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基因多态性与女性 Roux-en-Y 胃旁路术后 1 年的能量摄入无关。

Genetic polymorphisms are not associated with energy intake 1 year after Roux-en-Y gastric bypass in women.

机构信息

Institute of Biosciences, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, São Paulo, Brazil.

Human Performance Laboratory, Universidade Metodista de Piracicaba, Piracicaba, São Paulo, Brazil.

出版信息

J Hum Nutr Diet. 2022 Aug;35(4):739-747. doi: 10.1111/jhn.12984. Epub 2022 Jan 18.

Abstract

BACKGROUND

The present study aimed to investigate the influence of food intake on body weight loss (WL) and the association of gene polymorphisms, 1 year after Roux-en-Y gastric bypass (RYGB) surgery.

METHODS

In total, 95 obese women (age ranged 20-50 years) in a Brazilian cohort underwent RYGB surgery and completed the study. Anthropometric measurements and food intake were assessed before and 1 year after surgery. Twelve gene polymorphisms (GHRL rs26802; GHSR rs572169; LEP rs7799039; LEPR rs1137101; 5-HT2C rs3813929; UCP2 rs659366; UCP2 rs660339; UCP3 rs1800849; SH2B1 rs7498665; TAS1R2 rs35874116; TAS1R2 rs9701796; and FTO rs9939609) were determined using a real-time polymerase chain reaction and a TaqMan assay. The subjects were divided into quartiles regarding percentage of excess weight loss (%EWL). The effect of genetic variants on energy and macronutrient intake was evaluated by simple logistic regression, followed by multiple logistic regression.

RESULTS

Subjects in the first and second quartiles showed a higher initial body mass index. Energy and macronutrient intake before and 1 year after RYGB surgery did not differ between the %EWL quartiles. None of gene polymorphisms investigated showed an association with the estimated energy intake 1 year after surgery.

CONCLUSIONS

In conclusion, the estimate energy and food intake did not predict a greater body WL 1 year after RYGB surgery. In addition, the 12 gene polymorphism investigated did not affect the energy intake among female patients.

摘要

背景

本研究旨在探讨饮食摄入对体重减轻(WL)的影响以及罗伊氏胃旁路术(RYGB)术后 1 年基因多态性的相关性。

方法

在巴西队列中,共有 95 名年龄在 20-50 岁之间的肥胖女性接受了 RYGB 手术并完成了研究。在手术前和手术后 1 年评估了人体测量学测量和食物摄入量。使用实时聚合酶链反应和 TaqMan 测定法确定了 12 个基因多态性(GHRL rs26802;GHSR rs572169;LEP rs7799039;LEPR rs1137101;5-HT2C rs3813929;UCP2 rs659366;UCP2 rs660339;UCP3 rs1800849;SH2B1 rs7498665;TAS1R2 rs35874116;TAS1R2 rs9701796;和 FTO rs9939609)。根据超重减轻百分比(%EWL)将受试者分为四分之一。通过简单逻辑回归,然后是多元逻辑回归,评估遗传变异对能量和宏量营养素摄入的影响。

结果

第一和第二四分位数的受试者初始体重指数较高。RYGB 手术后前和手术后 1 年的能量和宏量营养素摄入量在 EWL 四分位数之间没有差异。在所研究的 12 个基因多态性中,没有一个与术后 1 年估计的能量摄入量相关。

结论

总之,估计的能量和食物摄入量不能预测 RYGB 手术后 1 年的体重 WL 更大。此外,所研究的 12 个基因多态性并未影响女性患者的能量摄入。

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