A 400-patient, 12-site US pivotal trial that will assess the safety and efficacy of the Elipse gastric balloon has been initiated by Allurion Technologies. The balloon is designed to be ingested as a capsule and filled once in the stomach to reduce hunger and promote weight loss, then passes naturally through the patient's gastrointestinal system after four months.
The American Society for Metabolic and Bariatric Surgery reviewed the scientific evidence and safety on the use of the intragastric balloon for weight loss and decided to add it to its list of approved devices and procedures. A 2017 study in The American Journal of Gastroenterology found patients getting intragastric balloons achieved greater improvements in metabolic risk factors related to obesity than those who had dietary treatments, and the procedure carried a low rate of adverse events.
A study in the Journal of the American College of Surgeons found people with obesity who lost at least 8% of their excess weight before having bariatric surgery had a 7.5% greater weight loss one year after surgery. Patients in the study met with nutritionists and were given a four-week, low-calorie diet to follow, with 63.3% successfully losing at least 8% of their body weight before surgery.
The Health and Human Services Department has awarded a $2.1 million grant to West Virginia's Marshall University for its studies of obesity. Research will take place at the Appalachian Center for Cellular Transport in Obesity-Related Disorders.
Patients with type 2 diabetes and obesity who underwent metabolic surgery had a significantly lower incidence of microvascular complications, compared with those who received usual medical treatment, according to a study in the British Journal of Surgery. German researchers conducted a literature review of 10 studies involving 17,532 patients and found surgery also improved pre-existing diabetic nephropathy better than medical treatment.
The proportion of medical spending attributed to obesity-related illness in adults in the US rose from 6.13% in 2001 to 7.91% in 2015 and varied from state to state, researchers reported in the journal Clinical Chemistry. Obesity-related illnesses accounted for 5% to 6% of total medical expenditures in Arizona, California, Florida and New York, and more than 12% in North Carolina, Ohio and Wisconsin, the researchers reported.
Children who participated in a school-based obesity prevention program for one year had similar mean body mass index z-scores after 15 months and 30 months, as well as similar total daily energy intake, physical activity levels and systolic blood pressure, compared with those who received standard care education, UK researchers reported in The BMJ. The study "suggests that schools cannot lead on the childhood obesity prevention agenda," said researcher Dr. Peymane Adab.
Adolescents who adhere closely to the Dietary Approaches to Stop Hypertension diet have an 80% and 70% lower risk for general and central obesity, respectively, than their peers who do not adhere well to the diet, according to a study published in Pediatric Obesity. Adherence to the diet was not associated with changes in triglyceride or cholesterol levels.
Thirty-two percent of people whose spouses were participating in a weight-loss program also lost weight, despite not following a weight-loss regimen, researchers reported in the journal Obesity. The findings suggest that weight is "highly interdependent" within marriages, and actively involving spouses in treatment might improve the benefits and cost-effectiveness of weight-loss interventions.
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Nearly 11.8 million people enrolled in Affordable Care Act health insurance plans in 2018, according to an Associated Press count, 3% fewer than last year. The Trump administration, which has worked to repeal the law, did not comment on the figures and said it will release an official tally next month.