Early Weight Research Articles

Evaluation of cultivation technology package and corn variety based on agronomy characters and leaf green indices

Abstract This study aimed to identify the best combination of corn technologies and varieties to increase yield, a study case in Torowang, South Sulawesi. The findings of this study used a split-plot design with three replications. The cultivation technology package is composed of planting spacing, chemical fertilizer, and biofertilizer, with three levels of treatment. Meanwhile, varieties treatment as subplot consisted of six varieties of treatment: Nasa 29, Bisi 18, Sinhas 1, NK7328, Pioneer 27, and ADV 313. The study determined the effectiveness of six agronomy and three chlorophyll pigment characters. Based on the results, varietal diversity dominates the differences in growth traits, both morphological and physiological. Varietal potential differs from the diversity of crop technology packages, which show no significant effect on all growth traits. However, the interaction between the growth package and varieties shows a significant effect, indicating that the crop technology package significantly affects the growth response. Yield was significantly correlated with plant height, 1,000 grain weight, peeled ear weight, chlorophyll content meter (CCM) chlorophyll, and NDVI-UAV. The total chlorophyll trait based on CCM showed a significant correlation with yield but did not correlate with NDVI-UAV. The study concluded that Pioneer 27 and ADV 313 varieties are recommended for cultivation in Takalar, with the combination of planting space of 75 × 20 cm + N:P:K fertilizer dose of 200:100:50 kg ha−1 + 25 kg of KNO3 + 5 cc L−1 of Eco-Farming fertilizer to Pioneer 27 (Pc2V5) recommended. Further dissemination is required in other regions.

Enhancing Across-Population Genomic Prediction for Maize Hybrids

In crop breeding, genomic selection (GS) serves as a powerful tool for predicting unknown phenotypes by using genome-wide markers, aimed at enhancing genetic gain for quantitative traits. However, in practical applications of GS, predictions are not always made within populations or for individuals that are genetically similar to the training population. Therefore, exploring possibilities and effective strategies for across-population prediction becomes an attractive avenue for applying GS technology in breeding practices. In this study, we used an existing maize population of 5820 hybrids as the training population to predict another population of 523 maize hybrids using the GBLUP and BayesB models. We evaluated the impact of optimizing the training population based on the genetic relationship between the training and breeding populations on the accuracy of across-population predictions. The results showed that the prediction accuracy improved to some extent with varying training population sizes. However, the optimal size of the training population differed for various traits. Additionally, we proposed a population structure-based across-population genomic prediction (PSAPGP) strategy, which integrates population structure as a fixed effect in the GS models. Principal component analysis, clustering, and Q-matrix analysis were used to assess the population structure. Notably, when the Q-matrix was used, the across-population prediction exhibited the best performance, with improvements ranging from 8 to 11% for ear weight, ear grain weight and plant height. This is a promising strategy for reducing phenotyping costs and enhancing maize hybrid breeding efficiency.

Role of body mass index in unbalanced (dysanaptic) lung growth of healthy infants.

Imbalance between forced expiratory volume in the first second (FEV1) and forced vital capacity(FVC) (dysanapsis) has been reported in children who are obese. This dysanaptic growth might begin at an early age, although there are no data on children younger than 6 years. To assess whether body mass index (BMI) and early weight gain, in healthy infants born at term, plays a significant role in the imbalance between FEV1 and FVC, even in the absence of obesity. Lung function was measured by means of raised volume rapid thoracic compression in 69 healthy infants born at term from the Nutrition in Early Life and Asthma cohort. Dysanapsis was defined as zFVC >0.674, zFEV0 .5 ≥-1.645, and FEV0 .5/FVC ≤-1.645. Weight gain (g/day) and growth rate (cm/year) were calculated as the difference between weight and length on the test date and those at birth. To assess the relationship between zBMI and dysanapsis, a receiver operating characteristic curve was performed. Multivariable analysis was carried out by means of linear regressions (one for each lung function index) and by logistic regression for dysanapsis (yes/no). Higher zBMI was associated with risk of dysanapsis (odds ratio: 3.53, [95% confidence interval: 1.30; 9.66]; p = .014): Each additional zBMI unit was associated with ~10 mL higher FVC and with ~3.5% lower FEV0.5/FVC. Weight gain was associated with lower FEV0.5/FVC ratio. Dysanaptic development of lung function begins very early in infancy and is related with weight gain and body mass index, even in the absence of obesity.

Heritability and Variability of Productivity Traits in Spring Soft Wheat Hybrids of the First to Fourth Generations

Abstract Under the conditions of the Absheron region, the effects of interaction between genotype and environment were determined in nine varieties of spring soft wheat and seven hybrid populations F1…F4 formed with their participation. A reliable effect of environmental conditions on all the studied traits was established. The contribution of the “year” factor to the number of grains per ear in varieties and hybrids was 10.9 and 13.9%, respectively; to the weight of 1000 grains – 5.8 and 19.5%; to the yield – 47.3 and 41.1%. The genetic component made a significant contribution to the weight of 1000 grains in varieties and hybrids (81.5 and 58.8%), as well as to the number of grains in varieties (38.4%). A higher varietal specificity in the manifestation of traits in parental varieties was noted compared to hybrids. Two component traits of ear productivity in a series of generations against the background of various lim-factors were analyzed, shifts of their average values and their influence on the yield were predicted and determined. The phenotypic dominance index (hp) was determined in the first generation by the number of grains per ear and 1000-grain weight, combinations with a high level were identified. The selection differential and efficiency of selections carried out under contrasting environmental conditions in the second and third hybrid generations were calculated. The yield in the initial populations varied within 219.0…789.6 g/m2, in the selected progeny – 317.0…647.6 g/m2. The average yield increase in the progeny selected in a dry year, in relation to the initial populations, was 56.8 g/m2; in the progeny selected under conditions of excess moisture – 10.8 g/m2. Correlation analysis revealed an average positive relationship between the hp indicator in the first generation and the selection differential in subsequent generations for the traits “weight of 1000 grains” and “number of grains per ear”.

Research on Impact Prediction Model for Corn Ears by Integrating Motion Features Using Machine Learning Algorithms

The mechanical damage of corn kernels during harvest leads to mildew in the kernel storage process, seriously affecting food safety and quality. Impact force is the primary source of mechanical damage in the corn threshing process, and its accurate detection is of great significance for corn threshing with low damage. A method for the impact force detection of corn ears was proposed in this manuscript. The momentum theorem determined the main factors influencing impact force (weight, falling height, and space attitude). Corn ear weight, falling height, and space attitude were used as experimental factors. The bench test was carried out with the impact force of corn ear as the output variable. During the experiment, piezoelectric sensors were used to collect the impact force of corn ears under different motion states. Then, the impact force detection model was constructed using four machine learning algorithms: multiple linear regression, ridge regression, random forest, and support vector regression. The results showed that the RF algorithm was more suitable for constructing the prediction model of average and maximum impact force when corn ears fall, SD, RMSE, and r were, respectively: 0.9526, 1.2685, 0.9855; 3.8389, 3.6071, and 0.8510. Secondly, the weight characteristics had the most significant influence on the impact force detection of the ear. Therefore, this method can be used as an accurate, objective, and efficient online detection method for impact force.

Functional evaluation of unstable intertrochanteric fractures treated with proximal femoral nailing

In this study the functional outcome of proximal femoral nailing (PFN) in patients with unstable intertrochanteric fractures is studied and outcome is assessed with Modified Harris Hip Score. A post-operative analysis of unstable intertrochanteric fractures treated with PFN is done for its functional assessment. Various national & international studies are taken into consideration and our institutional study is compared with them. Between September 2020 to March 2022, 20 patients with unstable intertrochanteric fractures of the hip joint who were operated with PFN were functionally and clinically evaluated as per the Modified Harris Hip Score. Patients who satisfied the inclusion criteria were included in the study and follow-up was done up to 9 months. Fracture pattern, operative details and post-operative complications were documented. This study of 20 patients of unstable intertrochanteric fractures fixed with PFN showed excellent results in 9 patients (45 %), good functional outcome in 6 patients (30 %) and fair functional outcome in 3 patients (15 %). 2 patients showed a poor outcome accounting for 10%. The study showed that PFN is a reliable and effective device for the treatment of unstable intertrochanteric fractures. It provides a satisfactory fixation, but success is dependent mainly on fracture type, bony architecture, operative technique, postoperative care and rehabilitation. In view of the fewer post-operative complications, early union of fracture, early weight bearing and early return to work, we concluded the PFN to be a versatile, stable and acceptable implant in fixation of unstable intertrochanteric fractures which leads to a better functional outcome.

Acute Activity Urges Predict Lower Early Weight Gain During Inpatient Treatment for Anorexia Nervosa.

Early weight gain is a primary goal in the treatment of anorexia nervosa (AN) and associated with more favorable discharge weights and clinical outcomes. Activity urges, that is, a motivational state to engage in activity, have been suspected to delay early weight gain, but their prognostic role remains barely explored. Here, we investigated whether acute (state-like) activity urges at treatment onset would predict within-person weight gain in patients with AN during the initial 2 weeks of inpatient treatment. Adults with AN from an inpatient unit (N = 53) completed an activity urges measure at treatment onset, and weight changes were monitored for the duration of their treatment. Regression analyses, controlling for admission body mass index and other patient variables (i.e., patient age and AN subtype), found that higher state activity urges were associated with lower initial weight gain. Mediation analyses showed that differences in early weight changes further linked higher activity urges at admission to lower discharge weights. An activity urge cutoff value of 2.76 for distinguishing between cases with optimal and suboptimal initial weight gain is proposed. We discuss potential mechanisms of the link between activity urges and early weight gain and the implications of activity urges as a prognostic factor for improving weight restoration during AN treatment.

Risk Factors for Early Post-transplant Weight Changes Among Simultaneous Pancreas-kidney Recipients and Impact on Outcomes.

There are limited data about the risk factors for weight changes and the association of significant weight changes with graft and metabolic outcomes after simultaneous pancreas and kidney (SPK) transplantation. We included all SPK recipients with both allografts functioning for at least 6 mo post-transplant and categorized them based on the weight changes from baseline to 6 mo post-transplant. We analyzed risk factors for significant weight gain (SWG) and significant weight loss (SWL) over 6 mo post-transplant, as well as outcomes including pancreas uncensored graft failure, pancreas death-censored graft failure (DCGF), composite pancreas graft outcomes of DCGF, use of an antidiabetic agent, or hemoglobin A1C >6.5%, and kidney DCGF. Of 280 SPK recipients, 153 (55%) experienced no significant weight change, 57 (20%) SWG, and 70 (25%) SWL. At 6 mo post-transplant, mean weight changes were 1.2% gain in the no significant weight change group, 13.4% gain in SWG, and 9.6% loss in the SWL groups. In multivariate analysis, the only factor associated with decreased risk for weight gain was older recipient age (aOR, 0.97; 95% confidence intervals, 0.95-0.99). Importantly, SWG or SWL were not associated with pancreas graft failure, P-DCGF, or K-DCGF. Interestingly in the adjusted model, SWG at 6 mo was associated with a lower risk for composite outcomes (HR, 0.35; 95% confidence intervals, 0.14-0.85). Forty-five percent of SPK recipients had significant weight changes by 6 mo post-transplant, but only 20% exhibited SWG. Likely because of proper management, weight changes were not associated with poor outcomes post-SPK transplant.

Short-term effectiveness of robot-guided femoral neck system combined with cannulated compression screw fixation in treatment of femoral neck fracture in young and middle-aged patients

To investigate short-term effectiveness of robot-guided femoral neck system (FNS) combined with cannulated compression screw (CCS) fixation in treatment of femoral neck fracture in young and middle-aged patients. A clinical data of 49 young and middle-aged patients with femoral neck fractures, who met the selection criteria and admitted between January 2021 and June 2023, was retrospectively analyzed. After reduction of femoral neck fractures, 27 cases were treated with robot-guided FNS fixation (FNS group) and 22 cases with robot-guided FNS and CCS fixation (FNS+CCS group). There was no significant difference in baseline data such as gender, age, cause of fracture, time from fracture to operation, fracture side, and classification (Garden classification and Pauwels classification) between the two groups ( P>0.05). The operation time, intraoperative blood loss, intraoperative fluoroscopy frequency, the time when the patient began bearing weight, and hip joint pain and functional scores (VAS score and Harris score) at last follow-up for two groups were recorded. Imaging re-examination was taken to evaluate the quality of fracture reduction, fracture healing, as well as the occurrence of fracture non-union, osteonecrosis of the femoral head, and femoral neck shortening. All operations were successfully completed and the incisions healed by first intention. There was no significant difference in operation time and intraoperative blood loss between the two groups ( P>0.05), and the intraoperative fluoroscopy frequency in FNS+CCS group significantly increased compared to FNS group ( P<0.05). All patients were followed up 12-18 months (mean, 14.1 months). Imaging re-examination showed that there was no significant difference in fracture reduction quality between the two groups ( P>0.05), but the fracture healing time was significantly shorter in FNS+CCS group than in FNS group, and weight-bearing began earlier ( P<0.05). The incidences of femoral neck shortening, fracture non-union, and osteonecrosis of the femoral head were lower in FNS+CCS group than in FNS group, and there was significant difference in the incidence of femoral neck shortening between groups ( P<0.05). At last follow-up, there was no significant difference in VAS scores between the two groups ( P>0.05). However, the Harris score was significantly higher in FNS+CCS group than in FNS group ( P<0.05). Compared with FNS fixation alone, robot-guided FNS combined with CCS fixation in the treatment of femoral neck fractures in young and middle-aged patients has obvious advantages in terms of early weight bearing and fracture healing, improves fracture healing rate, effectively prevents postoperative complications, and can obtain good short-term effectiveness.

Comparison between early and late weight bearing after anterior cruciate ligament reconstruction surgery.

The anterior cruciate ligament (ACL) is a strip of dense connective tissue that runs from the femur to the tibia with a relatively poor blood supply. It prevents the femoral condyles from rolling posteriorly. ACL is commonly injured in any knee trauma, ranging from a little sprain to a total rupture. The arthroscope is the gold standard approach for identifying ACL tears, which may be treated conservatively or surgically. To assess the efficiency of immediate and delayed weight bearing after arthroscopic ACL reconstruction. Cohort longitudinal study carried through 6years from 2017 to 2023 et al.-kindy Teaching, Ulamaa, and Almuktar hospitals 186 patients, the patients were divided randomly into 2 groups, group A (n = 93) with immediate (after 10days) weight bearing and group B (n = 93) with delayed (after 1month) weight bearing following ACL reconstruction. any patients with chondral lesions, aged less than 19 or more than 40years, knee osteoarthritis, ligament damage, and deformity in lower extremities were excluded. Patients from both groups A and B had complete ACL tears and underwent arthroscopic ACL reconstruction follow-up for 6months duration regarding stiffness, infection, giving up pain, swelling, and quadriceps muscle atrophy. In group A, there were 93 patients,70 male and 23 female, and meniscal injury was 89 patients. While in group B (93 patients) 57 male and 36 female, meniscal injury in group B was 91. There is a statistically significant difference regarding knee swelling. (80.6% in group A, and 10.8% in group B), and knee pain in which (79.6% in group A patients and only 7.5% in group B). There is no significant value between the two groups about the knee getting given up, infection, stiffness, and quadriceps muscle atrophy. Delay weight bearing after ACL reconstruction makes the patients less prone to knee pain and effusion but more prone to quadriceps muscle atrophy.

Acute Achilles Tendon Ruptures: An Update on Current Management Strategies

Acute rupture of the Achilles tendon is a frequently encountered injury that occurs most commonly in people who participate in recreational athletics into their thirties and forties. For many years, the injury has been treated either nonsurgically or surgically using a standard open approach. More recently, a variety of new surgical techniques have emerged in the literature aiming to improve surgical outcomes while decreasing the potential complications associated with standard open repair. Nonsurgical treatment plans using early weight bearing and accelerated functional rehabilitation have also proven to be excellent management options. Achilles rupture treatment plans can include the use of orthobiologics, such as platelet-rich plasma, with mixed results. Accelerated functional rehabilitation protocols have shown to improve patient outcomes, whether used in conjunction with surgery or nonsurgical management modalities, and reduce the disparity between the injured tendon and the native Achilles.

Functional outcomes of proximal femoral nail versus dynamic hip screw in intertrochanteric fracture.

Objective: To compare the functional and radiological outcomes of Dynamic Hip Screw (DHS) and Proximal Femoral Nail (PFN) treatments for patients with unstable intertrochanteric fractures. Study Design: Comparative study. Setting: Trauma Centre, Hayatabad Medical Complex Peshawar. Period: May 2020 to June 2022. Methods: The study comprised 150 patients aged over 40 years old and had Type 2 intertrochanteric fractures, as classified by Boyd and Griffin. Radiographs, functional assessments, and demographic information were collected and patients were followed for up to two years at regular intervals. Results: The mean age of patients was 70 years. The PFN group had significantly shorter surgery duration (57.47 minutes) compared to the DHS group (85.30 minutes), less blood loss (74 ml vs. 195 ml), and a shorter hospital stay (6.5 days vs. 11.8 days). Early weight bearing was achieved faster in the PFN group, with mean times to partial and full weight bearing of 3.12 and 8.45 weeks, respectively, compared to 5.52 and 12.32 weeks in the DHS group. Radiological union at three months was significantly better in the PFN group. Complications were fewer in the PFN group, with notable differences in screw cutout, migration, and backout rates. Pain levels were lower in the PFN group at three and six months post-operatively. Conclusion: PFN demonstrated superior outcomes in terms of reduced surgical time, blood loss, hospital stay, and faster weight-bearing capabilities compared to DHS. Radiological and functional outcomes also favoured PFN, making it a preferable option for treating unstable intertrochanteric fractures.

8347 EARLY CHILDHOOD GROWTH FOLLOWING PRE-PREGNANCY METABOLIC AND BARIATRIC SURGERY

Abstract Disclosure: M.J. Hilaire: None. A. Babcock: None. G. White: None. C. Masson: None. C.A. LeDuc: None. V. Thaker: None. Background and Aims: Metabolic and bariatric surgery (MBS) is known to improve metabolic profile. There is conflicting data on the effects of pre-pregnancy MBS on the offspring growth. We aimed to assess offspring early life growth trajectory born to mothers with MBS before conception compared to those who did not. Methods: Records from pregnancies of women who gave birth at Columbia University Irving Medical Center between January 2020 and March 2023 were collected from the clinical databases and electronic health records. The gestational conditions and offspring early life weight, length and BMI trajectory were compared for: pre-pregnancy BMI &amp;lt; 25, BMI 25-35, BMI &amp;gt; 35 and prior MBS. Mixed effect models were used to compare the longitudinal anthropometric trajectories. Sensitivity analyses was done with propensity matching of the pre-pregnancy MBS group by maternal age, parity, pre-pregnancy BMI and race/ethnicity. Results: Of the 22,111 deliveries with data (51% Hispanic/Latino), 455 (76% Hispanic/Latino) had pre-pregnancy MBS- predominantly sleeve gastrectomy (SG, 57%) or Roux-en-Y Gastric Bypass (RYGB, 41%). Antepartum BMI was 32.5 kg/m2 (SD 6.3) for those with pre-pregnancy MBS with 89.8% pregnancies occurring 1-10 years after surgery. There was a higher proportion of multiparous individuals (42% vs 19-31%) in the MBS group. Pre-pregnancy MBS was associated with lower gestational weight-gain, diabetes, and hypertension compared to those with BMI &amp;gt; 35. For offspring, there was no difference in the birth weight, proportion of SGA was higher (6.6% vs 2.5-2.7%, p &amp;lt; 0.01), LGA was lower (2.0% vs 3.6-5.6%, p &amp;lt; 0.01) and NICU admission rate was comparable (20% vs 15-25%). Offspring anthropometric data till age 36 months was available for approximately 50% of the births. Comparison of longitudinal weight trajectories showed no difference in the offspring between those born after RYGB and BMI &amp;lt; 25 kg/m2 (p =0.8), while those born after SG had persistent rise (p =0.04), adjusting for maternal age, parity, time since surgery and race/ethnicity. In the SG group, boys had higher weight trajectories compared to girls. (p &amp;lt; 0.001). The length trajectories and head circumference at birth were similar across groups. Conclusions: Gestational conditions improved with pre-pregnancy MBS. Pre-pregnancy RYGB, but not SG, was followed by favorable offspring weight trajectory that may have a role in long-term metabolic programming. This study is limited by lack of availability of information on pregnancy glycemic profiles, eating behaviors, dietary patterns, and other social determinants of health. Presentation: 6/3/2024

Cow dung compost and vermicompost amendments promote soil carbon stock by enhancing labile organic carbon and residual oxidizable carbon fractions in maize field soil

AbstractEnhancing soil quality and promoting the accumulation of soil organic carbon through economically and environmentally sustainable practices are essential for modern agriculture. This study aimed to investigate the effects of various organic amendments and rotation systems on soil properties and sweet corn growth in sandy loam soil. A split‐plot field experiment was conducted over 2 years, including rotations with or without Sesbania sesban as the main plot and six fertilizer treatments: a no fertilizer control, chemical fertilizer and four organic amendments as subplots. The cropping system did not significantly influence soil properties and sweet corn growth. However, the application of soybean meal, castor meal, cow dung compost and vermicompost resulted in sweet corn yields comparable to those achieved with the chemical fertilizer treatment. Notably, the soil organic matter (SOM) content was significantly higher in the cow dung compost and vermicompost treatments compared with both the no fertilizer and chemical fertilizer treatments. Moreover, these two amendments significantly increased soil carbon stock because of significant increases in labile organic carbon (TOC400) and residual oxidizable carbon (ROC) fractions in the maize field soil. A significant positive correlation was observed between fresh ear weight with husks and several soil parameters, including electrical conductivity, available P, exchangeable K and Zn, NO3–N, NH4–N, inorganic C and N, TOC400, ROC and SOM. In conclusion, cow dung compost and vermicompost not only result in sweet corn yields comparable to those from chemical fertilizer but also significantly enhance soil carbon stock by increasing TOC400 and ROC. Therefore, they can partially substitute for chemical fertilizers in promoting sustainable agricultural production of sweet corn.

S2101 Weight Loss after Initial Bariatric Surgery Predicts Early Weight Loss After Revisional Endoscopic Bariatric Therapy

S2101 Weight Loss after Initial Bariatric Surgery Predicts Early Weight Loss After Revisional Endoscopic Bariatric Therapy

Fat Mass Index Predicts the Effect of Weight Loss and Quality of Life Early After Laparoscopic Sleeve Gastrectomy.

Fat mass index (FMI) is a body composition indicator that reflects body fat content. Laparoscopic sleeve gastrectomy (LSG) is widely performed in patients with obesity. This study aimed to evaluate the value of the FMI in predicting weight loss effect and quality of life early after LSG. From January 2014 to July 2022, the clinical data and computed tomography (CT) images of patients who underwent LSG at a tertiary referral teaching hospital were analyzed. Body composition indicators were calculated using the SliceOmatic software. Achieving initial body mass index within 6months postoperatively was defined as early eligible weight loss (EEWL). The relationship between body composition and EEWL was analyzed. A total of 243 patients were included. Receiver operating characteristic (ROC) curve analysis showed that the predictive value of the FMI for EEWL in patients after LSG was higher than that of other indicators (all P < 0.05; area under the curve = 0.813). The best FMI cut-off point was 13.662. Accordingly, the patients were divided into the high-FMI group and low-FMI group. The %EWL and BMI of patients in the low-FMI group at 1, 3, 6, 9, 12, and 24months after surgery were better than those in the high-FMI group (all P < 0.001). Patients in the low-FMI group had higher BAROS (Bariatric Analysis and Reporting Outcome System) scores than those in the high-FMI group (P < 0.001). Compared with other body composition indicators, FMI can effectively predict the early effect of weight loss and quality of life after LSG.

Growth of shoots, ear and yield structure of winter wheat under drought

Aim. The aim of the work was to study the growth of shoots, ears and the structure of the yield of bread winter wheat (Triticum aestivum L.) under drought. Methods. Wheat plants cultivars Chigyrynka and Jamala were grown under optimal conditions until the earing-flowering phase, after that the experimental plants were transferred to drought regime for 8 days. Optimal water supply was restored to the end of vegetation. During the experiment, shoot growth and ear weight were measured during the experiment. Ripened plants were analyzed the yield structure. Results. It was established that the water deficit in the soil during the critical phase of the ontogeny of earing-flowering delayed the growth of shoots, decreased the weight of the ear grain productivity in both cultivars of plants. Restoration of irrigation stimulated growth of shoots and ears, but did not compensate for the loss of yield. Conclusions. Water deficit in soil in critical earing-flowering phase decreased shoots length, ears weight and productivity of winter wheat plants.

National introduction of one-anastomosis gastric bypass in the UK National Bariatric Surgery Registry – a cohort study

Aim: There is a paucity of evidence regarding the national introduction of newer bariatric metabolic surgery procedures. This study assessed the impact of introducing one-anastomosis gastric bypass (OAGB) in bariatric surgical practice in the UK on 30-day postoperative morbidity and early postoperative weight loss. Methods: Patients who underwent primary BMS in the UK National Bariatric Surgical Registry (2010-2019) were identified. Patient characteristics, 30-day postoperative morbidity, and 12-month total body weight loss (TBWL) were also assessed. Multivariate regression was performed for associations between 30-day postoperative morbidity and 12-month TBWL, with SG as a reference. Learning effects were assessed by factoring in the institutional OAGB caseload (0-24/25-49/50+ cases). Results: A total of 59,226 patients underwent primary BMS during the study period (RYGB, 38,434; SG, 24,702; AGB, 12,627; OAGB, 3,408; and Others, 276). The 30-day postoperative morbidity was lower for OAGB 1.8% (51/2,802) compared to RYGB 4.2% (1,391/32,853) and SG 3.4% (725/21,333) but higher than AGB 1.2% (123/9,915), while on multivariate regression, OAGB was associated with reduced morbidity once the institution caseload exceeded 50 operations (OR 0.35 (95% CI, 0.22-0.56; P&lt;0.001) and no statistical difference to SG at lesser caseloads. Overall, 12-month greater than 25% TBWL was seen in 69.4% (27736/39971) (RYGB: 82.9% (17617/21246)), SG: 65.4% (7383/11283)), AGB: 23.9% (1382/5572)) and OAGB: 82.9% (1328/1601)). On multivariate regression, OAGB was associated with the highest 12-month TBWL once the institution caseload exceeded 50 operations (OR 3.47 (95% CI 2.75-4.39; P&lt;0.001). Conclusion: OAGB has been safely implemented in UK national bariatric surgery practice. It has lower reported postoperative morbidity and comparable weight loss to RYGB or SG, despite being offered to patients with more severe and complex obesity.

PSVII-13 Influence of early maternal gestational body weight gain on liver gene expression across generations in offspring

Abstract Maternal nutrition in the periconceptional period influences gene regulation in the fetal liver across generations, affecting long-term metabolism. This study aimed to examine the effects of the rate of body weight (BW) gain of the dam (F0) during early gestation on the differential gene expression of the liver of first (F1) and second-generation (F2) offspring. Crossbred Angus heifers (F0) were assigned into two groups based on their targeted rate of BW gain during the first 84 d of gestation: low gain (LG; 0.28 kg/d; n = 8) or moderate gain (MG; 0.79 kg/d; n = 8). Following this period, all heifers (F0) were kept on a forage-based diet until the F1 offspring were weaned at 8 mo. The F1 heifers underwent estrus synchronization and were artificially inseminated at 15 mo of age. Liver samples were obtained from the F1 heifers at birth and later when harvested at 84 d of gestation, along with liver samples from their F2 fetuses, for a comprehensive multigenerational RNA-Seq analysis. Differentially expressed genes (DEGs) were identified using the DESeq2 R-package, focusing on significant genes determined by a P-value ≤ 0.05 and a log2 fold change |0.5|. Metabolic pathways and biological processes were analyzed using the WebGestalt tool to understand the implications of the observed gene expression changes. At birth, F1 heifers from MG dams exhibited 281 DEGs, comprising 152 downregulated and 129 upregulated genes compared with the offspring of LG dams. These genes were over-represented in lipid metabolism, cellular homeostasis, and signaling pathways, such as MAPK and chemokine signaling. At harvest, 159 DEGs were identified in F1 heifers, with 67 genes downregulated and 92 genes upregulated in the MG group. These genes were related to cellular morphogenesis and biogenesis processes, with a notable downregulation of metabolic pathways. For the F2 fetuses, 192 DEGs were identified, where 71 genes were downregulated, and 121 genes were upregulated. These genes were involved in biological functions such as peptide secretion to cell proliferation and signaling pathways, including PI3K-Akt and Hippo signaling. The analysis of DEGs shared between F1 heifers and F2 fetuses highlighted the influence of the moderate BW weight gain of the F0 dams. At birth and harvest, F1 heifers shared three genes (NAV2, FAM131C, SH3D21). F1 heifers at birth and F2 fetuses shared five genes (CD3E, H1-12, SLC7A11, PIP4P2, ENSBTAG00000051730). From the harvest at d 84 in F1 heifers and F2 fetuses, five genes were shared (DCDC2, RIN1, ENSBTAG00000008911, ENSBTAG00000040518, ENSBTAG00000048049). No DEGs were shared across all comparisons. These findings emphasize the multigenerational impact of early gestational BW gain of the dam on liver gene expression, influencing metabolic pathways and signaling across generations.

Adding Evidence to an Evidence-Based Classification for Recurrent Weight Gain after Bariatric and Metabolic Surgery from a Norwegian National Registry.

In 2023, the first evidence-based classification for recurrent weight gain (RWG) after metabolic and bariatric surgery was introduced. It uses early and late follow-up weight loss benchmarks based on standard deviations (SD) of percentage total weight loss(%TWL) results from the large Dutch Audit for Treatment of Obesity (DATO) registry (n > 18,000). We aimed to validate this classification and confirm its clinical relevance with an external cohort. The DATO-based classification defines all RWG as grade 1, as long as weight-loss does not drop below DATO's late-follow-up minus one SD benchmark (20%TWL). Grade 3 represents clear outliers whose RWG evolves below DATO's late follow-up minus two SD benchmark (10%TWL), with grade 2 in-between. Grades 2a/3a represent initial suboptimal clinical response, with nadir %TWL never exceeding DATO's early-follow-up minus one SD benchmark (25%TWL). Grades 2b/3b represent late clinical deterioration from nadir weight loss ≥ 25%TWL. We compared baseline characteristics, SD based benchmarks, RWG and comorbidities from the Scandinavian Obesity Surgery Registry Norway (SOReg-N) with these DATO-derived grades. The SOReg-N population (n = 3064) was comparable at baseline, with more sleeve gastrectomies (54% versus DATO 22.5%). The SD benchmarks were at early follow-up minus one SD 25.8%TWL, at 5years minus one SD/minus two-SD 17.2%TWL/7.0%TWL (DATO 25%TWL/20%TWL/10%TWL). Percentage of patients and amount of RWG were similar to DATO. In line with DATO, comorbidities were predominant in grades 2a/3a, with least improvement in grade 3a. Also, grade 3b showed more favorable characteristics at baseline. The SOReg-N cohort confirmed the weight-loss benchmarks defining the DATO-derived grades, the distribution of patients and their RWG across the grades, and correlations between grades and comorbidities. Male gender, older age and comorbidities were predominant among patients with initial suboptimal clinical response (RWG grades 2a/3a), but not for late clinical deterioration (RWG grades 2b/3b). This classification can be used for populations with diverse weight loss trajectories and offers an evidence-based guide for clinical decision-making and standardization.