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               <dc:title>Sleeve gastrectomy in patients with severe obesity restores circadian rhythms and their relationship with sleep pattern</dc:title>
               <dc:creator>Barnadas Solé, Cristina</dc:creator>
               <dc:creator>Zerón-Rugerio, María Fernanda</dc:creator>
               <dc:creator>Foncillas Corvinos, Javier</dc:creator>
               <dc:creator>Díez Noguera, Antoni</dc:creator>
               <dc:creator>Cambras Riu, Trinitat</dc:creator>
               <dc:creator>Izquierdo Pulido, Maria</dc:creator>
               <dc:subject>Obesitat</dc:subject>
               <dc:subject>Ritmes circadiaris</dc:subject>
               <dc:subject>Cirurgia</dc:subject>
               <dc:subject>Obesity</dc:subject>
               <dc:subject>Circadian rhythms</dc:subject>
               <dc:subject>Surgery</dc:subject>
               <dc:description>Advances in research have linked alterations of circadian rhythms with obesity. However, few&lt;/p>&lt;p>studies have focused on the recovery of the circadian expression after a weight loss treatment.&lt;/p>&lt;p>Our aim was to study the alterations of the circadian rhythmicity due to morbid obesity and the&lt;/p>&lt;p>recovery of the circadian pattern after weight loss in a cohort of patients who underwent sleeve&lt;/p>&lt;p>gastrectomy. For this purpose, 41 patients with severe obesity (75% women; age [mean (SD)]&lt;/p>&lt;p>49.7 ± 10 years; BMI 44.3 ± 6.2 kg/m2) were monitored before bariatric surgery and 9 months&lt;/p>&lt;p>afterward. On both occasions, activity and wrist temperature were determined by actigraphy and&lt;/p>&lt;p>were related with weight loss. Anthropometric, biochemical, and sleep-related variables, along with&lt;/p>&lt;p>dietary intake and physical activity, were analyzed in relation with circadian rhythmicity. Results&lt;/p>&lt;p>show significant differences in the circadian expression before and after 9 months of bariatric&lt;/p>&lt;p>surgery, with more stable and less fragmented rhythms after weight loss. Moreover, only after&lt;/p>&lt;p>surgery were the circadian variables associated to sleep timing and chronotype. The findings of this&lt;/p>&lt;p>study indicate that weight loss treatment in patients with morbid obesity improves the circadian&lt;/p>&lt;p>rhythm expression, and in such a way that it could be associated with better sleep quality.&lt;/p>&lt;p>Moreover, it allows the recovery of the relationship between sleep patterns and circadian rhythm&lt;/p>&lt;p>that was lost due to the obesity.</dc:description>
               <dc:date>2026-01-22T11:39:49Z</dc:date>
               <dc:date>2026-01-22T11:39:49Z</dc:date>
               <dc:date>2021-12-01</dc:date>
               <dc:date>2026-01-22T11:39:49Z</dc:date>
               <dc:type>info:eu-repo/semantics/article</dc:type>
               <dc:type>info:eu-repo/semantics/acceptedVersion</dc:type>
               <dc:relation>Versió postprint del document publicat a: https://doi.org/10.1080/07420528.2020.1866003</dc:relation>
               <dc:relation>Chronobiology International, 2021, vol. 38, num.4, p. 565-575</dc:relation>
               <dc:relation>https://doi.org/10.1080/07420528.2020.1866003</dc:relation>
               <dc:rights>(c) Informa Healthcare, 2021</dc:rights>
               <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
               <dc:publisher>Informa Healthcare</dc:publisher>
               <dc:source>Articles publicats en revistes (Nutrició, Ciències de l'Alimentació i Gastronomia)</dc:source>
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