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Use of infrared thermography to estimate brown fat activation after a cooling protocol in patients with severe obesity that underwent bariatric surgery

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Background: In contrast to the energy-storing role of white adipose tissue (WAT), brown adipose tissue (BAT) acts as the main site of non-shivering thermogenesis in mammals and has been reported to play a role in protection against obesity and associated metabolic alterations in rodents. Infrared thermography (IRT) has been proposed as a novel non-invasive, safe, and quick method to estimate BAT thermogenic activation in humans. The aim of this study is to determine whether the IRT could be a potential new tool to estimate BAT thermogenic activation in patients with severe obesity in response to bariatric surgery. Methods: Supraclavicular BAT thermogenic activation was evaluated using IRT in a cohort of 31 patients (50 ± 10 years old, BMI = 44.5 ± 7.8; 15 undergoing laparoscopy sleeve gastrectomy and 16 Roux-en-Y gastric bypass) at baseline and 6 months after a bariatric surgery. Clinical parameters were determined at these same time points. Results: Supraclavicular BAT-related activity was detected in our patients by IRT after a cooling stimulus. The BAT thermogenic activation was higher at 6 months after laparoscopy sleeve gastrectomy (0.06 ± 0.1 vs 0.32 ± 0.1), while patients undergoing to a roux-en-Y gastric bypass did not change their thermogenic response using the same cooling stimulus (0.09 ± 0.1 vs 0.08 ± 0.1). Conclusions: Our study postulates the IRT as a potential tool to evaluate BAT thermogenic activation in patients with obesity before and after a bariatric surgery. Further studies are needed to evaluate differences between LSG technique and RYGB on BAT activation. Keywords: Brown adipose tissue; Infrared thermography; Metabolic surgery; Obesity.

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PIQUER GARCÍA, Irene, CEREIJO TÉLLEZ, Rubén, CORRAL-PÉREZ, Juan, PELLITERO, Silvia, MARTÍNEZ, Eva, TAXERÅS, Siri d., TARASCÓ, Jordi, MORENO, Pau, BALIBREA, José, PUIG DOMINGO, Manuel, SERRA I CUCURULL, Dolors, HERRERO RODRÍGUEZ, Laura, JIMÉNEZ-PAVÓN, David, LERIN, Carles, VILLARROYA I GOMBAU, Francesc, SÁNCHEZ-INFANTES, David. Use of infrared thermography to estimate brown fat activation after a cooling protocol in patients with severe obesity that underwent bariatric surgery. _Obesity Surgery_. 2020. Vol. 30, núm. 6, pàgs. 2375-2381. [consulta: 4 de gener de 2026]. ISSN: 0960-8923. [Disponible a: https://hdl.handle.net/2445/165144]

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