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CompletedNCT02811393FUBAUpdated Mar 6, 2019

Muscle Assessment in Women Who Have Undergone Roux-en-Y Gastric Bypass Surgery

An observational study in Muscle Function, Handgrip Strength Test, sponsored by University of Chile. Completed at 1 site in Chile. Open to female participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-03-06.

Sponsored by University of Chile · Observational

Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
26
Ages
18 Years to 70 Years
Sex
Female
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Study summary

The purpose of this study is to assess muscle function in women at least two years after being submitted to Roux-en-Y Gastric Bypass Surgery and compare with a control group

Read the detailed description

Obesity is a public health problem globally. According to the World Health Organization (WHO) estimated are 600 million obese worldwide and according to National Health Survey 2010 in Chile 67% of the population suffers from some degree of overweight having approximately 300,000 morbidly obese.

The first-line treatment for obesity is diet, exercise and cognitive behavioral therapy, however, these interventions are not effective enough to control long-term obesity, and so bariatric surgery is currently the treatment of choice to control morbid obesity.

Overall, after bariatric surgery, most patients lose on average 60% of excess weight and improve their comorbidities during the first postoperative year, however, the long term effects of this weight reduction are not known in detail regarding body composition and muscle function.

The aim of this study is to assess muscle function measured by hand grip strength test in women at least 2 years after bariatric surgery (Roux-en-Y Gastric Bypass) and to compare with control group.

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Conditions studied

  • Muscle Function, Handgrip Strength Test

Keywords

  • Bariatric surgery, sarcopenia
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In context

Lead sponsor

University of Chile is the lead sponsor of 191 studies on the registry; 36 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Two groups of study subjects: bariatric surgery group (case group) and nonoperated group (control group)

The case group will be composed of women that were operated two or more years ago of Roux-en-Y Gastric Bypass Surgery, with a 50% or less weight regain.

The control group will be composed of subjects with no history of bariatric surgery and match with the surgical group by gender, age, body mass index (BMI) and physical activity

Control group will be selected form people who work or study in Faculty of Medicine, University of Chile and case group will be selected from former patients evaluated at Nutrition Department of the University of Chile.

Inclusion criteria

Case group: women, 18-70 y, submitted to a Roux-en-Y Gastric Bypass Surgery at least two years ago

Exclusion criteria

Exclusion Criteria:

  • osteoarthritis of hands and knees, any osteoarticular, rheumatologic or neurological disease hindering the performance of the tests of muscle function; type 2 diabetes mellitus; acute infectious diseases; use of muscle relaxants; physical and intellectual disabilities and uncontrolled hypothyroidism.
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Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
26 participants (actual)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Bariatric surgery

    Women who have been submitted to a Roux-en-Y Gastric Bypass Surgery for at least 2 years

    Other: Assess muscle function

  • Unoperated

    Women with similar characteristics to control group (age, body mass index, physical activity level), but they have not been submitted to bariatric surgery

    Other: Assess muscle function

Interventions

  • OtherAssess muscle function

    Assess muscle function with hand grip test and sit and stand test

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What researchers measure

Primary outcomes

  1. Handgrip strength

    Assess handgrip test with a "Jamar®" hydraulic hand dynamometer

    Time frame: One time (initial assesment)

Secondary outcomes

  1. Sit and stand

    Number of repetitions of sit ups within 30 seconds

    Time frame: One time (initial assesment)

  2. Physical Activity Level

    Assessment with International Physical Activity Questionnaires (IPAQ)

    Time frame: One time (initial assesment)

Other outcomes

  1. Nutritional status of some vitamins and minerals

    Some vitamins and minerals related to muscle function will be measured in plasma or serum.

    Time frame: One time (initial assesment)

  2. Body composition

    Fat free mass is determined with a whole body Dual-energy X-ray Absorptiometry (DXA) scan

    Time frame: One time (initial assesment)

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Study locations

1 site
  • University of Chile
    Santiago, Metropolitana, Chile
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References and documents

Publications

  • Sjostrom L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, Dahlgren S, Larsson B, Narbro K, Sjostrom CD, Sullivan M, Wedel H; Swedish Obese Subjects Study Scientific Group. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med. 2004 Dec 23;351(26):2683-93. doi: 10.1056/NEJMoa035622. PubMed 15616203 ↗
  • Chaston TB, Dixon JB, O'Brien PE. Changes in fat-free mass during significant weight loss: a systematic review. Int J Obes (Lond). 2007 May;31(5):743-50. doi: 10.1038/sj.ijo.0803483. Epub 2006 Oct 31. PubMed 17075583 ↗
  • Prado CM, Cushen SJ, Orsso CE, Ryan AM. Sarcopenia and cachexia in the era of obesity: clinical and nutritional impact. Proc Nutr Soc. 2016 May;75(2):188-98. doi: 10.1017/S0029665115004279. Epub 2016 Jan 8. PubMed 26743210 ↗
  • Gasteyger C, Suter M, Calmes JM, Gaillard RC, Giusti V. Changes in body composition, metabolic profile and nutritional status 24 months after gastric banding. Obes Surg. 2006 Mar;16(3):243-50. doi: 10.1381/096089206776116381. PubMed 16545153 ↗
  • Carrasco F, Papapietro K, Csendes A, Salazar G, Echenique C, Lisboa C, Diaz E, Rojas J. Changes in resting energy expenditure and body composition after weight loss following Roux-en-Y gastric bypass. Obes Surg. 2007 May;17(5):608-16. doi: 10.1007/s11695-007-9117-z. Erratum In: Obes Surg. 2007 Jul;17(7):996. PubMed 17658019 ↗
  • Carrasco F, Ruz M, Rojas P, Csendes A, Rebolledo A, Codoceo J, Inostroza J, Basfi-Fer K, Papapietro K, Rojas J, Pizarro F, Olivares M. Changes in bone mineral density, body composition and adiponectin levels in morbidly obese patients after bariatric surgery. Obes Surg. 2009 Jan;19(1):41-6. doi: 10.1007/s11695-008-9638-0. Epub 2008 Aug 6. PubMed 18683014 ↗
  • Vaurs C, Dimeglio C, Charras L, Anduze Y, Chalret du Rieu M, Ritz P. Determinants of changes in muscle mass after bariatric surgery. Diabetes Metab. 2015 Nov;41(5):416-21. doi: 10.1016/j.diabet.2015.04.003. Epub 2015 May 26. PubMed 26022386 ↗
  • Moize V, Andreu A, Rodriguez L, Flores L, Ibarzabal A, Lacy A, Jimenez A, Vidal J. Protein intake and lean tissue mass retention following bariatric surgery. Clin Nutr. 2013 Aug;32(4):550-5. doi: 10.1016/j.clnu.2012.11.007. Epub 2012 Nov 14. PubMed 23200926 ↗
  • Ceglia L, Harris SS. Vitamin D and its role in skeletal muscle. Calcif Tissue Int. 2013 Feb;92(2):151-62. doi: 10.1007/s00223-012-9645-y. Epub 2012 Sep 12. PubMed 22968766 ↗
  • Aleman-Mateo H, Lopez Teros MT, Ramirez FA, Astiazaran-Garcia H. Association between insulin resistance and low relative appendicular skeletal muscle mass: evidence from a cohort study in community-dwelling older men and women participants. J Gerontol A Biol Sci Med Sci. 2014 Jul;69(7):871-7. doi: 10.1093/gerona/glt193. Epub 2013 Dec 10. PubMed 24325896 ↗
  • Norman K, Stobaus N, Gonzalez MC, Schulzke JD, Pirlich M. Hand grip strength: outcome predictor and marker of nutritional status. Clin Nutr. 2011 Apr;30(2):135-42. doi: 10.1016/j.clnu.2010.09.010. Epub 2010 Oct 30. PubMed 21035927 ↗
  • Bohannon RW, Bubela DJ, Magasi SR, Wang YC, Gershon RC. Sit-to-stand test: Performance and determinants across the age-span. Isokinet Exerc Sci. 2010;18(4):235-240. doi: 10.3233/IES-2010-0389. PubMed 25598584 ↗

Study documents

  • Statistical analysis plan · Mar 4, 2019

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02811393
Lead sponsor
University of Chile
Collaborators
Asociación Chilena de Nutrición Clínica, Obesidad y Metabolismo
Responsible party
Pamela Rojas (Assistant professor, University of Chile) — Principal investigator
First posted
Jun 23, 2016
Start date
Jun 2016
Primary completion
Dec 2018
Completion
Jan 2019
Last update
Mar 6, 2019

Study contacts

Andres F Sanchez, MD, MSc
principal investigator · University of Chile
Pamela A Rojas, MD, MSc
study director · University of Chile

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2019. You cannot join it, but the record below documents what was studied.

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