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Anthropometric and Biochemical Measures in Bariatric Surgery Candidates: What Is the Role of Inflammatory Potential of Diet?

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Abstract

Background

The present study aimed to assess dietary total antioxidant capacity (TAC), dietary phytochemical intake (PI), and dietary inflammatory index (DII) in patients with morbid obesity who are candidates of bariatric surgery and their association with anthropometric and biochemical parameters.

Methods and Materials

One hundred seventy patients with morbid obesity who were referred to surgery clinic of Firoozgar Hospital were enrolled in the study. Ideal body weight and adjusted ideal body weight were calculated. The dietary data were collected using a food frequency questionnaire. Anthropometrics and biochemical parameters were assessed. A p-value of <0.05 was considered significant.

Results

The strongest correlations of DII with dietary intakes and anthropometric and biochemical biomarkers were found for iron (p<0.0001). Significant association was also observed for ferritin (p=0.02) and transferrin (p=0.02). In terms of PI, The strongest associations were also found for iron (p<0.0001). Additionally, the value of body mass index (BMI) showed significant correlation with PI (p=0.04). The correlations of dietary total antioxidant indices with dietary intakes and anthropometric and biochemical biomarkers were assessed. Non-significant correlation was found between fasting blood sugar (FBS), hemoglobin A1C (HbA1C), vitamin B12, and vitamin D3 with ORAC index. Significant strong correlation showed for the value of iron in both ferric reducing ability of plasma (FRAP) and Oxygen Radical Absorbance Capacity (ORAC) indices (p<0.0001).

Conclusion

We find statistical significance correlation for dietary PI and BMI. The inflammatory and antioxidant properties of diet were not related to biochemical markers associated with obesity.

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Acknowledgements

This work would not have been possible without the excellent collaboration between the Departments of Surgery and Research Center for Prevention of Cardiovascular Diseases. The authors wish to expressly thank the patients who participated in this study.

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Authors and Affiliations

  1. Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology & Metabolism, Iran University of Medical Sciences, Tehran, Iran

    Hashem Sezavar & Azadeh Mottaghi

  2. Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montréal, Québec, Canada

    Reyhaneh Yousefi

  3. Montréal Behavioural Medicine Centre, Hôpital du Sacré-Cœur de Montréal, Montréal, Québec, Canada

    Reyhaneh Yousefi

  4. College of Health Solutions, Arizona State University, Phoenix, AZ, 85004, USA

    Mehrnaz Abbasi

  5. Iran University of Medical Sciences, Tehran, Iran

    Saeed Safari

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  1. Hashem Sezavar
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Correspondence to Azadeh Mottaghi.

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The study was conducted according to the Declaration of Helsinki, and study protocol was approved by the ethics committee (IR.IUMS.REC 1396-31585).

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Informed written consents were obtained from all participants.

Conflict of Interest

Dr. Azadeh Mottaghi reports grant during the conduct of the study. All other authors report no conflict of interest.

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Sezavar, H., Yousefi, R., Abbasi, M. et al. Anthropometric and Biochemical Measures in Bariatric Surgery Candidates: What Is the Role of Inflammatory Potential of Diet?. OBES SURG 31, 3097–3108 (2021). https://doi.org/10.1007/s11695-021-05345-6

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