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Collagen Supplements and Post-MBS Muscle Mass/Body Image

3 septembre 2026 mis à jour par: Seher Şen, Mudanya University

Relationship Between Collagen-Containing Supplement Use and Muscle Mass and Body Image Following Metabolic and Bariatric Surgery: A Prospective Observational Study

This prospective, observational cohort study aims to evaluate whether the use of collagen-containing supplements is associated with differences in muscle mass, body composition, and body image among patients who have undergone sleeve gastrectomy (SG). The study will be conducted at the General Surgery outpatient clinic of a private hospital in Bursa, Türkiye, between May 2026 and March 2027, and will enroll adult patients (aged 18-65 years) who meet current ASMBS/IFSO eligibility criteria for metabolic and bariatric surgery.

Participants will be naturally allocated into two observational groups based on their own choice to use or not use collagen-containing supplements; no supplement will be provided or recommended by the study team, and no intervention will be made to participants' standard clinical care. All patients will be followed according to routine clinical practice preoperatively and at 2 weeks, 1 month, 3 months, and 6 months postoperatively.

Primary outcome measures include anthropometric parameters (body weight, BMI, fat mass, fat mass percentage, fat-free mass, muscle mass, percentage of weight loss, percentage of excess weight loss, waist and hip circumference) assessed via bioelectrical impedance analysis (Tanita MC-780 MA), and body image assessed using the Turkish-validated Body Shape Questionnaire (BSQ). Secondary outcomes include biochemical parameters, comorbidities, and macronutrient intake data obtained from 3-day dietary records analyzed using the BEBİS nutrition software.

The study hypothesizes that patients using collagen-containing supplements will show significant differences in muscle mass and body composition parameters compared with non-users, and that supplement use will be significantly associated with BSQ scores. A sample size of approximately 52 participants per group was calculated using G*Power 3.1 (one-way ANOVA, Cohen's f = 0.25, α = 0.05, power = 0.80).

Aperçu de l'étude

Type d'étude

Observationnel

Inscription (Estimé)

52

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Coordonnées de l'étude

  • Nom: Seher Şen, Assistant Professor
  • Numéro de téléphone: +905393919700
  • E-mail: seherdalli@gmail.com

Sauvegarde des contacts de l'étude

  • Nom: Emre Şen, Master's degree graduate
  • Numéro de téléphone: 0 532 163 30 87

Lieux d'étude

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

  • Adulte
  • Adulte plus âgé

Accepte les volontaires sains

Oui

Méthode d'échantillonnage

Échantillon non probabiliste

Population étudiée

Adult patients aged 18-65 years who underwent sleeve gastrectomy and are under routine postoperative follow-up at the General Surgery outpatient clinic of a private hospital in Bursa, Türkiye. Eligible patients meet current ASMBS/IFSO criteria for metabolic and bariatric surgery (BMI ≥ 35 kg/m², or BMI 30-34.9 kg/m² with an obesity-related metabolic comorbidity). Participants are naturally grouped according to their own preference to use or not use a collagen-containing supplement following surgery.

La description

Inclusion Criteria:

  • Patients with a BMI ≥ 35 kg/m², regardless of the presence of comorbidities
  • Patients with a BMI of 30-34.9 kg/m² who have an obesity-related metabolic disease and are considered eligible for surgical treatment
  • Patients who have undergone metabolic and bariatric surgery (MBS) in accordance with current ASMBS/IFSO guidelines (Eisenberg et al., 2022)
  • Patients under regular postoperative follow-up
  • Age 18-65 years

Exclusion Criteria:

  • Inflammatory bowel disease
  • History of upper gastrointestinal bleeding
  • Severe psychiatric disorders
  • Active cancer diagnosis
  • Pregnancy or breastfeeding
  • Alcohol or substance dependence
  • Physical limitations preventing participation in exercise

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

Cohortes et interventions

Groupe / Cohorte
Intervention / Traitement
1. Grup
Group/Cohort Label: Collagen Supplement Users (Kolajen Kullananlar) Description: Participants who, based on their own preference, use a collagen-containing supplement product following sleeve gastrectomy, without any intervention or recommendation from the study team.
Collagen-containing supplement products used at the participants' own discretion following sleeve gastrectomy. The type of product, daily dosage, and duration of use were self-reported by participants
2. Grup
Group/Cohort Label: Non-Users of Collagen Supplement (Kolajen Kullanmayanlar) Description: Participants who do not use any collagen-containing supplement product following sleeve gastrectomy, followed under routine clinical care.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Description de la mesure
Délai
Change in Body Weight
Délai: Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Body weight (kg) measured using a Tanita MC-780 MA device.
Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Change in Body Shape Questionnaire (BSQ) Score
Délai: Preoperative and postoperative 6 months
Body image concerns were assessed using the Body Shape Questionnaire (BSQ-34), a validated instrument for the Turkish population. This 34-item self-report scale evaluates weight-related concerns and dissatisfaction with body shape over the preceding four weeks. Each item is scored from 1 (never) to 6 (always), with a total score range of 34 to 204. Higher scores indicate greater dissatisfaction with body shape, i.e., a worse outcome.
Preoperative and postoperative 6 months
Change in Body Mass Index (BMI)
Délai: Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
BMI calculated as body weight (kg) divided by height squared (m²).
Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Percentage of Total Weight Loss (%TWL)
Délai: Postoperative and 6 months
Calculated as (preoperative weight - postoperative weight) / preoperative weight × 100.
Postoperative and 6 months
Percentage of Excess Weight Loss (%EWL)
Délai: Postoperative and 6 months
Calculated as (preoperative weight - postoperative weight) / (preoperative weight - ideal weight) × 100. Ideal body weight was calculated assuming a BMI of 25 kg/m².
Postoperative and 6 months
Change in Fat Mass
Délai: Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Fat mass (kg) assessed by multi-frequency bioelectrical impedance analysis (BIA) using a Tanita MC-780 MA device.
Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Change in Fat Mass Percentage
Délai: Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Fat mass expressed as a percentage of total body weight, assessed by bioelectrical impedance analysis (BIA) using a Tanita MC-780 MA device.
Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Change in Muscle Mass
Délai: Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Muscle mass (kg) assessed by bioelectrical impedance analysis (BIA) using a Tanita MC-780 MA device.
Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Change in Muscle Mass Percentage
Délai: Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months
Muscle mass expressed as a percentage of total body weight, assessed by bioelectrical impedance analysis (BIA) using a Tanita MC-780 MA device.
Preoperative, and postoperative 2 weeks, 1 month, 3 months, and 6 months

Mesures de résultats secondaires

Mesure des résultats
Description de la mesure
Délai
Change in Fasting Blood Glucose
Délai: Preoperative and 6 months
Fasting blood glucose (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Fasting Insulin
Délai: Preoperative and 6 months
Fasting insulin (µIU/mL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in HbA1c
Délai: Preoperative and 6 months
Glycated hemoglobin (HbA1c, %) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in LDL Cholesterol
Délai: Preoperative and 6 months
LDL cholesterol (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in HDL Cholesterol
Délai: Preoperative and 6 months
HDL cholesterol (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Triglycerides
Délai: Preoperative and postoperative 6 months
Triglycerides (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and postoperative 6 months
Change in Total Cholesterol
Délai: Preoperative and postoperative 6 months
Total cholesterol (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and postoperative 6 months
Change in ALT
Délai: Preoperative and 6 months
Alanine aminotransferase (ALT, U/L) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in AST
Délai: Preoperative and 6 months
Aspartate aminotransferase (AST, U/L) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Uric Acid
Délai: Preoperative and 6 months
Uric acid (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Urea
Délai: Preoperative and 6 months
Urea (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Hemoglobin
Délai: Preoperative and 6 months
Hemoglobin (g/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Hematocrit
Délai: Preoperative and 6 months
Hematocrit (%) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Ferritin
Délai: Preoperative and 6 months
Ferritin (ng/mL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Serum Iron
Délai: Preoperative and 6 months
Serum iron (µg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Vitamin B12
Délai: Preoperative and 6 months
Vitamin B12 (pg/mL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Folic Acid
Délai: Preoperative and 6 months
Folic acid (ng/mL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Magnesium
Délai: Preoperative and 6 months
Magnesium (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Total Calcium
Délai: Preoperative and 6 months
Total calcium (mg/dL) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Serum Sodium
Délai: Preoperative and 6 months
Serum sodium (mEq/L) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months
Change in Serum Potassium
Délai: Preoperative and 6 months
Serum potassium (mEq/L) obtained from routine clinical laboratory follow-up.
Preoperative and 6 months

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

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Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude (Réel)

1 juillet 2026

Achèvement primaire (Estimé)

10 janvier 2027

Achèvement de l'étude (Estimé)

10 février 2027

Dates d'inscription aux études

Première soumission

29 juillet 2026

Première soumission répondant aux critères de contrôle qualité

3 septembre 2026

Première publication (Réel)

9 septembre 2026

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

9 septembre 2026

Dernière mise à jour soumise répondant aux critères de contrôle qualité

3 septembre 2026

Dernière vérification

1 septembre 2026

Plus d'information

Termes liés à cette étude

Plan pour les données individuelles des participants (IPD)

Prévoyez-vous de partager les données individuelles des participants (DPI) ?

NON

Description du régime IPD

Individual participant data will not be shared, as this was not planned or consented to as part of the study protocol. Data confidentiality was assured to participants at the time of enrollment, and no data sharing infrastructure or agreement is in place beyond the study team.

Informations sur les médicaments et les dispositifs, documents d'étude

Étudie un produit pharmaceutique réglementé par la FDA américaine

Non

Étudie un produit d'appareil réglementé par la FDA américaine

Non

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