title: [CUN-BAE formula and biochemical factors as predictive markers of obesity and cardiovascular disease in patients before and after sleeve gastrectomy].
abstract: BACKGROUND
  Body Mass Index (BMI) is one of the most used parameters in bariatric surgery. However, it does not discriminate the weight associated with adiposity. CUN-BAE formula is an equation that calculates Body Fat Percentage or adiposity, based on easily available values (age, sex and BMI). With this new classification many of the subjects that was considered normal weight or overweight (BMI ≤30 kg/m2) really have a higher adiposity and they have comorbidities associated with obesity. The objective of this study is to evaluate the adiposity by formula CUN-BAE as a predictive marker of cardiovascular risk in morbidly obese patients before and after sleeve gastrectomy.
  
  
  METHODS
  We performed a retrospective observational study of women that were intervened with sleeve gastrectomy, between 2007 and 2012 at the Universitary General Hospital of Elche. The adiposity was calculated by formula CUN-BAE preoperatively and 12 months after surgery. These values were correlated with different metabolic and cardiovascular risk parameters.
  
  
  RESULTS
  50 women were studied. Preoperatively, the mean BMI was 50.4 ± 7 kg/m2 and adiposity 54.8 ± 3%. One year after surgery, the mean BMI was 27.7 ± 3 and adiposity 39.4 ± 4%. The adiposity was significantly correlated with 3 biochemical factors associated with increased cardiovascular risk (cortisol, vitamin D and ratio TG/HDL).
  
  
  CONCLUSIONS
  Adiposity, according to the formula CUNBAE, and biochemical analysis of predictive factors of obesity together represent useful tools for assessing the risk of cardiovascular disease after sleeve gastrectomy.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Unidad de Cirugía Bariátrica y Metabólica. Hospital General Universitario de Elche. Elche. España.. loreazubiaga@gmail.com.
authors.forename: Lorea
authors.initials: L
authors.lastname: Zubiaga Toro
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Unidad de Cirugía Bariátrica y Metabólica. Hospital General Universitario de Elche. Elche. España.. jruiztovar@gmail.com.
authors.forename: Jaime
authors.initials: J
authors.lastname: Ruiz-Tovar Polo
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Unidad de Cirugía Bariátrica y Metabólica. Hospital General Universitario de Elche. Elche. España.. maria.diez2@aol.com.
authors.forename: María
authors.initials: M
authors.lastname: Díez-Tabernilla
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Unidad de Cirugía Bariátrica y Metabólica. Hospital General Universitario de Elche. Elche. España.. lorenaginer87@gmail.com.
authors.forename: Lorena
authors.initials: L
authors.lastname: Giner Bernal
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Unidad de Cirugía Bariátrica y Metabólica. Hospital General Universitario de Elche. Elche. España.. antonio.arroyo1@aol.com.
authors.forename: Antonio
authors.initials: A
authors.lastname: Arroyo Sebastián
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Unidad de Cirugía Bariátrica y Metabólica. Hospital General Universitario de Elche. Elche. España.. rafaelcalpena@yahoo.es.
authors.forename: Rafael
authors.initials: R
authors.lastname: Calpena Rico
mesh_terms: D050154:Adiposity; D000328:Adult; D015992:Body Mass Index; D002318:Cardiovascular Diseases / Q000150:complications / Q000378:metabolism*; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D055641:Mathematical Concepts; D009767:Obesity, Morbid / Q000150:complications / Q000378:metabolism* / Q000601:surgery*; D011237:Predictive Value of Tests; D057234:Preoperative Period; D012189:Retrospective Studies; D012307:Risk Factors