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| Name | Class |
|---|---|
| American Society for Metabolic and Bariatric Surgery | OTHER |
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In the proposed study, the investigators will explore three specific aims. First, the investigators will examine cross-sectionally the association of obesity on sympathetic, parasympathetic, and sympathetic/ parasympathetic nerve fiber balance. In addition, the investigators will determine the relationship of the ANS and osteocalcin. Osteocalcin will be measured before and after a mixed meal tolerance test.
In the second specific aim, the investigators will prospectively follow-up these individuals (n=30) following bariatric surgery. The effect of weight loss on measures of the ANS and osteocalcin will be examined 6 months following surgery with participants serving as their own control, pre- and post-surgical intervention.
Thirdly, the investigators will address whether the effect of weight loss on the ANS and osteocalcin differ between those who had a history of diabetes at baseline versus those with no history of diabetes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No treatment | Observing individuals pre and post bariatric surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational study - there is no intervention | Other | Observational study - there is no intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| To determine the association of obesity on sympathetic, parasympathetic, and sympathetic/parasympathetic nerve fiber balance and to determine the relationship of the ANS and osteocalcin. | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| To determine the effect of weight loss on measures of the ANS and determinants of insulin sensitivity (e.g., osteocalcin) 6 months following surgery with participants serving as their own control, pre- and post-surgical intervention. | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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Individuals having bariatric surgery
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| Name | Affiliation | Role |
|---|---|---|
| M James Lenhard, MD | Christiana Care Health Services | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Christiana Care Health Services | Newark | Delaware | 19713 | United States |
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Serum, plasma, urine