title: Lipids and bariatric procedures Part 2 of 2: scientific statement from the American Society for Metabolic and Bariatric Surgery (ASMBS), the National Lipid Association (NLA), and Obesity Medicine Association (OMA).
abstract: Bariatric procedures generally improve dyslipidemia, sometimes substantially so. Bariatric procedures also improve other major cardiovascular risk factors. This 2-part Scientific Statement examines the lipid effects of bariatric procedures and reflects contributions from authors representing the American Society for Metabolic and Bariatric Surgery (ASMBS), the National Lipid Association (NLA), and the Obesity Medicine Association (OMA). Part 1 was published in the Journal of Clinical Lipidology, and reviewed the impact of bariatric procedures upon adipose tissue endocrine and immune factors, adipose tissue lipid metabolism, as well as the lipid effects of bariatric procedures relative to bile acids and intestinal microbiota. This Part 2 reviews: (1) the importance of nutrients (fats, carbohydrates, and proteins) and their absorption on lipid levels; (2) the effects of bariatric procedures on gut hormones and lipid levels; (3) the effects of bariatric procedures on nonlipid cardiovascular disease (CVD) risk factors; (4) the effects of bariatric procedures on lipid levels; (5) effects of bariatric procedures on CVD; and finally, (6) the potential lipid effects of vitamin, mineral, and trace element deficiencies, that may occur after bariatric procedures.
authors.affiliation: Louisville Metabolic and Atherosclerosis Research Center, Louisville, Kentucky.
authors.forename: Harold
authors.initials: H
authors.lastname: Bays
authors.affiliation: Department of General Surgery, Gundersen Health System, La Crosse, Wisconsin. Electronic address: snkothar@gundersenhealth.org.
authors.forename: Shanu N
authors.initials: SN
authors.lastname: Kothari
authors.affiliation: Department of Surgery, Stanford University School of Medicine, Palo Alto, California.
authors.forename: Dan E
authors.initials: DE
authors.lastname: Azagury
authors.affiliation: Department of Surgery, Stanford University School of Medicine, Palo Alto, California.
authors.forename: John M
authors.initials: JM
authors.lastname: Morton
authors.affiliation: Department of Surgery, University of California Irvine Medical Center, Orange, California.
authors.forename: Ninh T
authors.initials: NT
authors.lastname: Nguyen
authors.affiliation: Methodist DeBakey Heart and Vascular Center, Baylor College of Medicine, Houston, Texas.
authors.forename: Peter H
authors.initials: PH
authors.lastname: Jones
authors.affiliation: Department of Medicine, Emory University, Atlanta, Georgia.
authors.forename: Terry A
authors.initials: TA
authors.lastname: Jacobson
authors.affiliation: Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
authors.forename: David E
authors.initials: DE
authors.lastname: Cohen
authors.affiliation: University of Miami Hospital, Miami, Florida.
authors.forename: Carl
authors.initials: C
authors.lastname: Orringer
authors.affiliation: Duke University Health System, Durham, North Carolina.
authors.forename: Eric C
authors.initials: EC
authors.lastname: Westman
authors.affiliation: University of Texas Medical School, Houston, Texas.
authors.forename: Deborah B
authors.initials: DB
authors.lastname: Horn
authors.affiliation: Medical Weight Loss of New York, Fayetteville, New York.
authors.forename: Wendy
authors.initials: W
authors.lastname: Scinta
authors.affiliation: Scottsdale Weight Loss, Scottsdale, Arizona.
authors.forename: Craig
authors.initials: C
authors.lastname: Primack
mesh_terms: D050110:Bariatric Surgery; D002318:Cardiovascular Diseases / Q000209:etiology / Q000503:physiopathology; D003677:Deficiency Diseases / Q000209:etiology / Q000503:physiopathology; D050171:Dyslipidemias / Q000503:physiopathology* / Q000601:surgery*; D006801:Humans; D050356:Lipid Metabolism / Q000502:physiology; D009765:Obesity / Q000150:complications / Q000503:physiopathology* / Q000601:surgery*
keywords: Adiposopathy; Bariatric procedures; Bariatric surgery; Cardiovascular disease; Cholesterol; Dyslipidemia; Gastrointestinal hormones; Micronutrients; Nutrition; Obesity; Vitamins