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Factors Associated With Cognitive Improvement After Bariatric Surgery Among Patients With Severe Obesity in the Netherlands

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Key Points Question Are changes in adipokines, inflammatory factors, mood, and physical activity associated with cognitive improvement 6 months after bariatric surgery? Findings In this cohort study of 156 participants… Click to show full abstract

Key Points Question Are changes in adipokines, inflammatory factors, mood, and physical activity associated with cognitive improvement 6 months after bariatric surgery? Findings In this cohort study of 156 participants with severe obesity who underwent bariatric surgery, 43.8% of the participants experienced overall cognitive improvement 6 months after surgery. This group had lower C-reactive protein and leptin levels and fewer depressive symptoms 6 months after surgery compared with the group of participants who did not show cognitive improvement. Meaning This study suggests that reduced C-reactive protein and leptin levels, as well as fewer depressive symptoms, might partly explain the mechanisms behind cognitive improvement after bariatric surgery.

Keywords: improvement; associated cognitive; severe obesity; cognitive improvement; bariatric surgery

Journal Title: JAMA Network Open
Year Published: 2023

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