Effect on the lipid parameters of an intervention to reduce weight in overweight and obese patients

Marcos, María Loreto Tárraga; Royo, Josefa María Panisello; Herencia, Julio A. Carbayo; Domenech, Nuria Rosich; Presas, Josep Alins; López, Pedro Juan Tárraga

doi:10.1016/j.artere.2017.01.004

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…In the present study, we have observed a reduction in triglycerides and an increase in HDLc levels in obese subjects who lost weight. These results are in accordance with previous studies reporting decreases in triglyceride levels after dietary treatment (Morel et al., ; Hernández‐Mijares et al., ; Kondo et al., ) and with studies showing that HDLc levels increase with weight loss after dietary therapy (Tárraga Marcos et al., ) or surgery (Sesti, Folli, Perego, Hribal, & Pontiroli, ; Gómez‐Abril et al., ). Furthermore, multiple studies have shown that weight loss produces an improvement in the hydrocarbon profile by reducing circulating levels of glucose, insulin and the HOMA‐IR index (Hermsdorff et al., ; Sesti et al., ), as well as blood pressure (Hermsdorff et al., ; Morel et al., ; Rothberg et al., ).…”

Section: Discussionsupporting

confidence: 92%

Dietary therapy and non‐surgical periodontal treatment in obese patients with chronic periodontitis

Martínez-Herrera

López‐Domènech

Silvestre

et al. 2018

J Clinic Periodontology

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Aim:The effect of dietary weight loss intervention on periodontal therapy is unknown. Therefore, we aimed to evaluate whether weight loss improves the response of obese subjects to non-surgical periodontal treatment. Materials and methods: This interventional study in obese patients was conducted atthe University Hospital Dr. Peset (Valencia, Spain). Patients were divided into two groups with and without dietary therapy. All participants received non-surgical periodontal treatment. Periodontal, anthropometric and biochemical parameters were assessed at baseline and 12 weeks.Results: A total of 78 patients were re-evaluated after intervention. All periodontal parameters improved in both groups after periodontal treatment, but the reductions in mean probing depth (PD) (0.23 mm vs. 0.12 mm) and in percentage of sites with PD 4-5 mm (10.4% vs. 5.89%) were significantly higher in the dietary group. Additionally, complement component 3 (C3) and tumour necrosis factor alpha (TNFα) decreased in the dietary group after intervention. Percentage of change in mean PD correlated with change in C3 (r = 0.233, p = 0.043), and percentage of change in sites with PD 4-5 mm correlated with change in TNFα (r = 0.414, p = 0.012). Conclusions:This study suggests that dietary weight loss intervention causes a greater reduction in systemic inflammation, which may enhance the response to periodontal treatment. K E Y W O R D S diet therapy, non-surgical periodontal treatment, obesity, periodontitis, weight loss | 1449 MARTINEZ-HERRERA ET Al. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Martinez-Herrera M, López-Domènech S, Silvestre FJ, et al. Dietary therapy and nonsurgical periodontal treatment in obese patients with chronic periodontitis.

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Section: Discussionsupporting

confidence: 92%

Dietary therapy and non‐surgical periodontal treatment in obese patients with chronic periodontitis

Martínez-Herrera

López‐Domènech

Silvestre

et al. 2018

J Clinic Periodontology

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“…Of the 103 included studies (Tables 1 and S1), 90 were trials of WLs, 36–125 and 13 were of WLMs 126–138 . Across the studies, there were a total of 36,805 participants, with the sample size of each study ranging from 30 44 to 2,161 participants 93 .…”

Section: Resultsmentioning

confidence: 99%

A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults

et al. 2022

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The extent to which behavioral weight management interventions affect health inequalities is uncertain, as is whether trials of these interventions directly consider inequalities. We conducted a systematic review, synthesizing evidence on how different aspects of inequality impact uptake, adherence, and effectiveness in trials of behavioral weight management interventions. We included (cluster-) randomized controlled trials of primary care-applicable behavioral weight management interventions in adults with overweight or obesity published prior to March 2020. Data about trial uptake, intervention adherence, attrition, and weight change by PROGRESS-Plus criteria (place of residence, race/ethnicity, occupation, gender, religion, education, socioeconomic status, social capital, plus other discriminating factors) were extracted. Data were synthesized narratively and summarized in harvest plots. We identified 91 behavioral weight loss interventions and 12 behavioral weight loss maintenance interventions. Fifty-six of the 103 trials considered inequalities in relation to at least one of intervention or trial uptake (n = 15), intervention adherence (n = 15), trial attrition (n = 32), or weight outcome (n = 34). Most trials found no inequalities gradient. If a gradient was observed for trial uptake, intervention adherence, and trial attrition, those considered "more advantaged" did best. Alternative methods of data synthesis that enable data to be pooled and increase statistical power may enhance understanding of inequalities in behavioral weight management interventions.

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“…One hundred and twenty-four studies provided data on changes in cardiometabolic disease incidence or risk factors and were included here. 16–138…”

Section: Resultsmentioning

confidence: 99%

Long-Term Effect of Weight Regain Following Behavioral Weight Management Programs on Cardiometabolic Disease Incidence and Risk: Systematic Review and Meta-Analysis

Hartmann‐Boyce

Theodoulou

Oke

et al. 2023

Circ: Cardiovascular Quality and Outcomes

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BACKGROUND: Behavioral weight management programs (BWMPs) enhance weight loss in the short term, but longer term cardiometabolic effects are uncertain as weight is commonly regained. We assessed the impact of weight regain after BWMPs on cardiovascular risk factors, diabetes, and cardiovascular disease. METHODS: Trial registries, 11 databases, and forward-citation searching (latest search, December 19) were used to identify articles published in English, from any geographical region. Randomized trials of BWMPs in adults with overweight/obesity reporting cardiometabolic outcomes at ≥12 months at and after program end were included. Differences between more intensive interventions and comparator groups were synthesized using mixed-effects, meta-regression, and time-to-event models to assess the impact of weight regain on cardiovascular disease incidence and risk. RESULTS: One hundred twenty-four trials reporting on ≥1 cardiometabolic outcomes with a median follow-up of 28 (range, 11–360) months after program end were included. Median baseline participant body mass index was 33 kg/m 2 ; median age was 51 years. Eight and 15 study arms (7889 and 4202 participants, respectively) examined the incidence of cardiovascular disease and type 2 diabetes, respectively, with imprecise evidence of a lower incidence for at least 5 years. Weight regain in BWMPs relative to comparators reduced these differences. One and 5 years after program end, total cholesterol/HDL (high-density lipoprotein) ratio was 1.5 points lower at both times (82 studies; 19 003 participants), systolic blood pressure was 1.5 mm mercury and 0.4 mm lower (84 studies; 30 836 participants), and HbA1c (%) 0.38 lower at both times (94 studies; 28 083 participants). Of the included studies, 22% were judged at high risk of bias; removing these did not meaningfully change results. CONCLUSIONS: Despite weight regain, BWMPs reduce cardiometabolic risk factors with effects lasting at least 5 years after program end and dwindling with weight regain. Evidence that they reduce the incidence of cardiovascular disease or diabetes is less certain. Few studies followed participants for ≥5 years. REGISTRATION: URL: https://www.crd.york.ac.uk/PROSPERO/ ; Unique identifier: CRD42018105744.

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Effect on the lipid parameters of an intervention to reduce weight in overweight and obese patients

Cited by 3 publications

References 26 publications

Dietary therapy and non‐surgical periodontal treatment in obese patients with chronic periodontitis

Dietary therapy and non‐surgical periodontal treatment in obese patients with chronic periodontitis

A systematic review of inequalities in the uptake of, adherence to, and effectiveness of behavioral weight management interventions in adults

Long-Term Effect of Weight Regain Following Behavioral Weight Management Programs on Cardiometabolic Disease Incidence and Risk: Systematic Review and Meta-Analysis

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