Predictors of Weight Loss and Metabolic Health After Bariatric Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-75
SponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

About this trial

In this prospective study the investigators aim to identify preoperative predictors of improvement of metabolic health and weight loss after bariatric surgery focusing on inflammation, insulin sensitivity (in a subgroup of patients), glucoregulatory determinants, psychological traits, feeding behavior characteristics and cardiorespiratory fitness

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ability to provide informed consent

Patient is ≥ 18 and ≤ 75 years old

BMI ≥ 40 kg/m2 or ≥ 35 kg/m2 with obesity related comorbidity

Scheduled for primary bariatric procedure: Roux-en-Y gastric bypass (RYGB) or Sleeve Gastrectomy (SG)

Disqualifiers

Any actual medical condition except for obesity related health issues or well treated hypothyroidism

Pregnancy anticipated in the first two years following surgery

Coagulation disorders and/or use anticoagulants

Use of any medication except for statins, antihypertensives (except for Angiotensine converting enzyme (ACE)- or angiotensin receptor blockers) and thyroid hormone

Trial population

Patients of the Nederlandse Obesitas Kliniek (Dutch Obesity Clinic).

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Predictors of improvement in metabolic health - insulin sensitivity

HOMA-IR

Time frame
Baseline up to 5 years after surgery
2

Predictors of improvement in metabolic health - level of glucose control

HbA1C (mmol/mol)

Time frame
Baseline up to 5 years after surgery
3

Predictors of improvement in metabolic health - glucose

Fasting glucose (mmol/L)

Time frame
Baseline up to 5 years after surgery
4

Predictors of improvement in metabolic health - insulin

Insulin (pmol/L)

Time frame
Baseline up to 5 years after surgery

Secondary outcomes

1

Psychological factors - depression

Patient-Reported Outcomes Measurement Information System Depression (PROMIS-D: validated questionnaire for bariatric surgery. PROMIS-D: range in score from 8 to 40, higher scores indicating greater severity of depression

Time frame
Baseline up to 5 years after surgery
2

Psychological factors - anxiety

Patient-Reported Outcomes Measurement Information System Anxiety (PROMIS-A): validated questionnaire for bariatric surgery. PROMIS-A: range in score from 7 to 35, higher scores indicating greater severity of anxiety.

Time frame
Baseline up to 5 years after surgery
3

Psychological factors - impulsivity

Measurements of impulsiveness Barret Impulsiveness Scale (BIS): validated questionnaire to assess level of impulsivity BIS-11: The total scores can range from 30 to 120. Higher scores on the BIS reflect higher levels of impulsiveness.

Time frame
Baseline up to 5 years after surgery
4

Psychological factors - impulsivity

Measurements of impulsiveness Iowa Gambling Task: validated task to study impulsive behaviour Iowa gambling task: The net score is calculated by subtracting the number of disadvantageous selections from the advantageous selections. A positive net score indicates better performance

Time frame
Baseline up to 5 years after surgery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)

Lead sponsor

Obesitas Kliniek B.V.

Collaborator

Radboud University Medical Center

Collaborator