Seyfried Florian, Miras Alexander D, Bueter Marco, Prechtl Christina G, Spector Alan C, le Roux Carel W
Investigative Science, Imperial College London, Du Cane Road, London, W12 0NN, UK.
Surg Endosc. 2013 Nov;27(11):4192-201. doi: 10.1007/s00464-013-3020-6. Epub 2013 May 30.
The consumption of high fat and sugar diets is decreased after gastric bypass surgery (GB). The mechanisms remain unclear, with tests of motivated behavior toward fat and sugar producing conflicting results in a rat model. These discrepancies may be due to differences in presurgical maintenance diets. The authors used their GB rat model to determine whether the fat content of preoperative maintenance diets affects weight loss, calorie intake, and macronutrient selection after surgery.
Male Wistar rats were either low-fat diet fed (LFDF) with normal chow or high-fat diet fed (HFDF) before randomization to GB or sham surgery. In food preference test 1, the animals were offered the choice of a vegetable drink (V8) or a high-calorie liquid (Ensure), and in food preference test 2, they could choose normal chow or a solid high-fat diet.
The GB groups did not differ significantly in terms of body weight loss or caloric intake. In food preference test 1, both groups responded similarly by reducing their preference for Ensure and increasing their preference for V8. In food preference test 2, the HFDF-GB rats reduced their preference for a solid high-fat diet gradually compared with the immediate reduction observed in the LFDF-GB rats.
The consumption of presurgical maintenance diets with different fat contents did not affect postoperative weight loss outcomes. Both the LFDF-GB and HFDF-GB rats exhibited behaviors consistent with the possible expression of a conditioned taste aversion to a high-fat stimulus. These results suggest that for some physiologic parameters, low-fat-induced obesity models can be used for the study of changes after GB and have relevance to many obese humans who consume high-calorie but low-fat diets.
胃旁路手术(GB)后,高脂肪和高糖饮食的摄入量会减少。其机制尚不清楚,在大鼠模型中,针对脂肪和糖的动机行为测试产生了相互矛盾的结果。这些差异可能是由于术前维持饮食的不同。作者使用他们的GB大鼠模型来确定术前维持饮食的脂肪含量是否会影响术后体重减轻、热量摄入和常量营养素选择。
雄性Wistar大鼠在随机接受GB手术或假手术之前,要么用普通饲料进行低脂饮食喂养(LFDF),要么进行高脂饮食喂养(HFDF)。在食物偏好测试1中,给动物提供蔬菜饮料(V8)或高热量液体(安素)供其选择,在食物偏好测试2中,它们可以选择普通饲料或固体高脂饮食。
GB组在体重减轻或热量摄入方面没有显著差异。在食物偏好测试1中,两组的反应相似,都减少了对安素的偏好,增加了对V8的偏好。在食物偏好测试2中,与LFDF-GB大鼠观察到的立即减少相比,HFDF-GB大鼠对固体高脂饮食的偏好逐渐降低。
术前维持饮食中不同的脂肪含量不影响术后体重减轻结果。LFDF-GB和HFDF-GB大鼠均表现出与对高脂刺激可能产生条件性味觉厌恶表达一致的行为。这些结果表明,对于某些生理参数,低脂诱导的肥胖模型可用于研究GB术后的变化,并且与许多食用高热量但低脂饮食的肥胖人类相关。