Meta AnalysisID 1536

靶向胆汁酸代谢以减重:系统评价与Meta分析

CRD42018115768

1. How bile acid metabolism and signaling is associated with obesity incidence 2. How obesity treatment affects bile acid metabolism and signaling

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Record Fields

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Meta Analysis Id
1536
Evidence Id
10094
Core Evidence Id
10094
Source Meta Analysis Id
1492
Herb2 Meta Analysis Id
HBMA001492
Crd Id
CRD42018115768
Title
Targeting bile acid metabolism in obesity reduction: a systematic review and meta-analysis
Review Question
1. How bile acid metabolism and signaling is associated with obesity incidence 2. How obesity treatment affects bile acid metabolism and signaling
Study Type Included
Randomised or non-randomised controlled trials studying effect of obesity reduction treatment and observational studies that evaluate the association of obesity with bile acid metabolism and signaling pathway will be included. The following study/publication types will be excluded: • Pre-clinical and animal • Protocols • Reviews, editorials, and opinion pieces • Case reports
Condition Being Studied
Obesity is a growing global issue and diet plays an inevitable role. Our understanding of bile acid as important hormone that regulates metabolism has been substantially improved by animal and human studies. High fat diet has been shown to induce obesity through bile acid signaling pathway, especially the FXR-fgf19 pathway, as proven by the FXR-knockout mice model. Considerable experimental evidence also links bile acid levels to different obesity treatment options. Several reviews have been highlighting the effect of bariatric surgery on bile acid level, yet, no statistical analysis is done. At present, we also lack detailed analysis on the association of bile acid with obesity in humans. Together, this led us to review the association of bile acid level with obesity and the significance of bile acid in obesity reduction.
Participant
Adults and adolescents. Infants, children and elderlies excluded as literature reported a different bile acid level and profile in them compared to adults.
Animal
Human Disease Modelled
Intervention
Studies will be eligible if they meet all the following criteria: Human study Adolescents and adult population Original peer-reviewed English written journals characterisation of obesity based on BMI, waist circumference, waist-to-hip ratio, visceral or subcutaneous adipose tissue, percentage of body fat Bile acid-related parameters measured Including a lean control group (for review question 1) or an effective treatment method with comparison with baseline or non-treated patients(for review question 2)
Comparator Control
Obese patients compared with lean control group (for review question 1) Obese patients received obesity reduction treatment compared with patients with no treatment (for review question 2) Obese patients received obesity reduction treatment compared with baseline (before treatment) (for review question 2)
Main Outcome
The following outcomes will be considered: Bile acid and related parameters level Obesity severity/incidence Measures of effect Risk difference
Outcome Measure
Additional Outcome
None Measures of effect Not applicable
Study Method
Meta-analysis, Systematic review
Keyword
Bile Acids and Salts; Biochemical Phenomena; Humans; Lipid Metabolism; Obesity
Contact
Stephanie So [email protected]
Organisational Affiliation
The University of Hong Kong
Funding Source
Other Selection Criteria
Final Publication
https://onlinelibrary.wiley.com/doi/abs/10.1111/obr.13017
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Hong Kong
Review Stage
Review Completed published
First Submission Date
2018-11-05
Registration Date
2018-12-14
Anticipated Start Date
2018-11-01
Anticipated Completion Date
2019-02-01
Title Cn
靶向胆汁酸代谢以减重:系统评价与Meta分析
Title En
Targeting bile acid metabolism in obesity reduction: a systematic review and meta-analysis
Bilingual Status
complete