Subcutaneous fat thickness, but not epicardial fat thickness, parallel weight reduction after bariatric surgery: a cardiac magnetic resonance study
© Foppa et al; licensee BioMed Central Ltd. 2013
Published: 30 January 2013
Bariatric surgery is a very effective treatment for morbid obesity, generally improving the obesity related metabolic derangements. Epicardial fat (EPIFAT) is a visceral fat depot measurable in cardiac magnetic resonance. Changes in EPIFAT after bariatric surgery has been described, but it is not well characterized. We hypothesized that the reduction of the thoracic fat components after bariatric surgery is heterogeneous.
We analyzed since steady state free precession (SSFP) CMR data from 13 patients (51±11years; BMI=44±4 kg/m2; XX F) before and 90±13 days after bariatric surgery (BS). Data were compared with 11 control, subjects (65±7 years; BMI=27.2 kg/m2; XX F) who had two CMR exams 55±30 days apart (CTR) but not submitted to an obesity intervention. From cine SSFP images we measured: 1) EPIFAT: mean of the maximal visceral fat thickness anterior to the epicardial surface on the right ventricular (RV) free-wall on the HLA and 4 chamber views, and the maximal fat thickness anterior to the interventricular groove on the basal short axis view, 2) Paracardial fat (PARAFAT): the fat thicknesses over the RV free-wall outside the pericardium on the HLA and 4 Chamber views, and 3) Subcutaneous fat (SUBFAT): the maximal subcutaneous fat thickness measured at the mid sternal level.
Fat thickeness (mm) in bariatric surgery and control groups
Three months after bariatric surgery, there is a significant reduction in SUBFAT, which parallels the reduction in body weight. However, there is no significant reduction in the PARAFAT thickness. Additionally, we could not demonstrate significant EPIFAT reduction or relationship with weight loss.
CAPES (Brazilian Research Agency) n 9601/11.
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