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1.
Nature ; 553(7687): 194-198, 2018 01 11.
Artigo em Inglês | MEDLINE | ID: mdl-29227988

RESUMO

Fire frequency is changing globally and is projected to affect the global carbon cycle and climate. However, uncertainty about how ecosystems respond to decadal changes in fire frequency makes it difficult to predict the effects of altered fire regimes on the carbon cycle; for instance, we do not fully understand the long-term effects of fire on soil carbon and nutrient storage, or whether fire-driven nutrient losses limit plant productivity. Here we analyse data from 48 sites in savanna grasslands, broadleaf forests and needleleaf forests spanning up to 65 years, during which time the frequency of fires was altered at each site. We find that frequently burned plots experienced a decline in surface soil carbon and nitrogen that was non-saturating through time, having 36 per cent (±13 per cent) less carbon and 38 per cent (±16 per cent) less nitrogen after 64 years than plots that were protected from fire. Fire-driven carbon and nitrogen losses were substantial in savanna grasslands and broadleaf forests, but not in temperate and boreal needleleaf forests. We also observe comparable soil carbon and nitrogen losses in an independent field dataset and in dynamic model simulations of global vegetation. The model study predicts that the long-term losses of soil nitrogen that result from more frequent burning may in turn decrease the carbon that is sequestered by net primary productivity by about 20 per cent of the total carbon that is emitted from burning biomass over the same period. Furthermore, we estimate that the effects of changes in fire frequency on ecosystem carbon storage may be 30 per cent too low if they do not include multidecadal changes in soil carbon, especially in drier savanna grasslands. Future changes in fire frequency may shift ecosystem carbon storage by changing soil carbon pools and nitrogen limitations on plant growth, altering the carbon sink capacity of frequently burning savanna grasslands and broadleaf forests.


Assuntos
Carbono/análise , Carbono/metabolismo , Ecossistema , Nitrogênio/análise , Nitrogênio/metabolismo , Solo/química , Incêndios Florestais/estatística & dados numéricos , Cálcio/análise , Cálcio/metabolismo , Carbono/deficiência , Sequestro de Carbono , Mapeamento Geográfico , Pradaria , Nitrogênio/deficiência , Fósforo/análise , Fósforo/metabolismo , Potássio/análise , Potássio/metabolismo , Análise Espaço-Temporal , Fatores de Tempo
2.
Nature ; 541(7638): 516-520, 2017 01 26.
Artigo em Inglês | MEDLINE | ID: mdl-28092919

RESUMO

Large interannual variations in the measured growth rate of atmospheric carbon dioxide (CO2) originate primarily from fluctuations in carbon uptake by land ecosystems. It remains uncertain, however, to what extent temperature and water availability control the carbon balance of land ecosystems across spatial and temporal scales. Here we use empirical models based on eddy covariance data and process-based models to investigate the effect of changes in temperature and water availability on gross primary productivity (GPP), terrestrial ecosystem respiration (TER) and net ecosystem exchange (NEE) at local and global scales. We find that water availability is the dominant driver of the local interannual variability in GPP and TER. To a lesser extent this is true also for NEE at the local scale, but when integrated globally, temporal NEE variability is mostly driven by temperature fluctuations. We suggest that this apparent paradox can be explained by two compensatory water effects. Temporal water-driven GPP and TER variations compensate locally, dampening water-driven NEE variability. Spatial water availability anomalies also compensate, leaving a dominant temperature signal in the year-to-year fluctuations of the land carbon sink. These findings help to reconcile seemingly contradictory reports regarding the importance of temperature and water in controlling the interannual variability of the terrestrial carbon balance. Our study indicates that spatial climate covariation drives the global carbon cycle response.


Assuntos
Ciclo do Carbono , Dióxido de Carbono/metabolismo , Ecossistema , Temperatura , Água/metabolismo , Atmosfera/química , Dióxido de Carbono/análise , Respiração Celular , Aprendizado de Máquina , Fotossíntese , Água/análise
3.
Glob Chang Biol ; 27(4): 836-854, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-33124068

RESUMO

Earth observation-based estimates of global gross primary production (GPP) are essential for understanding the response of the terrestrial biosphere to climatic change and other anthropogenic forcing. In this study, we attempt an ecosystem-level physiological approach of estimating GPP using an asymptotic light response function (LRF) between GPP and incoming photosynthetically active radiation (PAR) that better represents the response observed at high spatiotemporal resolutions than the conventional light use efficiency approach. Modelled GPP is thereafter constrained with meteorological and hydrological variables. The variability in field-observed GPP, net primary productivity and solar-induced fluorescence was better or equally well captured by our LRF-based GPP when compared with six state-of-the-art Earth observation-based GPP products. Over the period 1982-2015, the LRF-based average annual global terrestrial GPP budget was 121.8 ± 3.5 Pg C, with a detrended inter-annual variability of 0.74 ± 0.13 Pg C. The strongest inter-annual variability was observed in semi-arid regions, but croplands in China and India also showed strong inter-annual variations. The trend in global terrestrial GPP during 1982-2015 was 0.27 ± 0.02 Pg C year-1 , and was generally larger in the northern than the southern hemisphere. Most positive GPP trends were seen in areas with croplands whereas negative trends were observed for large non-cropped parts of the tropics. Trends were strong during the eighties and nineties but levelled off around year 2000. Other GPP products either showed no trends or continuous increase throughout the study period. This study benchmarks a first global Earth observation-based model using an asymptotic light response function, improving simulations of GPP, and reveals a stagnation in the global GPP after the year 2000.


Assuntos
Mudança Climática , Ecossistema , China , Planeta Terra , Índia , Fotossíntese
4.
Glob Chang Biol ; 24(2): e705-e718, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28981192

RESUMO

Soil organic matter (SOM) supports the Earth's ability to sustain terrestrial ecosystems, provide food and fiber, and retains the largest pool of actively cycling carbon. Over 75% of the soil organic carbon (SOC) in the top meter of soil is directly affected by human land use. Large land areas have lost SOC as a result of land use practices, yet there are compensatory opportunities to enhance productivity and SOC storage in degraded lands through improved management practices. Large areas with and without intentional management are also being subjected to rapid changes in climate, making many SOC stocks vulnerable to losses by decomposition or disturbance. In order to quantify potential SOC losses or sequestration at field, regional, and global scales, measurements for detecting changes in SOC are needed. Such measurements and soil-management best practices should be based on well established and emerging scientific understanding of processes of C stabilization and destabilization over various timescales, soil types, and spatial scales. As newly engaged members of the International Soil Carbon Network, we have identified gaps in data, modeling, and communication that underscore the need for an open, shared network to frame and guide the study of SOM and SOC and their management for sustained production and climate regulation.


Assuntos
Sequestro de Carbono , Carbono/química , Ecossistema , Cooperação Internacional , Solo/química , Agricultura , Ciclo do Carbono , Clima , Mudança Climática , Bases de Dados Factuais , Modelos Teóricos
5.
Glob Chang Biol ; 23(2): 793-800, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27392297

RESUMO

Recent evidence shows that warm semi-arid ecosystems are playing a disproportionate role in the interannual variability and greening trend of the global carbon cycle given their mean lower productivity when compared with other biomes (Ahlström et al. 2015 Science, 348, 895). Using multiple observations (land-atmosphere fluxes, biomass, streamflow and remotely sensed vegetation cover) and two state-of-the-art biospheric models, we show that climate variability and extremes lead to positive or negative responses in the biosphere, depending on vegetation type. We find Australia to be a global hot spot for variability, with semi-arid ecosystems in that country exhibiting increased carbon uptake due to both asymmetry in the interannual distribution of rainfall (extrinsic forcing), and asymmetry in the response of gross primary production (GPP) to rainfall change (intrinsic response). The latter is attributable to the pulse-response behaviour of the drought-adapted biota of these systems, a response that is estimated to be as much as half of that from the CO2 fertilization effect during 1990-2013. Mesic ecosystems, lacking drought-adapted species, did not show an intrinsic asymmetric response. Our findings suggest that a future more variable climate will induce large but contrasting ecosystem responses, differing among biomes globally, independent of changes in mean precipitation alone. The most significant changes are occurring in the extensive arid and semi-arid regions, and we suggest that the reported increased carbon uptake in response to asymmetric responses might be contributing to the observed greening trends there.


Assuntos
Ciclo do Carbono , Clima Desértico , Ecossistema , Austrália , Secas
6.
Nat Commun ; 13(1): 3797, 2022 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-35778395

RESUMO

Soil is the largest terrestrial reservoir of organic carbon and is central for climate change mitigation and carbon-climate feedbacks. Chemical and physical associations of soil carbon with minerals play a critical role in carbon storage, but the amount and global capacity for storage in this form remain unquantified. Here, we produce spatially-resolved global estimates of mineral-associated organic carbon stocks and carbon-storage capacity by analyzing 1144 globally-distributed soil profiles. We show that current stocks total 899 Pg C to a depth of 1 m in non-permafrost mineral soils. Although this constitutes 66% and 70% of soil carbon in surface and deeper layers, respectively, it is only 42% and 21% of the mineralogical capacity. Regions under agricultural management and deeper soil layers show the largest undersaturation of mineral-associated carbon. Critically, the degree of undersaturation indicates sequestration efficiency over years to decades. We show that, across 103 carbon-accrual measurements spanning management interventions globally, soils furthest from their mineralogical capacity are more effective at accruing carbon; sequestration rates average 3-times higher in soils at one tenth of their capacity compared to soils at one half of their capacity. Our findings provide insights into the world's soils, their capacity to store carbon, and priority regions and actions for soil carbon management.


Assuntos
Carbono , Solo , Agricultura , Sequestro de Carbono , Minerais
7.
Nat Ecol Evol ; 4(2): 202-209, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31988446

RESUMO

Anthropogenic land use and land cover changes (LULCC) have a large impact on the global terrestrial carbon sink, but this effect is not well characterized according to biogeographical region. Here, using state-of-the-art Earth observation data and a dynamic global vegetation model, we estimate the impact of LULCC on the contribution of biomes to the terrestrial carbon sink between 1992 and 2015. Tropical and boreal forests contributed equally, and with the largest share of the mean global terrestrial carbon sink. CO2 fertilization was found to be the main driver increasing the terrestrial carbon sink from 1992 to 2015, but the net effect of all drivers (CO2 fertilization and nitrogen deposition, LULCC and meteorological forcing) caused a reduction and an increase, respectively, in the terrestrial carbon sink for tropical and boreal forests. These diverging trends were not observed when applying a conventional LULCC dataset, but were also evident in satellite passive microwave estimates of aboveground biomass. These datasets thereby converge on the conclusion that LULCC have had a greater impact on tropical forests than previously estimated, causing an increase and decrease of the contributions of boreal and tropical forests, respectively, to the growing terrestrial carbon sink.


Assuntos
Sequestro de Carbono , Taiga , Ecossistema , Florestas , Nitrogênio
8.
Sci Rep ; 9(1): 3367, 2019 03 04.
Artigo em Inglês | MEDLINE | ID: mdl-30833586

RESUMO

Carbon storage dynamics in vegetation and soil are determined by the balance of carbon influx and turnover. Estimates of these opposing fluxes differ markedly among different empirical datasets and models leading to uncertainty and divergent trends. To trace the origin of such discrepancies through time and across major biomes and climatic regions, we used a model-data fusion framework. The framework emulates carbon cycling and its component processes in a global dynamic ecosystem model, LPJ-GUESS, and preserves the model-simulated pools and fluxes in space and time. Thus, it allows us to replace simulated carbon influx and turnover with estimates derived from empirical data, bringing together the strength of the model in representing processes, with the richness of observational data informing the estimations. The resulting vegetation and soil carbon storage and global land carbon fluxes were compared to independent empirical datasets. Results show model-data agreement comparable to, or even better than, the agreement between independent empirical datasets. This suggests that only marginal improvement in land carbon cycle simulations can be gained from comparisons of models with current-generation datasets on vegetation and soil carbon. Consequently, we recommend that model skill should be assessed relative to reference data uncertainty in future model evaluation studies.

10.
Nat Ecol Evol ; 2(12): 1897-1905, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30420745

RESUMO

The annual peak growth of vegetation is critical in characterizing the capacity of terrestrial ecosystem productivity and shaping the seasonality of atmospheric CO2 concentrations. The recent greening of global lands suggests an increasing trend of terrestrial vegetation growth, but whether or not the peak growth has been globally enhanced still remains unclear. Here, we use two global datasets of gross primary productivity (GPP) and a satellite-derived Normalized Difference Vegetation Index (NDVI) to characterize recent changes in annual peak vegetation growth (that is, GPPmax and NDVImax). We demonstrate that the peak in the growth of global vegetation has been linearly increasing during the past three decades. About 65% of the NDVImax variation is evenly explained by expanding croplands (21%), rising CO2 (22%) and intensifying nitrogen deposition (22%). The contribution of expanding croplands to the peak growth trend is substantiated by measurements from eddy-flux towers, sun-induced chlorophyll fluorescence and a global database of plant traits, all of which demonstrate that croplands have a higher photosynthetic capacity than other vegetation types. The large contribution of CO2 is also supported by a meta-analysis of 466 manipulative experiments and 15 terrestrial biosphere models. Furthermore, we show that the contribution of GPPmax to the change in annual GPP is less in the tropics than in other regions. These multiple lines of evidence reveal an increasing trend in the peak growth of global vegetation. The findings highlight the important roles of agricultural intensification and atmospheric changes in reshaping the seasonality of global vegetation growth.


Assuntos
Ecossistema , Fotossíntese , Desenvolvimento Vegetal , Tecnologia de Sensoriamento Remoto , Estações do Ano
11.
Nat Ecol Evol ; 2(9): 1443-1448, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-30013133

RESUMO

Effective societal responses to rapid climate change in the Arctic rely on an accurate representation of region-specific ecosystem properties and processes. However, this is limited by the scarcity and patchy distribution of field measurements. Here, we use a comprehensive, geo-referenced database of primary field measurements in 1,840 published studies across the Arctic to identify statistically significant spatial biases in field sampling and study citation across this globally important region. We find that 31% of all study citations are derived from sites located within 50 km of just two research sites: Toolik Lake in the USA and Abisko in Sweden. Furthermore, relatively colder, more rapidly warming and sparsely vegetated sites are under-sampled and under-recognized in terms of citations, particularly among microbiology-related studies. The poorly sampled and cited areas, mainly in the Canadian high-Arctic archipelago and the Arctic coastline of Russia, constitute a large fraction of the Arctic ice-free land area. Our results suggest that the current pattern of sampling and citation may bias the scientific consensuses that underpin attempts to accurately predict and effectively mitigate climate change in the region. Further work is required to increase both the quality and quantity of sampling, and incorporate existing literature from poorly cited areas to generate a more representative picture of Arctic climate change and its environmental impacts.


Assuntos
Mudança Climática , Regiões Árticas , Ecossistema , Viés de Seleção , Análise Espacial
12.
Nat Commun ; 8(1): 387, 2017 08 30.
Artigo em Inglês | MEDLINE | ID: mdl-28855518

RESUMO

The Amazon rainforest is disproportionately important for global carbon storage and biodiversity. The system couples the atmosphere and land, with moist forest that depends on convection to sustain gross primary productivity and growth. Earth system models that estimate future climate and vegetation show little agreement in Amazon simulations. Here we show that biases in internally generated climate, primarily precipitation, explain most of the uncertainty in Earth system model results; models, empirical data and theory converge when precipitation biases are accounted for. Gross primary productivity, above-ground biomass and tree cover align on a hydrological relationship with a breakpoint at ~2000 mm annual precipitation, where the system transitions between water and radiation limitation of evapotranspiration. The breakpoint appears to be fairly stable in the future, suggesting resilience of the Amazon to climate change. Changes in precipitation and land use are therefore more likely to govern biomass and vegetation structure in Amazonia.Earth system model simulations of future climate in the Amazon show little agreement. Here, the authors show that biases in internally generated climate explain most of this uncertainty and that the balance between water-saturated and water-limited evapotranspiration controls the Amazon resilience to climate change.


Assuntos
Biomassa , Conservação dos Recursos Naturais , Floresta Úmida , Atmosfera/química , Carbono , Mudança Climática , Hidrologia , Modelos Biológicos , Modelos Estatísticos , Estações do Ano , América do Sul , Árvores
13.
Science ; 348(6237): 895-9, 2015 May 22.
Artigo em Inglês | MEDLINE | ID: mdl-25999504

RESUMO

The growth rate of atmospheric carbon dioxide (CO2) concentrations since industrialization is characterized by large interannual variability, mostly resulting from variability in CO2 uptake by terrestrial ecosystems (typically termed carbon sink). However, the contributions of regional ecosystems to that variability are not well known. Using an ensemble of ecosystem and land-surface models and an empirical observation-based product of global gross primary production, we show that the mean sink, trend, and interannual variability in CO2 uptake by terrestrial ecosystems are dominated by distinct biogeographic regions. Whereas the mean sink is dominated by highly productive lands (mainly tropical forests), the trend and interannual variability of the sink are dominated by semi-arid ecosystems whose carbon balance is strongly associated with circulation-driven variations in both precipitation and temperature.


Assuntos
Atmosfera/química , Ciclo do Carbono , Dióxido de Carbono/análise , Florestas , Pradaria
14.
Nat Commun ; 5: 5018, 2014 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-25318638

RESUMO

Satellite-derived Normalized Difference Vegetation Index (NDVI), a proxy of vegetation productivity, is known to be correlated with temperature in northern ecosystems. This relationship, however, may change over time following alternations in other environmental factors. Here we show that above 30°N, the strength of the relationship between the interannual variability of growing season NDVI and temperature (partial correlation coefficient RNDVI-GT) declined substantially between 1982 and 2011. This decrease in RNDVI-GT is mainly observed in temperate and arctic ecosystems, and is also partly reproduced by process-based ecosystem model results. In the temperate ecosystem, the decrease in RNDVI-GT coincides with an increase in drought. In the arctic ecosystem, it may be related to a nonlinear response of photosynthesis to temperature, increase of hot extreme days and shrub expansion over grass-dominated tundra. Our results caution the use of results from interannual time scales to constrain the decadal response of plants to ongoing warming.


Assuntos
Clima , Ecossistema , Monitoramento Ambiental/métodos , Temperatura , Regiões Árticas , Simulação por Computador , Secas , Geografia , Aquecimento Global , Fotossíntese , Fenômenos Fisiológicos Vegetais , Plantas , Poaceae , Imagens de Satélites , Estações do Ano , Solo
15.
Philos Trans R Soc Lond B Biol Sci ; 368(1625): 20120376, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23878340

RESUMO

The African humid tropical biome constitutes the second largest rainforest region, significantly impacts global carbon cycling and climate, and has undergone major changes in functioning owing to climate and land-use change over the past century. We assess changes and trends in CO2 fluxes from 1901 to 2010 using nine land surface models forced with common driving data, and depict the inter-model variability as the uncertainty in fluxes. The biome is estimated to be a natural (no disturbance) net carbon sink (-0.02 kg C m⁻² yr⁻¹ or -0.04 Pg C yr⁻¹, p < 0.05) with increasing strength fourfold in the second half of the century. The models were in close agreement on net CO2 flux at the beginning of the century (σ1901 = 0.02 kg C m⁻² yr⁻¹), but diverged exponentially throughout the century (σ2010 = 0.03 kg C m⁻² yr⁻¹). The increasing uncertainty is due to differences in sensitivity to increasing atmospheric CO2, but not increasing water stress, despite a decrease in precipitation and increase in air temperature. However, the largest uncertainties were associated with the most extreme drought events of the century. These results highlight the need to constrain modelled CO2 fluxes with increasing atmospheric CO2 concentrations and extreme climatic events, as the uncertainties will only amplify in the next century.


Assuntos
Chuva , Árvores , Clima Tropical , África , Dióxido de Carbono/metabolismo , Sequestro de Carbono , Mudança Climática/história , História do Século XX , História do Século XXI , Modelos Biológicos , Árvores/metabolismo
16.
Glob Chang Biol ; 19(7): 2117-32, 2013 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-23504870

RESUMO

The purpose of this study was to evaluate 10 process-based terrestrial biosphere models that were used for the IPCC fifth Assessment Report. The simulated gross primary productivity (GPP) is compared with flux-tower-based estimates by Jung et al. [Journal of Geophysical Research 116 (2011) G00J07] (JU11). The net primary productivity (NPP) apparent sensitivity to climate variability and atmospheric CO2 trends is diagnosed from each model output, using statistical functions. The temperature sensitivity is compared against ecosystem field warming experiments results. The CO2 sensitivity of NPP is compared to the results from four Free-Air CO2 Enrichment (FACE) experiments. The simulated global net biome productivity (NBP) is compared with the residual land sink (RLS) of the global carbon budget from Friedlingstein et al. [Nature Geoscience 3 (2010) 811] (FR10). We found that models produce a higher GPP (133 ± 15 Pg C yr(-1) ) than JU11 (118 ± 6 Pg C yr(-1) ). In response to rising atmospheric CO2 concentration, modeled NPP increases on average by 16% (5-20%) per 100 ppm, a slightly larger apparent sensitivity of NPP to CO2 than that measured at the FACE experiment locations (13% per 100 ppm). Global NBP differs markedly among individual models, although the mean value of 2.0 ± 0.8 Pg C yr(-1) is remarkably close to the mean value of RLS (2.1 ± 1.2 Pg C yr(-1) ). The interannual variability in modeled NBP is significantly correlated with that of RLS for the period 1980-2009. Both model-to-model and interannual variation in model GPP is larger than that in model NBP due to the strong coupling causing a positive correlation between ecosystem respiration and GPP in the model. The average linear regression slope of global NBP vs. temperature across the 10 models is -3.0 ± 1.5 Pg C yr(-1) °C(-1) , within the uncertainty of what derived from RLS (-3.9 ± 1.1 Pg C yr(-1) °C(-1) ). However, 9 of 10 models overestimate the regression slope of NBP vs. precipitation, compared with the slope of the observed RLS vs. precipitation. With most models lacking processes that control GPP and NBP in addition to CO2 and climate, the agreement between modeled and observation-based GPP and NBP can be fortuitous. Carbon-nitrogen interactions (only separable in one model) significantly influence the simulated response of carbon cycle to temperature and atmospheric CO2 concentration, suggesting that nutrients limitations should be included in the next generation of terrestrial biosphere models.


Assuntos
Ciclo do Carbono , Dióxido de Carbono/análise , Mudança Climática , Ecossistema , Modelos Teóricos , Poaceae/crescimento & desenvolvimento , Filogeografia
17.
J Obes ; 2011: 959601, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21197152

RESUMO

Background. Recently, we found large reductions in visceral and subcutaneous fat one month after gastric bypass (GBP), without any change in liver fat content. Purpose. Firstly to characterize weight loss-induced lipid mobilization after one month with preoperative low-calorie diet (LCD) and a subsequent month following GBP, and secondly, to discuss the observations with reference to our previous published findings after GBP intervention alone. Methods. 15 morbidly obese women were studied prior to LCD, at GBP, and one month after GBP. Effects on metabolism were measured by magnetic resonance techniques and blood tests. Results. Body weight was similarly reduced after both months (mean: -8.0 kg, n = 13). Relative body fat changes were smaller after LCD than after GBP (-7.1 ± 3.6% versus -10 ± 3.2%, P = .029, n = 13). Liver fat fell during the LCD month (-41%, P = .001, n = 13) but was unaltered one month after GBP (+12%). Conclusion. Gastric bypass seems to cause a greater lipid mobilization than a comparable LCD-induced weight loss. One may speculate that GBP-altered gastrointestinal signalling sensitizes adipose tissue to lipolysis, promoting the changes observed.

18.
Obes Surg ; 21(3): 345-50, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21181291

RESUMO

BACKGROUND: The aim of this study was to explore changes in liver volume and intrahepatic fat in morbidly obese patients during 4 weeks of low-calorie diet (LCD) before surgery and to investigate if these changes would facilitate the following laparoscopic gastric bypass. METHODS: Fifteen female patients (121.3 kg, BMI 42.9) were treated preoperatively in an open study with LCD (800-1,100 kcal/day) during 4 weeks. Liver volume and fat content were assessed by magnetic resonance imaging and spectroscopy before and after the LCD treatment. RESULTS: Liver appearance and the complexity of the surgery were scored at the operation. Eighteen control patients (114.4 kg, BMI 40.8), without LCD were scored similarly. Average weight loss in the LCD group was 7.5 kg, giving a mean weight of 113.9 kg at surgery. Liver volume decreased by 12% (p < 0.001) and intrahepatic fat by 40% (p < 0.001). According to the preoperative scoring, the size of the left liver lobe, sharpness of the liver edge, and exposure of the hiatal region were improved in the LCD group compared to the controls (all p < 0.05). CONCLUSIONS: The overall complexity of the surgery was perceived lower in the LCD group (p < 0.05), due to improved exposure and reduced psychological stress (both p < 0.05). Four weeks of preoperative LCD resulted in a significant decrease in liver volume and intrahepatic fat content, and facilitated the subsequent laparoscopic gastric bypass as scored by the surgeon.


Assuntos
Tecido Adiposo/patologia , Restrição Calórica , Derivação Gástrica/métodos , Fígado/patologia , Obesidade Mórbida/patologia , Cuidados Pré-Operatórios , Tecido Adiposo/química , Adulto , Peso Corporal , Feminino , Humanos , Laparoscopia , Imageamento por Ressonância Magnética , Obesidade Mórbida/cirurgia , Tamanho do Órgão
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