Bariatric surgery reduces cardiovascular disease risk in adolescents

The long-term risk of cardiovascular events including heart attack, congestive heart failure, stroke and coronary death was reduced by almost threefold for teenagers with type 2 diabetes who underwent bariatric surgery, compared those whose diabetes was only managed medically, according to researchers from Children's Hospital Colorado (Children's Colorado).

Tespo launches Smile Bariatric Complete supplement for bariatric patients

The vitamins company Tespo has launched Smile Bariatric, a new division designed to support bariatric surgery patients, as well as a digital health platform to help them manage their nutritional needs. According to the company, the Smile Bariatric Complete is a blend of vitamins and supplements to be used after surgery.

Cost-effective bariatric surgery saves NHS money by putting T2DM into remission

Patients with obesity and the severest form of type 2 diabetes can have their diabetes improved or put into remission by bariatric surgery leading to substantial cost savings for the NHS, according to a large-scale collaborative study between the British Obesity and Metabolic Surgery Society (BOMSS) and the Population Health Research Institute at St Georges, University of London. The findings, ‘Bariatric surgery for patients with type 2 diabetes mellitus requiring insulin: Clinical outcome and cost-effectiveness analyses’, were published in PLOS Medicine.

Brown fat continues to grow and divide after birth

Brown fat can continue to grow and divide, even after birth, according to researchers at Masonic Medical Research Institute (MMRI), the findings could have major implications for treating obesity as increasing the overall number of these cells to prevent or reduce the onset of obesity. It was previously thought that individuals were born with only a finite number of brown fat cells.

SLEEVEPASS: greater weight loss was associated with better QoL

Seven-year outcomes from the SLEEVE vs byPASS (SLEEVEPASS) randomised clinical trial has reported that laparoscopic Roux-en-Y gastric bypass resulted in greater weight loss than laparoscopic sleeve gastrectomy LSG however, the difference was not clinically relevant based on the prespecified equivalence margins. Interestingly, there was no difference in long-term quality of life (QoL) between the procedures, and surgery was associated with significant long-term Disease-specific QoL (DSQoL) improvement, with greater weight loss was associated with better DSQoL.

Exercise may protect bone health after bariatric surgery

An exercise intervention programme after bariatric surgery is an effective strategy to improve bone health, according to researchers from Portugal. Although weight loss surgery is a highly effective treatment for obesity, some studies have shown that it can be detrimental to bone health. The study, ‘The Effect of an Exercise Intervention Program on Bone Health After Bariatric Surgery: A Randomized Controlled Trial’, published in the Journal of Bone and Mineral Research suggests that exercise may help address this shortcoming.

Duration of obesity associated with increased risk of higher risk of cardiometabolic disease

A greater obesity duration is associated with worse values for all cardiometabolic disease factors, according to a study by Dr Tom Norris of Loughborough University, UK, and colleagues. The study, 'Duration of obesity exposure between ages 10 and 40 years and its relationship with cardiometabolic disease risk factors: A cohort study', was published in PLoS Medicine.

Aerobic exercise reverses degenerative process that leads to metabolic diseases

Both aging and obesity can impair the production of regulatory microRNAs by adipose tissue increasing the risk of developing conditions such as diabetes and dyslipidaemia however, researchers from the University of Campinas's Institute of Biology (IB-UNICAMP) in the state of São Paulo, Brazil, have reported that this degenerative process can be reversed by practicing regular aerobic exercise.

World Obesity Day, an opportunity to highlight the importance and success of treatment

Thursday, March 4, 2021, will again mark World Obesity Day, an annual event which draws attention to obesity, the many diseases on which it impacts, and the importance of prevention and treatment.

Individuals, healthcare providers and health organisations will be taking part, including many hospitals, clinics and obesity treatment centres.

Obesity contributes to 40% mortality gap between Black and white women with early breast cancer

In an analysis of women with early breast cancer, Black women had higher rates of obesity and other health conditions that can affect survival, compared with white women. The findings, 'Obesity, comorbidities and treatment selection in Black and White women with early breast cancer', were published in the journal Cancer, a peer-reviewed journal of the American Cancer Society (ACS).

SADI-S vs OAGB-MGB: comparable outcomes but SADI-S may favour GERD patients

A retrospective study comparing single anastomosis duodeno-ileostomy (SADI-S) and one anastomosis gastric bypass (OAGB-MGB), as a revisional procedure after laparoscopic sleeve gastrectomy, has reported that comparable outcomes in terms of weight and BMI loss, remission of comorbidities and nutritional deficiency in short-to-medium term follow-up. However, SADI-S seems to cause fewer upper gastrointestinal complications and even looks a good option for patients suffering from gastroesophageal reflux disease (GERD) post-primary LSG.

MBSAQIP partners with CMMI to offer a new verification measure as part of its bundled payment programme

The American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS) have partnered with the Center for Medicare and Medicaid Innovation (CMMI) to offer a new verification measure, the Bariatric Surgery Standards for Successful Programs, as part of CMMI’s Bundled Payments for Care Improvement Advanced (BPCI-A) programme. This partnership will offer meaningful quality measures for hospitals participating in the BPCI-A programme.

RYGB leads to long-term weight-independent diabetes remission

More than half of adults with type 2 diabetes had long-term remission following Roux-en-Y gastric bypass (RYGB) surgery, according to researchers from Oregon Health & Science University in Portland, OR. They reported that greater weight-independent likelihood of diabetes remission after RYGB indicates mechanisms beyond weight loss are contributing to improved beta cell function after the procedure.

Vitamin D regulates calcium in distal segments of the intestine

 

Researchers at Rutgers New Jersey Medical School have reported Vitamin D regulates calcium in a section of the intestine that previously was thought not to have played a key role. The findings have important implications on how bowel disease, including ulcerative colitis and Crohn's disease, may disrupt calcium regulation.

Bias could create an artifact of better outcomes resulting in the obesity paradox

Results of standard laboratory tests performed on adult outpatients to provide an overall picture of their health are fairly consistent between those with obesity and their leaner counterparts, investigators from the Medical College of Georgia (MCG), Department of Pathology, have reported.

Adults with overweight or obesity do not recognise their weight issues

A cross-sectional analysis of NHANES (National Health and Nutrition Examination Survey) data has found that more than 40% of US adults with overweight and nearly 10% with obesity did not consider themselves to be overweight. This trend has increased over the last two decades and was especially true of non-Hispanic Blacks and persons with low socioeconomic status.