Impact of body composition on arterial stiffness after bariatric surgery

Medical Review (Med. pregled), 2024, 60(1), 10-17.

P. Ivanov1, T. Handjieva-Darlenska2

1 Department of Physiology and Pathophysiology, Medical Faculty, Medical University of Sofia
2 Department of Pharmacology and Toxicology, Medical Faculty, Medical University of Sofia

Abstract. Bariatric surgery is the most successful method for weight loss in severely obese patients. The scientific literature shows certain changes in body fat and skeletal muscle as a result of bariatric surgery. The factors that determine the ratio between those two types of tissue are diverse, and objective measuring, comparison, analysis and interpretation of these factors is a challenge for scientific teams. The dynamic relationship between muscle and fat tissue has a significant impact on cardiovascular risk as it has an effect on the elastic properties of arteries and their stiffness. Combining different non-invasive methods for evaluation of those factors has a potential for improving perioperative assessment and therapeutic approach adjustment.

Key words: obesity, body composition, arterial stiffness, bariatric surgery

Address for correspondence: Peter Ivanov, MD, e-mail: p.ivanov@medfac.mu-sofia.bg