•   
  •   
  •   

Health & Fit More severely obese kids should get surgery, MD group says

14:05  28 october  2019
14:05  28 october  2019 Source:   ap.org

Fewer cardiovascular events seen in diabetics after weight-loss surgery

Fewer cardiovascular events seen in diabetics after weight-loss surgery For obese diabetics in a large U.S. study, weight-loss surgery was linked with a significant reduction in long-term rates of major cardiovascular problems. © Tetra Images/Getty Images The study doesn't prove that surgery caused the better outcomes. But researchers found that obese individuals with type 2 diabetes who had weight-loss surgery were roughly 35% less likely to experience problems like heart attacks, strokes, and heart failure, and they were less likely to die during the study. They also lost more weight, controlled their diabetes better, and reduced the amount of medication they took.

But most kids don't get obesity surgery , mainly because most public and private health insurance doesn't cover it or they live far from surgery centers They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery . A BMI of 30 and above is considered obese .

But most kids don't get obesity surgery , mainly because most public and private health insurance doesn't cover it or they live far from surgery centers They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery . A BMI of 30 and above is considered obese .

Even some severely obese preteens should be considered for weight loss surgery, according to new recommendations.

This combination of undated photos provided by the family in October 2019 shows Faith Newsome before and after gastric bypass surgery. At 5 feet, 8 inches and 273 pounds, her BMI was almost 42 and she had high blood pressure and prediabetes when she had the procedure at age 16. After about a year, she’d shed 100 pounds and those health problems disappeared. She slimmed down enough to become active in sports, shop for prom dresses and gain a better self-image. But to avoid malnutrition she takes vitamins, must eat small meals and gets sick if she eats foods high in fat or sugar. (Family photos via AP)© Provided by The Associated Press This combination of undated photos provided by the family in October 2019 shows Faith Newsome before and after gastric bypass surgery. At 5 feet, 8 inches and 273 pounds, her BMI was almost 42 and she had high blood pressure and prediabetes when she had the procedure at age 16. After about a year, she’d shed 100 pounds and those health problems disappeared. She slimmed down enough to become active in sports, shop for prom dresses and gain a better self-image. But to avoid malnutrition she takes vitamins, must eat small meals and gets sick if she eats foods high in fat or sugar. (Family photos via AP)

The guidance issued Sunday by the American Academy of Pediatrics is based on a review of medical evidence, including several studies showing that surgery in teens can result in marked weight loss lasting at least several years, with few complications. In many cases, related health problems including diabetes and high blood pressure vanished after surgery.

The world will have more than 250 million obese kids by 2030, a new report warns

  The world will have more than 250 million obese kids by 2030, a new report warns More than 250 million school-aged children and adolescents will be classed as obese by 2030, putting huge pressure on healthcare systems, a new report on childhood obesity warns. © ShutterstockThere are currently 158 million obese children around the world, according to the World Obesity Federation's first Atlas of Childhood Obesity, which calculated a risk score for obesity in the coming decade for 191 countries.

The guidance issued Sunday by the American Academy of Pediatrics is based on a review of medical evidence, including several studies showing that surgery in teens can result in marked weight loss lasting at least several years, with few complications. In many cases, related health problems including.

But most kids don't get obesity surgery , mainly because most public and private health insurance doesn't cover it or they live far from surgery centers They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery . A BMI of 30 and above is considered obese .

While most of those studies involved teens, one included children younger than 12 and found no ill effects on growth, the policy says.

"Safe and effective is the message here," said Dr. Sarah Armstrong, a Duke University pediatrics professor and the policy's lead author.

Armstrong said children who have not gone through puberty may not be mature enough to understand the life-changing implications of surgery but that age alone shouldn't rule it out. She doesn't do surgery but works at a center that offers it; the youngest patient was 14.

It's not a quick fix, she said. "It's a lifelong decision with implications every single day for the rest of your life."

A new study says there could be a surprising consequence to losing weight later in life

  A new study says there could be a surprising consequence to losing weight later in life Researchers found the association between weight gain and mortality weakens as you get older and losing weight in middle age or late adulthood may heighten the risk of premature death, particularly when it comes to heart disease. "Our takeaway is that it's best to prevent weight gain at younger ages to reduce the risk of premature death later in life," said study author An Pan, a professor in the Department of Epidemiology and Biostatistics at the Tongji Medical College in Wuhan, China.The study found that people who remained obese, as measured by body mass index, throughout their adult life had the highest risk of premature death.

Even some severely obese preteens should be considered for weight loss surgery , according to new recommendations. This combination of undated photos provided by the family in October 2019 shows Faith Newsome before and after gastric bypass surgery .

But most kids don’t get obesity surgery , mainly because most public and private health insurance doesn’t cover it or they live far from surgery centers They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery . A BMI of 30 and above is considered obese .

Nearly 5 million U.S. children and teens are severely obese, a near doubling over 20 years. Many have already developed related health problems including diabetes, high blood pressure, sleep apnea and liver disease. But most kids don't get obesity surgery, mainly because most public and private health insurance doesn't cover it or they live far from surgery centers, Armstrong said. Costs can total at least $20,000.

Resistance from pediatricians is another obstacle. Many prefer "watchful waiting," or think surgery is risky or will alter kids' growth. Some don't recommend surgery because they think "weight is a personal responsibility rather than a medical problem," the new policy states.

Dr. Rebecca Carter, an assistant professor of pediatrics at the University of Maryland School of Medicine, said the new recommendations give pediatricians better guidance about which patients should be referred and evaluated.

Study: Weight loss surgery reduces chances of developing skin cancer

  Study: Weight loss surgery reduces chances of developing skin cancer The research used data derived from observations of 4,047 obese adults who belonged to a study cohort in Sweden.The study, led by researchers from the University of Gothenburg in Sweden and published last week in JAMA Dermatology, found that obese patients who underwent procedures like gastric bypass or gastric band surgery to help them lose weight were less likely to develop skin cancer, including melanoma.

But most kids don't get obesity surgery , mainly because most public and private health insurance doesn't cover it or they live far from surgery centers They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery . A BMI of 30 and above is considered obese .

But most kids don't get obesity surgery , mainly because most public and private health insurance doesn't cover it or they live far from surgery centers They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery . A BMI of 30 and above is considered obese .

Recent data show that pediatric obesity surgery rates have tripled in almost 20 years but still average fewer than 2,000 operations each year.

The academy's recommendation say children and teens are generally eligible for surgery if their body mass index is 40 or higher, or at least 35 if they have related major health problems. These criteria may vary by gender and age, Armstrong said. They are similar to criteria for surgeons from the American Society for Metabolic and Bariatric Surgery. A BMI of 30 and above is considered obese.

Faith Newsome was a typical patient. At 5 feet, 8 inches and 273 pounds, her BMI was almost 42 and she had high blood pressure and prediabetes when she had gastric bypass surgery at Duke at age 16. After about a year, she had shed 100 pounds and those health problems disappeared. She slimmed down enough to become active in sports, shop for prom dresses and gain a better self-image. But to avoid malnutrition she takes vitamins, must eat small meals and gets sick if she eats foods high in fat or sugar. Her BMI, at just under 30, puts her in the overweight range.

33 Surprising Reasons To Lose Weight

  33 Surprising Reasons To Lose Weight The case to get healthy is rooted in a better life—not better looks.

Even some severely obese preteens should be considered for weight loss surgery , according to new recommendations. This combination of undated photos provided by the family in October 2019 shows Faith Newsome before and after gastric bypass surgery .

Even some severely obese preteens should be considered for weight loss surgery , according to new recommendations. The guidance issued Sunday by the American Academy of Pediatrics is based on a review of medical evidence, including several studies showing that surgery in teens can result in

Now 21 and a senior at the University of North Carolina in Chapel Hill, Newsome is quick to answer whether she has regrets.

"Never," she said. "Teens should be able to discuss every option with their doctors, and surgery should be one of those options."

___

Follow AP Medical Writer at @LindseyTanner.

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education. The AP is solely responsible for all content.

Related video: What to do if you've hit a weight loss plateau [via Health]

Tips for finally becoming an efficient packer .
Become an expert packer with these helpful tips by avoiding excess baggage and remembering to pack the essentials

—   Share news in the SOC. Networks

Topical videos:

usr: 3
This is interesting!