Written by on 12/5/2013 9:00:00 AM
(Medscape Medical News -- Nov. 14, 2013) At the recent Obesity Week scientific meeting, University of Pennsylvania researcher David B Sarwer, PhD, reported sexual dysfunction is a common issue among severely obese women. In their study, two years after bariatric surgery, 75 percent of those with this issue significantly improved their levels of reproductive hormones and overall sexual satisfaction. Of the 108 patients, 85 women had Roux-en-Y gastric bypass, and 21 women had laparoscopic adjustable gastric band surgery. The average age was 41 years with an average BMI of 44.5 kg/m2. excess weight. "It's encouraging to see that the patients report improvements in these domains after they lose the large amounts of weight with bariatric surgery," said Dr. Sarwer. "I do think this is a reminder to all of us who work in healthcare that sexual behavior is part of quality of life for individuals and that we should be asking our patients questions about their sexual behavior." This study evaluated both sexual health and reproductive hormones of the bariatric patient.
(Source: JAMA Surgery (online) Nov. 4, 2013)
Written by on 12/3/2013 9:00:00 AM
(Reuters Health – October 30, 2013) Men and women having bariatric surgery showed long-term cognitive improvements in their attention span, memory and brain functions, says a Kent State University study. Psychologists evaluated 50 patients with an average BMI of 46 pre-surgery with a low-average rating of their cognitive abilities. For up to four years after surgery, these patients were evaluated using cognitive tests. Their average BMI dropped to a BMI of 32 and overall memory was stronger, attention span much improved, and the brain’s executive functions were rated as average-high. Some patients experienced moderate weight gain (1.27 BMI points) after three years and their attention span was also negatively impacted. None of these patients had a previous history of head injury or mental disorder. Physicians commented that this study links the benefits of bariatric surgery to improved attention span and losing weight may be linked to improved sleep generating a positive impact on the brain and body functions over time.
(Source: Gunstad J. et al. American Journal of Surgery, (online) October 10, 2013)
Written by on 11/15/2013 9:00:00 AM
(Reuters – Nov. 13, 2013) The Obesity Action Coalition released a study at the Obesity Week Conference showing of the more than 5,000 U.S. companies who now insist that their employees participate in employee wellness programs to receive full health benefits, 67 percent require employees meet a weight-related health goal. A body mass index of 25 is often the target goal. However, 60 percent of all employees at these companies did not receive health coverage for paid fitness training, dietary counseling, bariatric surgery or weight management medications. Enticing employees who smoke to quit is another target area for companies to reduce health costs. It’s estimated businesses pay nearly $6,000 more annually per smoking employee than non-smokers, yet voluntary participation in smoking cessation programs is very low at 16 percent, says an Ohio State University study.
(Los Angeles Times – Nov. 15, 2013) A new bariatric comparison tool was unveiled last week at the American Society for Metabolic and Bariatric Surgery (ASMBS) annual meeting. The data was based on 75,000 bariatric surgery cases. continue reading ...
Written by on 11/11/2013 9:33:00 AM
The Biggest Loser contestant Jessica Delfs* from season 10 had LAP BAND surgery prior to the show and lost 100 pounds. She maintained that weight loss for three years, but hit a plateau - she still weighed 285 lbs. Jessica told FlavorFirst.com March 2012, “I don’t think my (lap) band was a complete failure. I had lost 100 pounds before the show and hadn't gained any of it back; I was just stuck with 100 more pounds to lose and everything I was doing before wasn't working anymore. I needed to deal with the mental and emotional reasons I had gotten that big (which I hadn't confronted before the show). During The Biggest Loser, food became her fuel — eating clean, whole foods low in calories and sodium, and things went right back to normal. I can’t use food as something I look forward to indulging in, but rather something that prepares me for the next activity.” continue reading ...
Written by on 11/8/2013 12:24:00 PM
The FDA announced on November 7 that all foods should be cooked WITHOUT trans fats and that keeping trans fats to 0 grams per day will improve the heart health of the nation. That’s big news because when you sit down at many restaurants and are served bread or rolls, the chef may have used trans fats or purchased ready-to-bake rolls and biscuits with trans fats. The oils they use to cook the foods may have trans fat. If they are using olive oil or canola oil, they don’t. You just don’t know.
Part of the lap band journey is making changes in the way you eat and looking closer at better food choices. Identifying lower fat food items is a start. Trans fats are partially hydrogenated oils that help preserve foods. But to achieve ZERO trans fat, look at the label and you’ll find the words partially hydrogenated oil (or hydrogenized oils or fully hydrogenated oil). At the grocery store, trans fats are in processed foods - often in the baking aisle of boxed mixes - and the frozen food section. continue reading ...
Written by on 11/7/2013 9:00:00 AM
(CBS News – October 25, 2013) New Jersey Governor Chris Christie won his election and is winning on the scale since he had LAP BAND surgery in February, this according to a medical history report released by the governor/s cardiologist Rachana Kulkarni, MD. "Governor Christie has normal blood work, normal cardiovascular test results, and good functional capacity," the report concluded. "He has no medical limitations and is fit to serve as the Governor of the state of New Jersey." The report also commended Christie for taking a "proactive role in his health" by adopting a "healthy diet" and exercising four times weekly. While this report does not say how much weight he has lost since Feburary, the governor told the CBS Sunday Morning interviewers in September that he is “more than half way “ to his goal. Video excerpts are available at http://www.cbsnews.com/8301-250_162-57609404/chris-christie-losing-weight-steadily- medical-report-says/
Written by on 11/5/2013 9:00:00 AM
(Pediatrics – November 4, 2013) Obesity is affecting U.S. girls by pushing them into puberty at a younger age than ever before. A longitudinal study (2004-2011) published online in Pediatrics, reported white, non-hispanic girls with a higher body mass index (BMI) are developing breasts earlier than the norm. The timing of puberty is shifting to a younger age and this poses medical concerns – namely, girls reaching puberty earlier than their peers are at increased risk for depression and low self-esteem. This group is also more likely to try drugs and have sexual relations. Over seven years, 1,239 girls from the greater Cincinnati area, NYC and San Francisco bay area, starting at ages 6-8 years old were part of the study.
Written by on 10/31/2013 9:00:00 AM
(New England Journal of Medicine – October 10, 2013) A study in the NEJM says when evaluating the skills of bariatric surgeons, peer rating may be an effective technique. A University of Michigan study of 20 bariatric surgeons doing gastric bypass found a wide range. Using videotapes and an OSATS rating system, peer physicians were blinded to the identity of the surgeon. Overall, they found bariatric surgeons with higher caseloads had higher skill levels. Not surprising but, "Surgical skill was not related to years in bariatric surgery practice, status with respect to completion of a fellowship in advanced laparoscopy or bariatric surgery, or practice at a teaching or non-teaching hospital," the researchers write. "Surgical skill was, however, strongly related to procedure volume."
(Source: J. D. Birkmeyer, MD, et al. Center for Healthcare Outcomes and Policy and the Department of Surgery at the University of Michigan. N Engl J Med. 2013;369:1434-1442, 1466-1467.)
Written by on 10/29/2013 9:00:00 AM
(Imaging Technology News/Case of the Week – October 25, 2013) A case study report in ITN states, “Providing effective care for obese patients and minimizing sonographer stress were key requirements when Community Hospital Anderson (serving Madison County, Indiana) evaluated ultrasound systems.” Ultrasound technology is used for many health conditions from obstetrics and orthopedics to bariatric medicine, heart disease and cancer. Getting an accurate reading from an ultrasound system for someone who is grossly overweight is often beyond the capacity of the equipment. In one evaluation, the Anderson biomedical supervisor John Pflum said, “We had an obstetrics patient who weighed nearly 300 pounds.” Using the ultrasound Esaote MyLab system with eHD Technology, the technicians were able to get an excellent image quality at depth that is comparable to an ultrasound on a 100-pound individual. Similarly, another patient with a very large knee could get an accurate ultrasound, even though initially technicians were skeptical. Community Anderson President and CEO Beth Tharp said, “Our mission is to serve the entire community from infants to obese patients and everyone in between. The (new ultrasound) system helps us deliver on that mission.”
Written by on 10/24/2013 9:00:00 AM
(Reuters Health-- September 27, 2013) – The Helping Evaluate Reduction in Obesity (HERO) study involves 1,106 patients from 29 bariatric centers in six countries having LAP BAND AP surgery; 834 patients reached the one year mark at the time of this analysis and demonstrated an average excess weight loss of nearly 40 percent. 22 percent of these patients had type 2 diabetes and showed significant improvement. Similarly, the 43% of patients who had hypertension were well- controlled at the one-year mark. The Journal of the American College of Surgeons published the interim results in September 2013. The HERO study continues to follow the patients for five years from the date of their surgery. (LAP BAND AP refers to Advanced Platform or the latest version of the laparoscopic adjustable gastric band). All eligible patients had a BMI of >40 or >35 with at least one severe comorbidity related to obesity. Individuals with type 1 diabetes, previous bariatric surgery, drug or alcohol addiction, involvement in another clinical study, and inability to complete a questionnaire were excluded from the study.
HERO study abstract >>