Obesity
Conditions
Keywords
Obesity, Insulin Resistance, Bariatric Surgery, Gastric Banding, Gastric Bypass
Brief summary
This project will study the effects of surgery for obesity on bone metabolism and hormones that regulate appetite.
Detailed description
Subjects will be recruited from the outpatient obesity and surgical clinics at Columbia-Presbyterian Medical Center after they have chosen to undergo a surgical procedure. The groups will not be randomized. Rather, they will decide on their choice of surgery along with their physicians. The patients will be evaluated pre-operatively and followed post-operatively for 5 years. Initial evaluation will include a complete history and physical examination, measurement of calcium, parathyroid hormone (PTH) and vitamin D, and assessment of skeletal health using markers of bone turnover and bone mineral density.
Interventions
NOTE: Surgery will not be paid by the study
NOTE: Surgery will not be paid by the study
Sponsors
Study design
Eligibility
Inclusion criteria
1. Adult male or female \> 18 years of age 2. Scheduled to undergo bariatric surgery
Exclusion criteria
1. Vitamin D deficiency 2. Primary hyperparathyroidism 3. Treatment with lithium or thiazide diuretics which may alter PTH levels 4. Osteomalacia 5. Untreated hyperthyroidism, liver disease, Cushing's syndrome, rheumatoid arthritis, myeloma or Paget's disease 6. Impaired renal function (serum creatinine \>2.0mg/dl) or history of renal osteodystrophy 7. Use of any anti-obesity medications for over 2 weeks 90 days prior to study 8. Participation in any research study 90 days prior to study 9. Any malabsorption syndromes such as celiac sprue 10. Previous bariatric surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in body weight | 5 years | linear mixed model analysis will be used to study change over time and between surgery |
Countries
United States