TABLE 1.
Discovery and replication participant subset characteristics and winsorized variable means and standard deviations (SD)
Variable | Discovery | Replication | |||||
---|---|---|---|---|---|---|---|
Groups | Surgery (n = 137) | Nonsurgery (n = 66) | All (n = 203) | Surgery (n = 97) | Nonsurgery (n = 78) | All (n = 175) | |
Gender (M) | 20% | 12% | 17% | 12% | 11% | 12% | |
Age (exam 1, y) | 46.4 ± 10.5 | 47.1 ± 11 | 46.6 ± 10.9 | 40.1 ± 10 | 43.9 ± 12.3 | 41.8 ± 11.2 | |
BMI (exam 1, kg/m2) | 46.4 ± 7.1 | 44.6 ± 6.4 | 45.8 ± 6.9 | 46.1 ± 6.4 | 45.3 ± 7.5 | 45.8 ± 6.9 | |
BMI (exam 2, kg/m2; n = 204) | 29.7 ± 5.5 (n = 137) | NA | NA | 34.3 ± 9.1 (n = 67) | NA | NA | |
BMI (exam 4, kg/m2) | 34.6 ± 8.0 | 44.8 ± 7.5 | 37.9 ± 9.1 | 35.0 ± 8.8 | 45.0 ± 8.9 | 39.6 ± 10.2 | |
Diabetes (exam 1, %) | 34 | 38 | 35 | 8 | 32 | 19 | |
Diabetes (exam 4, %) | 17 | 38 | 24 | 7 | 54 | 28 | |
Changes in clinical variables (exam 4‐exam 1) | |||||||
FFM (kg) | M ± SD | −13.4 ± 6.7 | −2.4 ± 6.5 | −9.9 ± 8.4 | −13.5 ± 7.0 | −4.9 ± 7.4 | −9.8 ± 8.4 |
n | 127 | 59 | 186 | 91 | 70 | 161 | |
FM (kg) | M ± SD | −22.2 ± 11.5 | −2.1 ± 10.3 | −15.8 ± 14.5 | −21.0 ± 11.6 | −1.2 ± 10.1 | −12.4 ± 14.7 |
n | 127 | 59 | 186 | 91 | 70 | 161 | |
BMI (kg/m2) | M ± SD | −11.5 ± 5.4 | −0.2 ± 5.6 | −7.8 ± 7.6 | −11.0 ± 5.5 | −0.2 ± 5.3 | −6.2 ± 7.6 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
REE (kcal) | M ± SD | −550 ± 238 | −301 ± 215 | −478 ± 257 | −569 ± 260 | −325 ± 249 | −452 ± 282 |
n | 79 | 32 | 111 | 50 | 46 | 96 | |
AST (U/l) | M ± SD | −0.5 ± 8.1 | −2.4 ± 8.5 | −1.1 ± 8.3 | −0.5 ± 10.0 | −4.0 ± 7.8 | −2.1 ± 9.2 |
n | 136 | 66 | 202 | 96 | 77 | 173 | |
ALT (U/l) | M ± SD | −5.0 ± 11.3 | −2.7 ± 13.1 | −4.3 ± 11.9 | −4.4 ± 15.0 | −5.4 ± 12.8 | −4.8 ± 14.0 |
n | 137 | 66 | 203 | 97 | 77 | 174 | |
Uric acid (mg/dL) | M ± SD | −0.7 ± 1.2 | 0.1 ± 1.3 | −0.4 ± 1.3 | −0.8 ± 1.3 | −0.2 ± 1.2 | −0.6 ± 1.3 |
n | 137 | 65 | 202 | 96 | 77 | 173 | |
SBP (mmHg) | M ± SD | −4.6 ± 19.1 | 9.3 ± 21.5 | −0.1 ± 20.9 | −2.0 ± 21.5 | 8.8 ± 20.3 | 2.8 ± 21.6 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
DBP (mmHg) | M ± SD | −1.4 ± 13.9 | 5.5 ± 14.0 | 0.8 ± 14.3 | 1.1 ± 14.9 | 7.0 ± 14.4 | 3.7 ± 14.9 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
Glucose (mg/dL) | M ± SD | −13.3 ± 20.7 | −2.5 ± 23.9 | −9.8 ± 22.3 | −7.5 ± 14.0 | −1.9 ± 25.9 | −5.0 ± 20.3 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
Insulin (μU/mL) | M ± SD | −10.8 ± 11.8 | −6.7 ± 13.9 | −9.5 ± 12.6 | −11.3 ± 13.0 | −6.2 ± 12.8 | −9.1 ± 13.1 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
HOMA‐IR | M ± SD | −3.1 ± 3.4 | −2.0 ± 4.1 | −2.8 ± 3.7 | −2.9 ± 3.5 | −1.5 ± 3.9 | −2.3 ± 3.7 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
HOMA‐B | M ± SD | −71 ± 147 | −69 ± 177 | −70 ± 157 | −100 ± 179 | −38 ± 166 | −73 ± 175 |
n | 133 | 63 | 196 | 96 | 76 | 172 | |
HbA1c (%) | M ± SD | 0.01 ± 0.93 | 0.25 ± 1.00 | 0.09 ± 0.96 | 0.07 ± 0.76 | 0.44 ± 1.22 | 0.23 ± 1.01 |
n | 136 | 66 | 202 | 97 | 78 | 175 | |
TG (mg/dL) | M ± SD | −70.6 ± 59.8 | −24.8 ± 56.8 | −55.7 ± 62.5 | −73.0 ± 67.3 | −33.9 ± 69.7 | −55.6 ± 70.9 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
LDL‐C (mg/dL) | M ± SD | −2.9 ± 29.5 | 26.4 ± 29.7 | 6.6 ± 32.5 | −3.4 ± 30.6 | 27.8 ± 28.4 | 10.5 ± 33.4 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
HDL‐C (mg/dL) | M ± SD | 13.7 ± 12.6 | 2.2 ± 9.4 | 10.0 ± 12.8 | 15.6 ± 13.8 | 2.3 ± 9.0 | 9.7 ± 13.6 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
FRS (%) | M ± SD | −2.3 ± 3 | −0.8 ± 2 | −1.8 ± 3 | −1.0 ± 2 | −0.8 ± 2 | −0.9 ± 2 |
n | 137 | 66 | 203 | 97 | 78 | 175 | |
DMINC | % | 0 | 0 | 0 | 3 | 21 | 24 |
n | 91 | 41 | 132 | 88 | 51 | 139 | |
DMREM | % | 23 | 0 | 23 | 4 | 5 | 9 |
n | 46 | 25 | 71 | 8 | 25 | 33 |
Exam 1: baseline exam; exam 2: exam at 2 years; exam 4: exam at 12 years. Only 204 of the 234 participants who had gastric bypass surgery had available exam 2 proteomic measurements.
Abbreviations: ALT, alanine aminotransferase; AST, aspartate aminotransferase; DBP, diastolic blood pressure; DMINC, diabetes incidence at 12 years; DMREM, diabetes remission at 12 years; FFM, fat‐free mass; FM, fat mass; FRS, Framingham Risk Score for 10‐year cardiovascular disease incidence; HbA1c, hemoglobin A1c; HDL‐C, high‐density lipoprotein cholesterol; HOMA‐B, homeostatic assessment of insulin secretion; HOMA‐IR, homeostatic assessment of insulin resistance; LDL‐C, low‐density lipoprotein cholesterol; NA, not measured at exam 2; REE, resting energy expenditure; SBP, systolic blood pressure; TG, triglycerides.