Comment on: The impact of childhood trauma on change in depressive symptoms, eating pathology and weight following Roux-en-Y gastric bypass

While there is a significant and reliable relationship between childhood trauma and later obesity (odds ratio=1.36)(1), this relationship is smaller than other psychosocial risk factors for the development of obesity, such as depression (odds ratio=1.58)(2) and weight control behaviors (odds ratio=2.7-3.2)(3). Perhaps unsurprising then, the research thus far on childhood trauma directly predicting bariatric surgery outcomes has predominantly demonstrated no significant association, or small associations that weaken over time(4-10).
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research

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PMID: 31109858 [PubMed - as supplied by publisher]
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
While there is a significant and reliable relationship between childhood trauma and later obesity (odds ratio = 1.36) [1], this relationship is smaller than other psychosocial risk factors for the development of obesity, such as depression (odds ratio = 1.58) [2] and weight control behaviors (odds ratio = 2.7 –3.2) [3]. Perhaps unsurprisingly then, the research thus far on childhood trauma directly predicting bariatric surgery outcomes has predominantly demonstrated no significant association or small associations that weaken over time [4–10].
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Editorial comment Source Type: research
Conclusion Taken together, evidence from animal and human studies demonstrates that the brain detects levels of circulating nutrients and hormones and consequently organizes an outward response that contributes to the regulation of whole-body glucose homeostasis. However, there are major knowledge gaps about the exact nature of this response and its relative importance compared to peripheral processes. As we have seen, animal studies have provided an anatomical map of CNS glucose regulation and have identified important neurons and neural circuits involved. Additionally, the CNS sensing of key nutrients and hormones has b...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
Abstract BACKGROUND: Follow-up after bariatric surgery is important if we are to identify long-term complications at an early stage and thereby improve long-term outcome. Despite great efforts, many patients are lost to follow-up. Definition of characteristics of patients failing to attend follow-up could help in defining a specific group for whom extra resources may be applied to improve the situation. OBJECTIVES: To identify characteristics of patients failing to attend follow-up 2 years after laparoscopic gastric bypass surgery. SETTING: Multicenter study, Sweden. METHODS: Post hoc analysis of a ...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Tags: Surg Obes Relat Dis Source Type: research
Dexmedetomidine (DMET), a selective a2-adrenergic agonist, is an opioid sparing adjuvant sedative that avoids respiratory depression and has been shown to be beneficial in bariatric surgery patients. While benefit has been shown, prior studies have not evaluated the pain control effects of a single intra-operative bolus.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Original articles Source Type: research
ConclusionsFindings suggest patients completing surgery within an Appalachian region have successful surgical outcomes at 1-year post-surgery, as indicated by significant reductions of>  50% EWL, regardless of other covariates. Results suggest that bariatric programs should consider paying special consideration to patients with T2D or depressive symptoms to improve outcomes. Results have potential to inform future prospective studies and aid in guiding specific interventions tail ored to address needs of this unique population.
Source: Obesity Surgery - Category: Surgery Source Type: research
Authors: Silva JN, Vasconcelos H, Figueiredo-Braga M, Carneiro S Abstract INTRODUCTION: Obesity is often accompanied by psychological distress and both can reduce patients' quality of life. Bariatric surgery is proven to be a good method to reduce weight and to alleviate comorbidities, leading ultimately to an improvement in quality of life. MATERIAL AND METHODS: The authors studied 80 patients enrolled in the Multidisciplinary Bariatric Unit of a central hospital in Porto, Portugal. Patients submitted to Roux-en-Y gastric bypass and sleeve procedures were compared. Laboratory parameters were collected from pat...
Source: Acta Medica Portuguesa - Category: General Medicine Tags: Acta Med Port Source Type: research
ConclusionAlmost half of bariatric surgery candidates have some degree of depression that improves dramatically soon after bariatric surgery. Such change continues stable during the first year. Improvement was independent of gender, and depression has no influence on weight loss. In low-income bariatric patients, depression is lower than reports from developed countries, but similar improvement has been observed.
Source: Obesity Surgery - Category: Surgery Source Type: research
In conclusion, eating-related problems were substantially reduced in adolescents after undergoing gastric bypass. However, pre-operative BE seem to be associated with general mental health problems before and two years after surgery, including suicidal ideation. Pre-operative eating-related problems did not affect weight outcome and our results support existing guidance that BE should not be considered an exclusion criterion for bariatric surgery in adolescents. PMID: 29746881 [PubMed - as supplied by publisher]
Source: Appetite - Category: Nutrition Authors: Tags: Appetite Source Type: research
AbstractPurpose of ReviewObesity is a strong risk factor for the development of heart failure (HF). Diet, exercise, and weight-loss pharmacotherapies have limited potential to achieve significant and sustainable weight loss, especially in patients with symptomatic systolic HF. This review seeks to determine the role of bariatric surgery for patients with systolic HF and obesity.Recent FindingsBariatric surgeries such as the laparoscopic sleeve gastrectomy (LSG) and Roux-en-Y gastric bypass (RYGB) represent the most successful long-term strategy for achieving weight loss and diabetes and hypertension remission in the genera...
Source: Current Heart Failure Reports - Category: Cardiology Source Type: research
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