Evidence map›Paper›PMID 41703971›Full record

Trial reportObesity (Silver Spring, Md.)2026

Bone Health After Metabolic and Bariatric Surgery: Osteometabolism Biomarkers, Bone Mineral Density, and Microarchitecture.

Camila Medeiros de Almeida, Karynne Grutter Lopes, Michelle da Costa Tavares Bezerra, Paulo Roberto Falcão Leal, Eliete Bouskela, Eduardo Medeiros Ferreira da Gama, Maria Lucia Fleiuss de Farias, Miguel Madeira, Luiz Guilherme Kraemer-Aguiar

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04193397 (Effects of Physical Training on Physical and Functional Fitness, Physical Activity Level, Endothelial Function, Hemodynamic Variables, Bone Metabolism and Quality of Life of Post-bariatric Patients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04193397 nacompletednot on this map

Effects of Physical Training on Physical and Functional Fitness, Physical Activity Level, Endothelial Function, Hemodynamic Variables, Bone Metabolism and Quality of Life of Post-bariatric Patients: a Randomized Controlled Trial

TypeinterventionalSponsorRio de Janeiro State UniversityRan2022 to 2024Enrolled100ConditionsBariatric SurgeryArmsExercise training
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Camila Medeiros de AlmeidaPostgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Karynne Grutter LopesPostgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-3005-3889
Michelle da Costa Tavares BezerraPostgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Paulo Roberto Falcão LealPostgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Eliete BouskelaPostgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Eduardo Medeiros Ferreira da GamaEndocrinology Division, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Maria Lucia Fleiuss de FariasEndocrinology Division, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Miguel MadeiraEndocrinology Division, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Luiz Guilherme Kraemer-AguiarPostgraduate Program in Clinical and Experimental Physiopathology, Faculty of Medical Sciences, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-3528-5881

Funding

Carlos Chagas Filho Foundation for Research Support in the State of Rio de Janeiro (FAPERJ)Coordination for the Improvement of Higher Education Personnel (CAPES)National Council for Scientific and Technologic Development (CNPq)
6 · The paper itself

Abstract

objectiveThe effects of metabolic and bariatric surgery on bone health still require further investigation. Osteometabolism biomarkers, bone microarchitecture (BM), and mineral density (BMD) of patients who have undergone Roux-en-Y gastric bypass (RYGB) within 2-5 years from surgery were compared to non-surgical age-, sex-, and BMI-matched controls.

methodsThis cross-sectional study included 39 patients following RYGB (BG: aged = 39 ± 5 years, BMI = 42.2 ± 3.8 kg/m

resultsBG presented with higher circulating phosphorus, PTH, CTX-1, and P1NP and lower 25(OH) vitamin D compared to CG. DXA parameters did not differ between groups. However, HR-pQCT revealed significant derangements in BM (trabecular thickness, cortical bone density, and outer trabecular volumetric BMD) in BG. BG showed tibia-specific trabecular microarchitecture impairment, while sex and BMI showed the expected associations with BM measures.

conclusionsRYGB was associated with detrimental effects on osteometabolism biomarkers, as well as on density and structural parameters of BM. Early preventive strategies aimed at mitigating these deleterious effects should be systematically evaluated to minimize their long-term impact.

trial registrationClinicalTrials.gov (NCT04193397).

Indexed as

Bariatric SurgeryBone and BonesBone DensityGastric BypassAbsorptiometry, PhotonAdultBiomarkersBody Mass IndexCalciumCollagen Type ICross-Sectional StudiesFemaleHumansMagnesiumMaleMiddle AgedBiomarkersCalciumCollagen Type Icollagen type I trimeric cross-linked peptideMagnesiumParathyroid HormonePeptide FragmentsPeptidesPhosphorusProcollagenprocollagen Type I N-terminal peptideVitamin Dbone microarchitecturebone mineral densitymetabolic and bariatric surgeryobesity

Identifiers

PMID41703971
PMCPMC12933219

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.