Review Article

The Effect of Bariatric Surgery on Circulating Levels of Lipoprotein (a): A Meta-analysis

Table 1

Characteristics of studies measuring Lp(a).

Study yearStudy designBaseline Lp(a)Follow-upTreatmentControlClinical outcomePatientsNo. of patients
Lp(a)

Ram et al., 2007 [38]Prospective study3 months
12 months
SRVGSignificant decrease in Lp(a) levels in both groupsWomen with obesity
Men with obesity
14
11

Williams et al., 2007 [39]Prospective study3 months
6 months
12 months
RYGBSignificant decrease in Lp(a) levelsPatients with obesity121
103
85

Morton and Boussard, 2009 [40]Prospective study12 monthsLRYGBSignificant decrease in Lp(a) levelsAdolescents with obesity32

Woodard et al., 2010 [41]Prospective study
12 monthsRYGB
LAGB
UnchangedPatients with obesity765
73

To et al., 2012 [42]Retrospective study6 months
12 months
24 months
LSGSignificant decrease in Lp(a) levels at 12 monthsPatients with obesity52
39
5

Berk et al., 2017 [43]Prospective study3 monthsRYGB or gastric bandingObese individuals without type 2 diabetes (dietary intervention)UnchangedPatients with obesity without T2DM26

Gómez-Martin et al., 2017 [44]Prospective study
6 months
12 months
LRYGB
SG
Women matched for age and cardiovascular risk (diet and lifestyle modification)UnchangedWomen with obesity20
20

Lin et al., 2018 [45]Prospective study
1 month
6 months
RYGB
SG
Significant decrease in Lp(a) levels
Significant decrease in Lp(a) levels at 1 month
Premenopausal women27
35

Carmona-Maurici et al., 2020 [46]Prospective study
6 months
12 months
LRYGB or SGSignificant decrease in Lp(a) levels at 12 months in both groupsPatients with obesity without plaque
Patients with obesity with plaque
34
32

Després et al., 2020 [47]Prospective study24 hours
5 days
6 months
12 months
Biliopancreatic diversion with duodenal switch (BPD-DS)Significant increase in Lp(a) levels at 5 days
Significant decrease in Lp(a) levels at 6 months
Patients with obesity69

Kruschitz et al., 2020 [48]Clinical trial1 month
6 months
12 months
Laparoscopic one anastomosis gastric bypassSignificant decrease in Lp(a) levelsPatients with obesity, serum 25(OH)D concentrations of <75 nmol/L50
43
37

Paredes et al., 2020 [49]Retrospective study12 monthsSGSignificant decrease in Lp(a) levels
Unchanged
Patients without metabolic syndrome
Patients without metabolic syndrome
114
94

Ho et al., 2021 [50]Prospective study6 months
12 months
RYGB or SG or omega loop bypassMedical weight managementSignificant increase in Lp(a) levelsPatients with obesity59

LRYGB: laparoscopic Roux-en-Y gastric bypass; LAGB: laparoscopic adjustable gastric banding; LSG: laparoscopic sleeve gastrectomy; SRVG: silastic ring vertical gastroplasty; RYGB: Roux-en-Y gastric bypass; SG: sleeve gastrectomy.