomy 3. The use of a contraceptive method (IUD, oral contraceptives or tubal ligation), will be required prior to participation in the studies due to the use of radioactive isotopes. Furthermore, a pregnancy test will be conducted before the study 4. Consent to participate
Exclusion criteria
Exclusion criteria: 1. Record of inflammatory bowel disease 2. Malabsorption syndrome 3. Liver or pancreatic disease 4. Chronic anemia 5. Low adherence to previous medical treatments 6. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Zn and Ca determined by the use of stable isotopes 2. Hem Fe and non-hem Fe absorption determined by the use of radioactive isotopes 3. Zn status (Plasma Zn, hair Zn, rapidly exchangeable zinc pool EZP) 4. Ca status (PTH, serum Ca and vitamin D) 5. Fe status (Hemoglobin, hematocrit, zinc-protoporphyrin, serum ferritin, serum transferrin receptor and 6. Cu status (plasma Cu) Measured before and 12 and 24 months after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hormone (ghrelin and adiponectine concentrations) measured before and 12 and 24 months after surgery 2. Body composition and bone mineral density (by DEXA) measured before and 12 and 24 months after surgery 3. Mieral-related gene expression (Ca: TRPV5 and TRPV6; Fe: DMT1 and FPN1; Zn: Zip 4 and ZnT1; Cu: hCTR1 and ATP7A) intestinal biopsies before and 12 months after surgery | — |
Countries
Chile