The elderly as a target for obesity treatment.
The elderly as a target for obesity treatment. Expert Rev Endocrinol Metab. 2015 Jul;10(4):375-380 Authors: Lechleitner M Abstract The prevalence of obesity is increasing in the elderly population. The primary goal of obesity therapy in elderly is the improvement of metabolic complications and the prevention of severe functional limitations. Clinical studies could demonstrate that the combination of nutritional intervention and physical exercise is of advantage to improve the functional status. Study evidence about the efficacy and safety of medication for weight reduction in elderly is limited, and the risks of bariatric surgery outweigh the possible benefits. The test battery of the comprehensive geriatric assessment is an important tool to determine body composition, nutritional status as well as functional and cognitive capacities of the elderly patient. These results are of central importance for the treatment plan and goals. PMID: 30293491 [PubMed]
AbstractBackgroundBariatric surgery reduces atherosclerotic cardiovascular disease (ASCVD) risk. However, the comparative effect of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG) on 10-year and lifetime ASCVD risk, as defined by the American College of Cardiology/American Heart Association (ACC/AHA), remains unknown.MethodsUsing the ACC/AHA ASCVD risk estimator, 10-year and lifetime ASCVD risks were calculated before and 1 year after bariatric surgery for patients aged 40–78 who underwent RYGB or SG at an academic medical center in California between 2003 and 2015. Change in risk was calculated by ...
ConclusionsCompliance over 2 weeks was high in both VLEDs with most subjects achieving ketosis. Overall satisfaction was moderately high, although variable. Whilst Formulite™ is a viable alternative to Optifast™, better formulations of VLED that addresses key adverse effects, whilst achieving ketosis, would be of signific ant value.
Conclusions: Bariatric surgery increased miR 192 and miR 200 urinary levels, key anti-fibrotic microRNAs that could contribute to a renal-protective mechanism and may be of value as urinary biomarkers following surgery. These findings suggest that urinary microRNAs may represent potential novel biomarkers for obesity-associated renal function.
Treatment TermsRoux-en-y gastric bypassWeight loss surgeryBMI Calculator Overview Fourteen years after his gastric bypass surgery, Donald Rice of Durham is a confident 46-year-old father who enjoys being active and social. Yet he can still recall when he weighed 339 pounds and felt anxious about the changes that would follow his weight loss surgery. Knowing how different his life is today, he is glad he didn ’t let fear hold him back. “There are so many positives that changed my life that what I gave up doesn’t matter," he said."It doesn ’t even cross my mind.” Content Blocks Sid...
Conditions: Obesity; Type2 Diabetes; Bariatric Surgery Candidate Intervention: Procedure: Bariatric Surgery Sponsor: The Cleveland Clinic Enrolling by invitation
Eleven percent of households in the United States experience food insecurity, a lack of access to adequate, desirable food for a healthy lifestyle. Although food insecurity is associated with increased risk of obesity and non-adherence to dietary management of chronic diseases like diabetes, the correlates of food insecurity have not yet been studied in a bariatric surgery population.
s Robert Siegel Shared decision-making (SDM) is a best practice for delivering high-quality, patient-centered care when there are multiple options from which to choose. A patient decision aid (PDA) to promote SDM for the treatment of adolescent severe obesity was piloted among 12–17-year-olds (n = 31) from six pediatric weight management programs within the Childhood Obesity Multi Program Analysis and Study System (COMPASS). Medical providers used a brochure that described indications, risks, and benefits of intensive lifestyle management alone versus bariatric surgery plus lifestyle. Immediately after, pat...
ConclusionsAbdominal obesity, rather than general obesity, appears to play a more important role in OSA.
ConclusionsWe were able to develop an interactive estimation application to provide a population-based guidance for potential outcomes of LRYGB. This might be useful not only for health professionals but also for patients interested in learning potential outcomes in specific circumstances.
ConclusionThis study reports for the first time a well-standardized protocol of early EID after relaparoscopy coupled to rapid external drainage removal for effectively treating complicated cases of sleeve gastrectomy. Bariatric surgeons should be aware of such therapeutic strategies and include them in their arsenal against postoperative gastric staple line leaks in severely obese patients.