Impact of Weight Loss Following Bariatric Surgery on Pulmonary Function in Patients With Morbid Obesity
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Purpose
Increase in body mass index (BMI)is associated with a decrease in expiratory flows.Obesity is also associated with an increased prevalence of asthma.Consequences of obesity on respiratory function and on bronchial responsiveness are still to be documented.
This study aims to evaluate, before and after surgery, the impact of a bariatric surgery (biliopancreatic diversion with duodenal switch)on respiratory function in patients with morbid obesity .
Our hypothesis is that weight loss following bariatric surgery will induce significant improvements in pulmonary function and airway responsiveness, and, as a consequence, a reduction in respiratory symptoms,these changes being correlated with a reduction in systemic markers of inflammation. Maintenance of weight loss after one year will permit the persistence of these improvements
| Condition |
|---|
|
Bariatric Surgery Obesity Respiratory Diseases |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Impact of Weight Loss Following Bariatric Surgery on Pulmonary Function in Patients With Morbid Obesity |
serum plasma
| Enrollment: | 60 |
| Study Start Date: | April 2006 |
| Study Completion Date: | May 2011 |
| Primary Completion Date: | January 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
bariatric surgery
patients with morbid obesity undergoing a bariatric surgery
|
|
No bariatric surgery
patients with morbid obesity on a waiting list for a bariatric surgery but who will have their surgery in more than one year.
|
Detailed Description:
Patients will be evaluated before the surgery (time zero), 6 months and one year after their surgery. A control group of patients on a waiting list for bariatric surgery will be evaluated at time zero and after 6 months and one year.
At each visit,patients will:
- fill a standardized respiratory questionnaire and a questionnaire on sleep apnea; questionnaires on asthma control will be completed by patients with asthma.
- have a spirometry, pulmonary volumes measures by body plethysmography and methacholine inhalation test with evaluation of symptoms perception.
- an induced sputum will be performed.
- A blood sample will be drawn to evaluate inflammation and measure C-reactive protein concentration in plasma.
- An allergy skin prick test will be done at time zero.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Subjects on the waiting list for bariatric surgery at Laval Hospital will be offered to participate to the study.
Inclusion Criteria:
- Body mass index >or= 35 kg/m2
- Non-smokers or ex-smokers (<10 packs-year)
Exclusion Criteria:
- Previous bariatric surgery
- previous vagotomy
- no compliance to visits
- subjects unable to provide an informed consent or to understand the questions included in questionnaires
- Patients with cardiac pacemaker
- hemodynamically significant valvulopathy
Contacts and Locations
More Information
No publications provided by Laval University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Louis-Philippe Boulet, MD, FRCPC, FCCP, Laval University |
| ClinicalTrials.gov Identifier: | NCT00532896 History of Changes |
| Other Study ID Numbers: | HL-Ch-BAR-Pneu-20086 |
| Study First Received: | September 19, 2007 |
| Last Updated: | February 20, 2012 |
| Health Authority: | Canada: Canadian Institutes of Health Research |
Additional relevant MeSH terms:
|
Obesity Obesity, Morbid Respiration Disorders Respiratory Tract Diseases Weight Loss Overnutrition |
Nutrition Disorders Overweight Body Weight Signs and Symptoms Body Weight Changes |
ClinicalTrials.gov processed this record on May 16, 2013