About this trial
The Bialystok Bariatric Surgery Study (BBSS) is a prospective observational cohort study of patients undergoing bariatric surgery at the First Clinical Department of General and Endocrine Surgery at the Medical University of Bialystok. The BBSS consists of a battery of baseline tests established one month prior to the surgery and repeated at one, three, six, twelve and twenty four-month follow-up clinical visits.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
BMI ≥ 40 kg/m2, or BMI ≥ 35 and at least one or more obesity-related co-morbidities such as type 2 diabetes (T2D), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease.
Inability to achieve a healthy weight loss sustained for a period of time with prior weight loss efforts
Patient consent for participation in research project
Willingness in participation in follow-up visits
Disqualifiers
substance abuse,
uncontrolled psychiatric illness
expected lack of compliance
advanced-stage cancer
Trial population
In Bialystok Bariatric Surgery Study (BBSS), we observe a cohort study of patients who undergo bariatric surgery in the First Clinical Department of General and Endocrine Surgery of the Medical University of Bialystok. This center performs several types of bariatric surgery including Roux-en-Y gastric bypass (RYGB), adjustable gastric banding (AGB), and sleeve gastrectomy (SG) in patients referred to the clinic by general practitioners and endocrinologists and who were qualified for the surgery according to the clinical physicians. Only patients who agreed to participate in the research project, specified in detail during written and oral patients consent, are included. Moreover, the study population consists of the group of obese patients who do not undergo the surgery and are followed-up without the surgical intervention and the non-obese control group of patients without obesity.
Trial design
Case-control
Prospective
Treatments tested in this trial
Bariatric surgery
Procedure/SurgeryBariatric surgery (Roux-en-Y gastric bypass, gastric banding, or sleeve gastrectomy) for the treatment of morbid obesity
Treatment groups
Trial outcomes
Primary outcomes
Weight loss
Changes in total body weight under the surgery
Lean body mass
Changes in total lean body mass under the surgery, measured using the whole-body dual-energy X-ray absorptiometry (DXA)
Fat mass
Changes in total fat mass under the surgery, measured using the whole-body dual-energy X-ray absorptiometry (DXA)
Visceral adipose tissue mass
Changes in visceral adipose tissue mass under the surgery, measured using the whole-body dual-energy X-ray absorptiometry (DXA)
Secondary outcomes
Plasma metabolome
Changes in plasma metabolites concentrations measured using untargeted metabolomics, in response to the surgery
Plasma proteome
Changes in plasma proteins concentrations measured using targeted and untargeted proteomics, in response to the surgery
Urine metabolome
Changes in urine metabolites concentrations measured using untargeted metabolomics, in response to the surgery
Skeletal muscle transcriptome
Changes in skeletal muscle gene and small RNA expressions measured using untargeted transcriptomics, in response to the surgery
Sponsors and contacts
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Medical University of Bialystok
Lead sponsor
University of Copenhagen
Collaborator