Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study

Abstract Bariatric surgery may have an effect on myocardial mechanics in individuals with obesity and diabetes. In this study, two-dimensional speckle-tracking echocardiography was applied to evaluate the changes of left ventricular myocardial mechanics in individuals with obesity and diabetes befor...

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Main Authors: Xiaoyan Kang, Linyan Zhou, Yanxia Zhang, Chunsong Kang, Jiping Xue
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84282-7
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author Xiaoyan Kang
Linyan Zhou
Yanxia Zhang
Chunsong Kang
Jiping Xue
author_facet Xiaoyan Kang
Linyan Zhou
Yanxia Zhang
Chunsong Kang
Jiping Xue
author_sort Xiaoyan Kang
collection DOAJ
description Abstract Bariatric surgery may have an effect on myocardial mechanics in individuals with obesity and diabetes. In this study, two-dimensional speckle-tracking echocardiography was applied to evaluate the changes of left ventricular myocardial mechanics in individuals with obesity and diabetes before and after bariatric surgery. A total of 58 individuals with obesity were divided into an obesity-only group (30 patients) and an obesity + diabetes group (28 patients). Routine echocardiographic parameters and left ventricular global longitudinal strain (GLS) were compared between the two groups at baseline and 6 and 12 months postoperatively. At all three time points, GLS was lower in the obesity + diabetes group than in the obesity-only group. In both groups, the GLS increased successively at 6 and 12 months postoperatively. The change in GLS (∆GLS) from baseline to 6 months was higher than the △GLS from 6 to 12 months in both groups. The △GLS from baseline to 6 months was lower in the obesity + diabetes group than in the obesity-only group. Therefore, obese individuals can benefit from bariatric surgery, which includes improved heart function, delayed disease progression.
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spelling doaj-art-ab19439d76444ed990afcf6cda48d0632025-01-05T12:20:46ZengNature PortfolioScientific Reports2045-23222025-01-011511810.1038/s41598-024-84282-7Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up studyXiaoyan Kang0Linyan Zhou1Yanxia Zhang2Chunsong Kang3Jiping Xue4Department of Ultrasound, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityDepartment of Ultrasound, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityDepartment of Ultrasound, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityDepartment of Ultrasound, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityDepartment of Ultrasound, Tongji Shanxi Hospital, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical UniversityAbstract Bariatric surgery may have an effect on myocardial mechanics in individuals with obesity and diabetes. In this study, two-dimensional speckle-tracking echocardiography was applied to evaluate the changes of left ventricular myocardial mechanics in individuals with obesity and diabetes before and after bariatric surgery. A total of 58 individuals with obesity were divided into an obesity-only group (30 patients) and an obesity + diabetes group (28 patients). Routine echocardiographic parameters and left ventricular global longitudinal strain (GLS) were compared between the two groups at baseline and 6 and 12 months postoperatively. At all three time points, GLS was lower in the obesity + diabetes group than in the obesity-only group. In both groups, the GLS increased successively at 6 and 12 months postoperatively. The change in GLS (∆GLS) from baseline to 6 months was higher than the △GLS from 6 to 12 months in both groups. The △GLS from baseline to 6 months was lower in the obesity + diabetes group than in the obesity-only group. Therefore, obese individuals can benefit from bariatric surgery, which includes improved heart function, delayed disease progression.https://doi.org/10.1038/s41598-024-84282-7ObesityDiabetes mellitusSpeckle-tracking echocardiographyMyocardial mechanicsBariatric surgery
spellingShingle Xiaoyan Kang
Linyan Zhou
Yanxia Zhang
Chunsong Kang
Jiping Xue
Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study
Scientific Reports
Obesity
Diabetes mellitus
Speckle-tracking echocardiography
Myocardial mechanics
Bariatric surgery
title Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study
title_full Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study
title_fullStr Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study
title_full_unstemmed Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study
title_short Myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes: a 1-year follow-up study
title_sort myocardial mechanical changes before and after bariatric surgery in individuals with obesity and diabetes a 1 year follow up study
topic Obesity
Diabetes mellitus
Speckle-tracking echocardiography
Myocardial mechanics
Bariatric surgery
url https://doi.org/10.1038/s41598-024-84282-7
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AT linyanzhou myocardialmechanicalchangesbeforeandafterbariatricsurgeryinindividualswithobesityanddiabetesa1yearfollowupstudy
AT yanxiazhang myocardialmechanicalchangesbeforeandafterbariatricsurgeryinindividualswithobesityanddiabetesa1yearfollowupstudy
AT chunsongkang myocardialmechanicalchangesbeforeandafterbariatricsurgeryinindividualswithobesityanddiabetesa1yearfollowupstudy
AT jipingxue myocardialmechanicalchangesbeforeandafterbariatricsurgeryinindividualswithobesityanddiabetesa1yearfollowupstudy