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The overall aim of the proposed project is to investigate the contribution of changes in neuronal food processing, hypothalamic reactivity and hormonal factors to weight loss after bariatric surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| bariatric surgery participants | participants with obesity planning to undergo bariatric surgery |
| |
| conservative diet participants | participants with obesity planning to controlled conservative behavioral weight loss program |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| bariatric surgery | Procedure | bariatric surgery |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Functional magnetic resonance imaging following intravenous glucose infusion. | Change in responsivity of the hypothalamus (extracted as percent signal change) as the core region of homeostatic control will be assessed after an intravenous glucose infusion (by calculating the area under the curve of hypothalamic responsivity) before and after bariatric surgery or dietary intervention. | 2 weeks before surgery or start of dietary intervention and 2 weeks after surgery or start of dietary intervention. |
| Experimental functional magnetic resonance imaging task (gustatory stimulation). | Neuronal gustatory processing of food stimuli will be assessed (ingestion of sweet liquids using a gustometer) using a general linear model (comparing brain activation during ingestion of sweet liquids with brain activation during the ingestion of water) and within as well as between groups analyses. Changes in neural gustatory processing of food stimuli will be assessed before and after bariatric surgery or dietary intervention. | 2 weeks before surgery or start of dietary intervention and 2 weeks after surgery or start of dietary intervention. |
| Assessment of glucose-induced changes in peripheral ghrelin using blood samples. | Blood is collected to measure the concentration of peripheral ghrelin as an indicator of hormonal satiety signaling. Blood samples are collected at the beginning and end of each experimental session to assess the influence of intravenuous infusion of glucose on ghrelin signaling. Blood samples will be analysed using using commercially available kits (enzyme-linked immunosorbent assay). | 15 minutes before and 15 minutes after functional magnetic resonance imaging |
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| Measure | Description | Time Frame |
|---|---|---|
| Weight change | Change in weight following bariatric surgery or dietary intervention | 12 months |
Inclusion Criteria:
Exclusion Criteria:
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healthy participants with obesity
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Joe J Simon, PD | Contact | ++49(0)6221-56-38667 | joe.simon@med.uni-heidelberg.de |
| Name | Affiliation | Role |
|---|---|---|
| Adrian Billeter, PD, MD | Department of General, Visceral, and Transplantation Surgery, University of Heidelberg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Heidelberg | Recruiting | Heidelberg | Germany |
upon reasonable request
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| ID | Term |
|---|---|
| D009765 | Obesity |
| D015431 | Weight Loss |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D050110 | Bariatric Surgery |
| ID | Term |
|---|---|
| D049088 | Bariatrics |
| D000073319 | Obesity Management |
| D013812 | Therapeutics |
| D013514 | Surgical Procedures, Operative |
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| conservative diet |
| Dietary Supplement |
conservative diet |
|
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001836 | Body Weight Changes |