Skip to main content

Advertisement

Log in

Impact of bariatric surgery on circulating irisin levels: a systematic review and meta‑analysis

  • Original Article
  • Published:
Updates in Surgery Aims and scope Submit manuscript

Abstract

This systematic review and meta-analysis evaluated changes in circulating irisin levels after bariatric surgery. A systematic search was performed across Embase, Scopus, PubMed, and Web of Science for this study. The meta-analysis was conducted using Comprehensive Meta-Analysis (CMA) V4 software. The overall effect size was depicted through a random-effects meta-analysis and the leave-one-out method. The meta-analysis, which included 13 studies with a total of 407 participants, showed a statistically non-significant reduction in circulating irisin levels following bariatric surgery (SMD:  – 0.089, 95% CI  – 0.281, 0.102, 95% PI:  – 0.790, 0.611, p = 0.360; I2:70.56). Our research found no significant change in irisin levels after bariatric surgery. Moreover, these findings were not associated with the type of surgery or the duration of follow-up.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Worldwide trends in body-mass index (2017) underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet 390(10113):2627–2642

    Article  Google Scholar 

  2. Al Zein M, Zein O, Diab R, Dimachkie L, Sahebkar A, Al-Asmakh M et al (2023) Intermittent fasting favorably modulates adipokines and potentially attenuates atherosclerosis. Biochem Pharmacol 218:115876

    Article  CAS  PubMed  Google Scholar 

  3. Di Lorenzo N, Antoniou SA, Batterham RL, Busetto L, Godoroja D, Iossa A et al (2020) Clinical practice guidelines of the European Association for Endoscopic Surgery (EAES) on bariatric surgery: update 2020 endorsed by IFSO-EC. EASO and ESPCOP Surg Endosc 34(6):2332–2358

    Article  PubMed  Google Scholar 

  4. Adams TD, Davidson LE, Litwin SE, Kim J, Kolotkin RL, Nanjee MN et al (2017) Weight and metabolic outcomes 12 years after gastric bypass. N Engl J Med 377(12):1143–1155

    Article  PubMed  PubMed Central  Google Scholar 

  5. Jamialahamdi T, Mirhadi E, Atkin SL, le Roux CW, Kroh M, Almahmeed W et al (2023) Effect of bariatric surgery on serum amyloid a protein: a systematic review and meta-analysis. Obes Surg 33(11):3602–3610

    Article  PubMed  Google Scholar 

  6. Jamialahmadi T, Reiner Z, Alidadi M, Almahmeed W, Kesharwani P, Al-Rasadi K et al (2022) Effect of bariatric surgery on intima media thickness: a systematic review and meta-analysis. J Clin Med. 11(20):6056

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Jamialahmadi T, Abbasifard M, Reiner Ž, Kesharwani P, Sahebkar A (2022) The effect of bariatric surgery on circulating levels of monocyte chemoattractant protein-1: a systematic review and meta-analysis. J Clin Med. 11(23):7021

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Jamialahmadi T, Alidadi M, Atkin SL, Kroh M, Almahmeed W, Moallem SA et al (2022) Effect of bariatric surgery on flow-mediated vasodilation as a measure of endothelial function: a systematic review and meta-analysis. J Clin Med. 11(14):4054

    Article  PubMed  PubMed Central  Google Scholar 

  9. Jamialahmadi T, Banach M, Almahmeed W, Kesharwani P, Sahebkar A (2022) Impact of bariatric surgery on circulating PCSK9 levels as a marker of cardiovascular disease risk: a meta-analysis. Arch Med Sci 18(5):1372–1377

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Jamialahmadi T, Reiner Ž, Alidadi M, Kroh M, Almahmeed W, Ruscica M et al (2022) the effect of bariatric surgery on circulating levels of lipoprotein (a): a meta-analysis. BioMed Res Inter. https://doi.org/10.1155/2022/8435133

    Article  Google Scholar 

  11. Jamialahmadi T, Reiner Ž, Alidadi M, Kroh M, Cardenia V, Xu S et al (2021) The effect of bariatric surgery on circulating levels of oxidized low-density lipoproteins is apparently independent of changes in body mass index: a systematic review and meta-analysis. Oxid Med Cell Long. https://doi.org/10.1155/2021/4136071

    Article  Google Scholar 

  12. Jamialahmadi T, Reiner Ž, Alidadi M, Kroh M, Simental-Mendia LE, Pirro M et al (2021) Impact of bariatric surgery on pulse wave velocity as a measure of arterial stiffness: a systematic review and meta-analysis. Obes Surg 31(10):4461–4469

    Article  PubMed  Google Scholar 

  13. Nabavi N, Ghodsi A, Rostami R, Torshizian A, Jamialahmadi T, Jangjoo A et al (2022) Impact of bariatric surgery on carotid intima-media thickness in patients with morbid obesity: a prospective study and review of the literature. Obes Surg 32(5):1563–1569

    Article  PubMed  Google Scholar 

  14. Norouzian Ostad A, Rajabzadeh F, Jamialahmadi T, Goshayeshi L, Ranjbar G, Rezvani R et al (2023) Impact of gastric bypass surgery on the liver fibrosis of patients with extreme obesity and nonalcoholic fatty liver disease in 30-month follow-up. Updat Surg 75(3):659–669

    Article  Google Scholar 

  15. Yin M, Wang Y, Han M, Liang R, Li S, Wang G et al (2023) Mechanisms of bariatric surgery for weight loss and diabetes remission. J Diabetes 15(9):736–752

    Article  PubMed  PubMed Central  Google Scholar 

  16. Bostrom P, Wu J, Jedrychowski MP, Korde A, Ye L, Lo JC et al (2012) A PGC1-alpha-dependent myokine that drives brown-fat-like development of white fat and thermogenesis. Nature 481(7382):463–468

    Article  PubMed  PubMed Central  Google Scholar 

  17. Panati K, Suneetha Y, Narala VR (2016) Irisin/FNDC5–An updated review. Eur Rev Med Pharmacol Sci 20(4):689–697

    CAS  PubMed  Google Scholar 

  18. Gluck M, Gluck J, Wiewiora M, Rogala B, Piecuch J (2019) Serum irisin, adropin, and preptin in obese patients 6 months after bariatric surgery. Obes Surg 29(10):3334–3341

    Article  CAS  PubMed  Google Scholar 

  19. Bidares M, Safari-Kish B, Abedi M, Malekzadeh-Shoushtari H, Jasemnezhad M, Azarbayejani N et al (2023) The effect of bariatric surgery on irisin level: a systematic review and meta-analysis. Obes Surg 33(10):3256–3265

    Article  PubMed  Google Scholar 

  20. Shantavasinkul PC, Omotosho P, Corsino L, Muehlbauer MJ, Chattranukulchai P, Torquati A (2022) Changes of circulating irisin and high-sensitivity c-reactive protein levels in morbidly obese individuals with Type 2 diabetes after Roux-en-Y gastric bypass. J Laparoendosc Adv Surg Tech A 32(8):817–822

    Article  PubMed  PubMed Central  Google Scholar 

  21. Jamal MH, Abu-Farha M, Al-Khaledi G, Al-Sabah S, Ali H, Cherian P et al (2020) Effect of sleeve gastrectomy on the expression of meteorin-like (METRNL) and Irisin (FNDC5) in muscle and brown adipose tissue and its impact on uncoupling proteins in diet-induced obesity rats. Surg Obes Relat Dis 16(12):1910–1918

    Article  PubMed  Google Scholar 

  22. Sajoux I, Lorenzo PM, Gomez-Arbelaez D, Zulet MA, Abete I, Castro AI et al (2019) Effect of a very-low-calorie ketogenic diet on circulating myokine levels compared with the effect of bariatric surgery or a low-calorie diet in patients with obesity. Nutrients. 11(10):2368

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Lu C, Li Z, Yang J, Feng L, Wang C, Shi Q (2020) Variations in irisin, bone mineral density, bone mineral content, and body composition after laparoscopic bariatric procedures in obese adults. J Clin Densitom 23(2):244–253

    Article  PubMed  Google Scholar 

  24. Majorczyk M, Staszkiewicz M, Szklarczyk J, Major P, Pisarska M, Wysocki M et al (2019) The influence of bariatric surgery on serum levels of irisin and nesfatin-1. Acta Chir Belg 119(6):363–369

    Article  PubMed  Google Scholar 

  25. Bidares M, Safari-Kish B, Azizi-Soleiman F (2023) Response to letter to the editor: The effect of bariatric surgery on irisin level: a systematic review and meta-analysis. Obes Surg 33(11):3676–3677

    Article  PubMed  Google Scholar 

  26. Ozden F (2023) Letter to the editor: the effect of bariatric surgery on irisin level: a systematic review and meta-analysis. Obes Surg 33(11):3674–3675

    Article  PubMed  Google Scholar 

  27. Higgins JP (2008) Cochrane handbook for systematic reviews of interventions version 5.0. 1. The Cochrane Collaboration

  28. Wells GA, Shea B, O’Connell Da, Peterson J, Welch V, Losos M, et al (2000) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Oxford

  29. Borenstein M (2022) Comprehensive meta‐analysis software. Systematic reviews in health research: meta‐analysis in context. 535–548

  30. Sutton AJ, Abrams KR, Jones DR, Jones DR, Sheldon TA, Song F (2000) Methods for meta-analysis in medical research: Wiley Chichester

  31. Hozo SP, Djulbegovic B, Hozo I (2005) Estimating the mean and variance from the median, range, and the size of a sample. BMC Med Res Methodol 5(1):1–10

    Article  Google Scholar 

  32. Duval S, Tweedie R (2000) Trim and fill: a simple funnel-plot–based method of testing and adjusting for publication bias in meta-analysis. Biometrics 56(2):455–463

    Article  CAS  PubMed  Google Scholar 

  33. Carmona-Maurici J, Rosa A, Azcona-Granada N, Peña E, Ricart-Jané D, Viñas A et al (2023) Irisin as a novel biomarker of subclinical atherosclerosis in severe obesity. Int J Mol Sci 24(9):8171

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Yin J, Yang S, Zha X, Miao Z, Sheng C, Yang P et al (2023) The association of serum irisin with impaired glucose before and after laparoscopic sleeve gastrectomy in obesity. Obes Surg. https://doi.org/10.1007/s11695-022-06426-w

    Article  PubMed  Google Scholar 

  35. Shantavasinkul PC, Omotosho P, Corsino L, Muehlbauer MJ, Chattranukulchai P, Torquati A (2022) Changes of circulating irisin and high-sensitivity c-reactive protein levels in morbidly obese individuals with type 2 diabetes after Roux-en-Y gastric bypass. J Laparoendosc Adv Surg Tech 32(8):817–822

    Article  Google Scholar 

  36. Jamal MH, AlOtaibi F, Dsouza C, Al-Sabah S, Al-Khaledi G, Al-Ali W et al (2022) Changes in the expression of meteorin-like (METRNL), irisin (FNDC5), and uncoupling proteins (UCPs) after bariatric surgery. Obesity 30(8):1629–1638

    Article  CAS  PubMed  Google Scholar 

  37. Sajoux I, Lorenzo PM, Gomez-Arbelaez D, Zulet MA, Abete I, Castro AI et al (2019) Effect of a very-low-calorie ketogenic diet on circulating myokine levels compared with the effect of bariatric surgery or a low-calorie diet in patients with obesity. Nutrients 11(10):2368

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Lee YJ, Heo Y, Choi J-H, Park S, Kim KK, Shin DW et al (2019) Association of circulating irisin concentrations with weight loss after Roux-en-Y gastric bypass surgery. Int J Environ Res Public Health 16(4):660

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  39. Kumar S, Hossain J, Inge T, Balagopal PB (2019) Changes in myokines in youths with severe obesity following Roux-en-Y gastric bypass surgery. JAMA Surg 154(7):668–669

    Article  PubMed  PubMed Central  Google Scholar 

  40. Glück M, Glück J, Wiewióra M, Rogala B, Piecuch J (2019) Serum irisin, adropin, and preptin in obese patients 6 months after bariatric surgery. Obes Surg 29:3334–3341

    Article  PubMed  Google Scholar 

  41. Demirpence M, Yilmaz H, Colak A, Yalcin H, Toprak B, Turkon H et al (2016) The effect of sleeve gastrectomy on serum irisin levels in patients with morbid obesity. Endokrynol Pol 67(5):481–486

    Article  CAS  PubMed  Google Scholar 

  42. Gutierrez-Repiso C, Garcia-Serrano S, Rodriguez-Pacheco F, Garcia-Escobar E, Haro-Mora JJ, Garcia-Arnes J et al (2014) FNDC 5 could be regulated by leptin in adipose tissue. Eur J Clin Invest 44(10):918–925

    Article  CAS  PubMed  Google Scholar 

  43. Huh JY, Panagiotou G, Mougios V, Brinkoetter M, Vamvini MT, Schneider BE et al (2012) FNDC5 and irisin in humans: I. Predictors of circulating concentrations in serum and plasma and II. mRNA expression and circulating concentrations in response to weight loss and exercise. Metabolism. 61(12):1725–1738

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. Arhire LI, Mihalache L, Covasa M (2019) Irisin: a hope in understanding and managing obesity and metabolic syndrome. Front Endocrinol 10:524

    Article  Google Scholar 

  45. Jandova T, Buendía-Romero A, Polanska H, Hola V, Rihova M, Vetrovsky T et al (2021) Long-term effect of exercise on Irisin blood levels—systematic review and meta-analysis. Healthcare. https://doi.org/10.3390/healthcare9111438

    Article  PubMed  PubMed Central  Google Scholar 

  46. Boström P, Wu J, Jedrychowski MP, Korde A, Ye L, Lo JC et al (2012) A PGC1-α-dependent myokine that drives brown-fat-like development of white fat and thermogenesis. Nature 481(7382):463–468

    Article  PubMed  PubMed Central  Google Scholar 

  47. Yasari S, Wang D, Prud’homme D, Jankowski M, Gutkowska J, Lavoie J-M (2009) Exercise training decreases plasma leptin levels and thexpression of hepatic leptin receptor-a,-b, and,-e in rats. Mol Cell Biochem. 324:13–20

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Amirhossein Sahebkar.

Ethics declarations

Conflict of interest

None.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study formal consent is not required.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jamialahamdi, T., Mirhadi, E., Almahmeed, W. et al. Impact of bariatric surgery on circulating irisin levels: a systematic review and meta‑analysis. Updates Surg (2024). https://doi.org/10.1007/s13304-024-01866-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s13304-024-01866-8

Keywords

Navigation