Written by on 3/6/2014 8:00:00 AM
Currently, 15% of Roux-en-Y gastric bypass (RYGB) patients fail to achieve 50% weight loss at two years. A U.S. study recommends gastric bypass patients who do not achieve this level of weight loss should consider salvage laparoscopic adjustable gastric banding (LAGB).
Dr. John Loy, NYU Langone Medical Center, NY, presented the study saying, “Patients with weight loss failure after Roux-en-Y gastric bypass (RYGB) have limited options...salvage laparoscopic adjustable gastric banding provides good further weight loss, although the higher rate of re-operation for band-related complication merits appropriate patient counseling and close follow-up.”
The NY researchers did a retrospective review on 125 patients (102 female, 23 male) with a mean BMI of 51.2 before RYGB and an average BMI of 43 at two years. These patients all had salvage LAGB and their average BMI dropped to 35.9 after one year and to 33.8 after two years. Fifteen percent (19 of the 125 patients) did have a band complication ranging from port or tubing revisions and band erosion to band slippage, and one patient had a port infection.
Source: Annual Scientific Meeting of the British Obesity and Metabolic Surgery Society, January 22-24, 2014
Written by on 3/4/2014 8:00:00 AM
A new study reported in the journal Surgical Endoscopy finds more women are having bariatric surgery than men, who tend to delay it. The University of California researchers analyzed medical records from nearly 1,400 male and female patients, 82% of which were women. By the time the men had bariatric surgery, they were often older (average age 50), more obese and had more than four different obesity-related health conditions than the women. The most common health conditions, in this order, were sleep apnea, high blood pressure and diabetes.
The paper concludes: “Although men typically comprise less than 20% of bariatric surgery patients, they potentially have more to gain from these operations. Men present later in life, with more advanced obesity, and with more complicated comorbidities. Such findings mandate more research and resources to investigate this barrier to treatment and to provide the morbidly obese male with the surgical care he clearly needs.”
Source: BariatricNews.net, Jan. 14, 2014. http://www.bariatricnews.net/?q=news/111293/men-delay-surgery-leads-greater-problems
Written by on 2/27/2014 8:00:00 AM
CNN Money reporter and bariatric patient Gary Weiss talks about how the cost and benefits of his bariatric surgery and his is not just talking financial.
“My eating habits, and subsequently food costs, are now totally different. I've gone from spending up to $1,000 a month on food to $300, netting $8,400 a year.”
“I said goodbye to high blood pressure, but my blood sugar levels are pristine, so the threat of diabetes is greatly reduced. Who knows what other health conditions -- and inevitable bills -- I'd be dealing with had my weight continued to rise?”
“There are also the psychological benefits. A year after the surgery, I went to a professional function and was greeted by blank stares from people who didn't recognize me anymore. I couldn't find a word in the dictionary to describe how that felt. The closest I could find was "priceless."
The price of my new life
Being healthier saves Gary money, but also comes with some costs of its own.
- Supplements $40/month - Because surgery changed how my body absorbed nutrients.
- Water bottles $20/each - I must drink 80 ounces a day to fight dehydration.
- Gym membership $90/month - My doctor prescribed exercise. I took up jogging.
- Sneakers $70
- Smoked fish $20/month - Keeps my blood pressure from going too low. absorbed nutrients.
Read the full article at http://money.cnn.com/2014/01/01/pf/weight-loss-surgery.moneymag
Written by on 2/25/2014 7:00:00 PM
Falls can be a life-changer for older adults, from head traumas to broken hips.
An Australian study of men and women 65 years and older shows the risk of falling is much greater for older obese adults than for healthy weight adults. Working on quadriceps leg muscle strength and balance may counter the risk of falling. This study included 5,681 men and women and each was interviewed for history of falling, perceptions about one’s risk for falling, general health status and medications, as well as activity level.
Overall, falls are very common in older adults. Among the healthy weight adults in this study, during one year’s time, 57% had fallen one or more times. But among the obese group, 75% had fallen one or more times, a 31% increased risk of falling.
The severity of the injuries from the falls was not notably different in the two groups. Yet, the obese adults were more likely to be sedentary for eight or more hours a day, and they walked less.
(Results were published in the Australian and New Zealand Journal of Public Health, Volume 38, Issue 1, pages 13–18, February 2014.)
Written by on 2/25/2014 7:30:00 AM
It might be coming to a fitness center near you: rowing studios. Most of us have seen or heard of spinning classes, with rows of stationary bicycles. Now rowing machines are all the rage according to fitness gurus in NYC.
It’s not unusual to want to mix up our activities. So are you looking for a different form of cardio? Rowing machines may be the answer, especially when many of us are sitting bent over our computers pecking away. Rowing starts in the same ergonomic position, but within seconds you are opening up your body as you pull the rowing bar back towards you. This exercise works dormant back muscles. It’s also a total body workout because you are engaging your core, arms and legs while seated.
Before you try it, ask your physician and work with the fitness trainer at the gym to get proper instructions on how to set the intervals of the rowing machine.
Written by on 2/21/2014 12:30:00 PM
New Jersey Gov. Chris Christie is clearly losing weight with the LAP BAND® system. A February 19 headline read, “Still not skinny, Christie cheered as weight-loss surgery success.”
Ninh T. Nguyen, MD, president of the American Society for Metabolic and Bariatric Surgery, estimates the governor has shed between 90 and 100 pounds from his 5-foot-11 frame since a year ago. He added, judging from the photo comparisons it looks like a loss of 40 to 45 percent of excess weight loss.
About the lap band procedure Dr. Nguyen says, “We’re trying to get somebody into a healthy lifestyle and reduce their obesity-related conditions. We’re not trying to make somebody skinny here.”
Publicly, Gov. Christie, 51, is not commenting on details of his lap band journey except he did tell CNS News in September that, “What I have to say is that I’m more than halfway to my goal.” Gov. Christie chose the Lap Band system, an adjustable band procedure and the least-invasive option for bariatric surgery. Lap-Band is an adjustable silicone band filled with saline wrapped around the upper part of the stomach, creating a small pouch that restricts food intake.
“As a weigh loss tool, the lapband helps control hunger and restrict portion size, but the real benefit is changing behaviors so that food is fuel, not a trigger for eating,” says Keith McEwen, MD, Community Health Network bariatric surgeon. Dr. McEwen has vast experience with the lap band procedure, and for nearly eight years has specialized in this type of bariatric surgery. In recent news, Community Bariatric Services - Hamilton's outpatient bariatric surgery center for LAP-BAND® surgery has been designated a Bariatric Surgery Center of Excellence®.
To learn more about options for sustained weight loss including the lap band procedure, come to a free workshop (call 317-261-2511 or register below) or watch the online workshop presented by Dr. McEwen. The next workshop is March 12, 2014 at 6 pm in Noblesville at the Community Health Pavilion Noblesville on 146th Street and Cumberland Rd.
Written by on 2/20/2014 7:30:00 AM
A new Australian weight loss study of obese adults reports losing the weight “has a potentially disease modifying effect on both knee joint structure and symptoms.” What’s different about this study is when the adults regained the weight, damage to the cartilage increased and osteoarthritis (OA) symptoms returned. Other studies have shown that knee OA improves after bariatric surgery, as well as nonsurgical weight loss programs, but this study proves the relationship between tibial cartilage damage and weight gain and resulting knee pain and the potential for knee replacement. In this study of 112 obese adults all with a BMI ≥ 30 kg/m2, participants were followed for approximately 2.5 years and doctors measured the tibial cartilage volume and knee symptoms as scored by the WOMAC index.
Source: Annals of Rheumatic Disease, online, Feb. 11, 2014
Written by on 2/18/2014 7:00:00 PM
Beware of headlines that spout big claims like: “Weekend Cheating Might Help Dieters Succeed”. This Cornell University Food and Brand Lab study reported in the Jan. 31 journal Obesity Facts is a very small study that tracked individuals who changed their eating habits on the weekends and resumed dieting on Monday morning.
Brian Wansink, director at the Cornell lab says, "Regardless of who you are, there's a rhythm to the weight you lose. You're going to weigh the most on Sunday night and the least on Friday morning." That doesn’t mean to overindulge on the weekend and then starve yourself on Mondays. Dr. Wansink and his team studied 80 Finnish men and women for 10 months. It should be noted that after 10 months, the maximum weight loss in 18 individuals was 3 percent of their weight. The others either maintained their weight or gained 1 percent more weight. While those losing weight showed a clear rhythm of putting on pounds over the weekend and slimming down during the week, "It appears that long-term habits make more of a difference than short-term splurges," the authors conclude.
Gina Goodwin, RD, dietitian for Dr. Keith McEwen at Community Bariatric Services-Hamilton in Noblesville says,
“Staying on track every day, every hour is an overwhelming expectation. It’s better for our Lap-Band patients to be self-aware of what they are eating and then be accountable by writing or documenting it. We can talk about healthy choices all we want, but every situation is different. Going off track is going to happen; what’s more important is getting back on track and that’s what we are here to help with.”
Written by on 2/18/2014 12:00:00 PM
In a long-term study of 315 type 2 diabetics, only 48 were previously obese. After a nearly 14-year follow-up, researchers found the previously obese-even those that lost significant weight-developed coronary heart disease. (Source: BMC Endocr Disord. 2013;13(38)
Written by on 2/13/2014 7:15:00 AM
In a recent issue of the American Journal of Epidemiology, researchers found that an increasing body mass index (BMI) score after age 51 dramatically threatens any possible gains in life expectancy. Previous studies have estimated a death rate ranging from 5-17 percent is directly attributed to obesity. This new AJE article suggests looking at a person’s change in BMI over time, instead of comparing to a baseline BMI, is a more effective prediction of life expectancy.
The scientists were able to construct BMI trajectory charts for 9,538 participants ranging in age from 51-61. These individuals were followed until they died or until 2009, whichever came first. At the start of the study the men and women (nearly a 50/50 split) self-evaluated their heath as very good or good. With an average starting age of 56, 38 percent already suffered from arthritis, 16 percent had circulatory, heart and stroke issues, and 11 percent had diabetes. Overall, the people who were obese at age 51 and steadily gained weight (as measured by BMI) through age 77 had the highest mortality risk.
(Source: Am J Epidemiol. 2013;178(11):1591-1599)