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Bariatric surgery may turn back the effects of aging
Surgical weight loss may turn back the effects of aging at a genetic level, according to researchers from Stanford University. Researchers discovered after gastric bypass, certain patients' telomeres actually became longer. Preoperative patients with high levels of LDL cholesterol, and high levels of inflammation (CRP), not only saw these levels drop within a year of surgery, they also experienced significant lengthening of their telomeres, when compared to patients with initial low LDL and CRP levels.
The research was presented at the 30th Annual Meeting for the American Society for Metabolic and Bariatric Surgery (ASMBS) during ObesityWeek 2013, the largest international event focused on the basic science, clinical application and prevention and treatment of obesity. The event was hosted by the ASMBS and The Obesity Society (TOS).
“Obesity has an adverse effect on health, causes pre-mature aging and reduces life expectancy. This is the first study to show that surgical weight loss may be able to reverse the effects,” said study co-author Dr John M Morton, Chief of Bariatric Surgery at Stanford University Medical Center and President-Elect of the ASMBS. “If your telomeres get longer, you’re likely to reverse the effects of aging and have a lower risk of developing a wide range of age-related diseases such as type 2 diabetes, heart and respiratory diseases, and certain types of cancer.”
Researchers reviewed genetic data of 51 patients before and after gastric bypass surgery. Most study subjects were women (76.5%), about 49 years old, with an average body mass index (BMI) of 44.3. On average, patients lost 71 percent of their excess weight and saw their C-reactive protein (CRP) level, a measure of inflammation, drop by more than 60 percent (8.3 to 3.6) and experienced a four-fold decline in their fasting insulin (24 to 6), within 12 months of surgery.
These findings are consistent with previous studies on bariatric surgery, but researchers went further. For the first time, they measured the length of each patient's telomeres before and after surgical weight loss. Telomeres are genetic biomarkers that play an important role in cellular aging and in the development of disease. As people age or have chronic disease, their telomeres become shorter.
In the high preoperative CRP group, there was a significant positive correlation between weight loss and telomere length and in the high preoperative LDL group, increases in HDL, the so called “good cholesterol,” were associated with increases in telomere length. Researchers measured telomere length using laboratory blood testing that targets and measures specific DNA sequences.
"All the patients lost weight and showed big improvements in cardiac health," added Morton. "But those who had very high inflammation and bad cholesterol before surgery were found to have longer telomeres following surgery, when inflammation and bad cholesterol went down. And the lengthening wasn't so subtle. We're talking about real, significant improvements. What this suggests is that some bariatric surgery patients are metabolically receptive to positive change that can improve markers for aging at a genetic level."
Researchers say further studies are needed to confirm the direct effects of telomere length on health outcomes.
To access the posters and abstracts from Obesity Week, please click here