Correlation between post over preoperative surrogate insulin resistance indexes' ratios and reversal of metabolic syndrome after Roux-en-Y gastric bypass

Obes Surg. 2014 Jun;24(6):971-3. doi: 10.1007/s11695-014-1246-6.

Abstract

Metabolic syndrome (MetS) is strongly linked to insulin resistance and has a high resolution rate after bariatric surgery. This study aims to determine whether post over preoperative ratios of surrogate insulin resistance markers (HOMA, TyG, and TG/HDL-c) are associated to postsurgical MetS reversal. This is a retrospective cohort study which involved 96 subjects with MetS who underwent Roux-en-Y gastric bypass (RYGB). Post over preoperative ratios of TyG and TG/HDL-c indexes were statistically associated to MetS resolution. The use of these ratios as a way to assess postsurgical insulin sensitivity response appears to be a simple and useful tool in clinical practice.

MeSH terms

  • Adult
  • Biomarkers / blood
  • Blood Glucose / metabolism
  • Cholesterol, HDL / blood
  • Female
  • Gastric Bypass*
  • Humans
  • Insulin Resistance / physiology*
  • Male
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / prevention & control*
  • Middle Aged
  • Obesity, Morbid / blood*
  • Obesity, Morbid / complications
  • Obesity, Morbid / surgery*
  • Retrospective Studies
  • Triglycerides / blood
  • Young Adult

Substances

  • Biomarkers
  • Blood Glucose
  • Cholesterol, HDL
  • Triglycerides