Impact of Weight Loss on Hepatic Transaminases in Obese Patients

Authors

  • Ana Dayrine Nunes da Silva Universidade do Estado da Bahia - UNEB, Bahia, (Brasil)
  • Sérgio Q. Braga Hospital da Obesidade, Bahia, (Brasil)
  • Domingos L. S. Rios Universidade do Estado da Bahia - UNEB, Bahia (Brasil)
  • Marcia Almeida UNEB

DOI:

https://doi.org/10.19141/2237-3756.lifestyle.v13.n00.pe1873

Keywords:

Weight loss, Hospital admission, Hepatic transaminases, Obesity

Abstract

Objective: To evaluate possible associations between weight loss and changes in hepatic transaminases in obese patients treated with a very low-calorie diet, comparing possible differences associated to sex and age group.

Method: This retrospective cohort analyzed medical records of 777 patients with severe obesity (grades II or III) treated with a 500–800 kcal/day diet between 2016 and 2022. Bioimpedance and laboratory tests were evaluated after 3 months of in-hospital intervention. The sample included individuals over 12 years old, totaling 1,142 hospitalized patients.

Results: The comparison between admission and discharge measurements revealed significant changes in body composition and in the GGT and ALT concentrations of the study participants. The reduction in body weight and fat mass in obese patients on a very low-calorie diet was directly and weakly associated with a reduction in liver transaminases, suggesting an improvement in liver function.

Conclusions: Hospital treatment for severe obesity was effective in promoting improvements in anthropometric measures after three months. The very low-calorie diet and lifestyle changes also provided evidence of improved liver function in patients, highlighting the importance of holistic management with multidisciplinary supervision.

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Author Biographies

Ana Dayrine Nunes da Silva, Universidade do Estado da Bahia - UNEB, Bahia, (Brasil)

Departamento de Ciências da Vida (DCV), Universidade do Estado da Bahia - UNEB, Bahia, (Brasil).

Sérgio Q. Braga, Hospital da Obesidade, Bahia, (Brasil)

Hospital da Obesidade, Bahia, (Brasil). 

Domingos L. S. Rios, Universidade do Estado da Bahia - UNEB, Bahia (Brasil)

Universidade do Estado da Bahia, Bahia (Brasil). E-mail: 

References

ALTALEBI, R.R.; AL-HUSSANIY, H.A.; AL-TAMEEMI, Z.S.; AL-ZOBAIDY, M.A.; ALBU-RGHAIF, A.H.; ALKURAISHY, H.M.; HEDEAB, G.M.; AZAM, F.; AL-SAMYDAI, A.M.; NAJI, M.A. Non-alcoholic fatty liver disease: relation to juvenile obesity, lipid profile, and hepatic enzymes. Journal of Medicine and Life, v.16, n.1, p.42, 2023. DOI: https://doi.org/10.25122/jml-2022-0091

BERNÁ, G.; ROMERO-GOMEZ, M. The role of nutrition in non-alcoholic fatty liver disease: pathophysiology and management. Liver International, v.40, Suppl.1, p.102-108, 2020. DOI: https://doi.org/10.1111/liv.14360

BISCHOFF, S.C.; SCHWEINLIN, A. Obesity therapy. Clinical Nutrition ESPEN, v.38, p.9-18, 2020. DOI: https://doi.org/10.1016/j.clnesp.2020.04.013

CHOPRA, S.; MALHOTRA, A.; RANJAN, P.; VIKRAM, N.K.; SARKAR, S.; SIDDHU, A.; KUMARI, A.; KALOIYA, G.S.; KUMAR, A. Predictors of successful weight loss outcomes amongst individuals with obesity undergoing lifestyle interventions: A systematic review. Obesity Reviews, v.22, n.3, p.e13148, 2021. DOI: https://doi.org/10.1111/obr.13148

D'ABBONANZA, M.; MINISTRINI, S.; PUCCI, G.; NULLI MIGLIOLA, E.; MARTORELLI, E. E.; GANDOLFO, V.; SIEPI, D.; LUPATTELLI, G.; VAUDO, G. Very low-carbohydrate ketogenic diet for the treatment of severe obesity and associated non-alcoholic fatty liver disease: the role of sex differences. Nutrients, v.12, n.9, p.2748, 2020. DOI: https://doi.org/10.3390/nu12092748

GAN, L.; CHITTURI, S.; FARRELL, G. C. Mechanisms and implications of age‐related changes in the liver: nonalcoholic fatty liver disease in the elderly. Current Gerontology and Geriatrics Research, v.2011, n.1, p. 831536, 2011. DOI: https://doi.org/10.1155/2011/831536

GUTIÉRREZ-FISAC, J.L.; GUALLAR-CASTILLON, P.; LEÓN-MUÑOZ, L.M.; GRACIANI, A.; BANEGAS, J.R.; RODRÍGUEZ-ARTALEJO, F. Prevalence of general and abdominal obesity in the adult population of Spain, 2008-2010: the ENRICA study. Obesity Reviews, v.13, n.4, p.388-392, 2012. DOI: https://doi.org/10.1111/j.1467-789X.2011.00964.x

HAIGH, L.; KIRK, C.; EL GENDY, K.; GALLACHER, J.; ERRINGTON, L.; MATHERS, J. C.; ANSTEE, Q. M. The effectiveness and acceptability of Mediterranean diet and calorie restriction in non-alcoholic fatty liver disease (NAFLD): A systematic review and meta-analysis. Clinical Nutrition, v.41, n.9, p.1913-1931, 2022. DOI: https://doi.org/10.1016/j.clnu.2022.06.037

HERRINGTON, G.J.; PETERSON, J.J.; CHENG, L.; ALLINGTON, B.M.; JENSEN, R.D.; HEALY, H.S.; CORREIA, M.L. The use of very low-calorie diets in subjects with obesity complicated with nonalcoholic fatty liver disease: A scoping review. Obesity Science & Practice, v.8, n.4, p.510-524, 2022. DOI: https://doi.org/10.1002/osp4.589

HUI, Y.; CUI, B.; WANG, X.; SUN, M.; LI, Y.; YANG, W.; GUO, G.; MAO, L.; YU, Z.; FAN, X.; SUN, C. Sarcopenic obesity in liver disease: handling both sides of the penny. Potal Hypertension & Cirrhosis, v.1, n.1, p.42-56, 2022. DOI: https://doi.org/10.1002/poh2.10

LUDWIG, J.; VIGGIANO, T. R.; MCGILL, D. B.; OTT, B. J. Nonalcoholic steatohepatitis. Mayo Clinic experiences with a hitherto unnamed disease. Mayo Clinic Proceedings, v.55, n.7, p.434-438, 1980. DOI: https://doi.org/10.1016/S0025-6196(24)00530-5

MENEGHEL, P.; PINTO, E.; RUSSO, F. P. Physiopathology of nonalcoholic fatty liver disease: From diet to nutrigenomics. Current Opinion in Clinical Nutrition & Metabolic Care, v.25, n.5 p.329-333, 2022. DOI: https://doi.org/10.1097/MCO.0000000000000859

NUIJTEN, M.A.; EIJSVOGELS, T.M.; MONPELLIER, V.M.; JANSSEN, I.M.; HAZEBROEK, E.J.; HOPMAN, M.T. The magnitude and progress of lean body mass, fat‐free mass, and skeletal muscle mass loss following bariatric surgery: a systematic review and meta‐analysis. Obesity reviews, v.23, n.1, p.e13370, 2022. DOI: https://doi.org/10.1111/obr.13370

POUWELS, S.; SAKRAN, N.; GRAHAM, Y.; LEAL, A.; PINTAR, T.; YANG, W.; KASSIR, R.; SINGHAL, R.; MAHAWAR, K.; RAMNARAIN, D. Non-alcoholic fatty liver disease (NAFLD): a review of pathophysiology, clinical management and effects of weight loss. BMC Endocrine Disorders, v.22, n.1, p.63, 2022. DOI: https://doi.org/10.1186/s12902-022-00980-1

RONDANELLI, M.; GASPARRI, C.; PERONI, G.; FALIVA, M.A.; NASO, M.; PERNA, S.; BAZIRE, P.; SAJOUX, I.; MAUGERI, R.; RIGON, C. The potential roles of very low calorie, very low calorie ketogenic diets and very low carbohydrate diets on the gut microbiota composition. Frontiers in Endocrinology, v.12, p.662591, 2021. DOI: https://doi.org/10.3389/fendo.2021.662591

VARKANEH, H.K.; POURSOLEIMAN, F.; AL MASRI, M.K.; ALRAS, K.A.; SHAYAH, Y.; MASMOUM, M.D.; ALANGARI, F.A.; ALRAS, A.A.; RINALDI, G.; DAY, A.S.; HEKMATDOOST, A. Low fat diet versus low carbohydrate diet for management of non-alcohol fatty liver disease: A systematic review. Frontiers in Nutrition, v.9, p.987921, 2022. DOI: https://doi.org/10.3389/fnut.2022.987921

YOUNOSSI, Z.M.; ZELBER-SAGI, S.; HENRY, L.; GERBER, L.H. Lifestyle interventions in nonalcoholic fatty liver disease. Nature Reviews Gastroenterology & Hepatology, v.20, n.11, p.708-722, 2023. DOI: https://doi.org/10.1038/s41575-023-00800-4

Published

2025-01-01

How to Cite

Silva, A. D. N. da, Braga, S. Q., Rios, D. L. S., & Almeida, M. (2025). Impact of Weight Loss on Hepatic Transaminases in Obese Patients. Journal of Interdisciplinary Lifestyle Studies, 13, e1873. https://doi.org/10.19141/2237-3756.lifestyle.v13.n00.pe1873
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