Obesity medicine specialist Dr. Scott Isaacs of Atlanta Endocrine Associates and Dr. Disha Narang of Northwestern Lake Forest Hospital say medical management, with medications such as the newly approved semaglutide, may be a good option to help patients with obesity lose weight. "Medical weight management becomes a viable option when combining lifestyle changes and medication," said Narang, an endocrinology, diabetes and metabolism specialist.
Patients with a BMI over 25 should be diagnosed with pre-obesity and told about the health consequences, Dr. Michelle Look, of San Diego Sports Medicine and Family Health Center, told the Cardiometabolic Health Congress. Look said there are effective lifestyle and medical therapies for pre-obesity, and a pre-obesity diagnosis could help prevent obesity.
Researchers found patients who had sleeve gastrectomy had a lower risk of death, complications and re-intervention, when compared with patients who had gastric bypass surgery, but were more likely to need surgical revision at five years. The study, which included data from almost 100,000 Medicare beneficiaries, was published in JAMA Surgery.
Patients with type 2 diabetes who lost from 20% to 25% of their total weight after bariatric surgery were 2.81 times more likely than those who lost from zero to 5% to go into remission, according to a study published in Diabetes Care. The study found the likelihood of remission for patients who had weight loss greater than 25% of total body weight was similar to the 20% to 25% group.
People with obesity who followed a form of fasting -- whether alternate-day fasting, 5:2 diet or time-restricted eating -- were able to achieve clinically significant weight loss, according to a study in the journal Annual Review of Nutrition. The findings also showed that those who followed intermittent fasting experienced health benefits like lower blood pressure and insulin resistance, improved appetite regulation and gut microbiome, and for some, lower cholesterol and triglyceride levels.
The FDA has released new guidelines asking chain restaurants, food manufacturers and foodservice operators to voluntarily reduce sodium levels in 163 categories of the most-consumed processed, packaged and prepared foods. The move is to help reduce average American sodium intake by 12% over the next two and a half years, as well as reduce the rate of heart disease in the country, said Acting FDA Commissioner Dr. Janet Woodcock.
A low-carbohydrate diet is better for heart and metabolic health than one that cuts saturated fat, according to a study by the New Balance Foundation Obesity Prevention Center. "It's a well-controlled trial that shows that eating lower carb and more saturated fat is actually good for you, as long as you have plenty of unsaturated fats and you're mostly eating a Mediterranean-type diet," said cardiologist Dariush Mozaffarian, dean of the Friedman School of Nutrition Science and Policy at Tufts University.
A study published in The Journal of Clinical Endocrinology & Metabolism found that men who followed a green Mediterranean diet -- which added three to four cups of green tea a day and a mankai plant shake while omitting red meat -- for 18 months had a two times greater increase in fasting ghrelin level, compared with those who followed a regular Mediterranean diet. The findings, based on data from 294 people, also showed that the green Mediterranean diet was associated with improved cardiometabolic parameters like visceral adipose tissue regression and insulin sensitivity.
Registration is open for the next ABE webinar, In-Vivo Metabolic Testing: Mechanism of Action, being held on Thursday, Nov. 11, 2021. Please join Drs. Shelby Sullivan and Pichamol Jirapinyo for this informative program. This learning opportunity is free for ABE members. For more details on this program or to register, click here.
Join members of ABE as they present at two TOS/ASGE/ABE Joint Symposia. It Takes 2… or 3 To Make a Therapy is being presented live on Monday, Nov. 1, at 3 p.m. EDT. The "Scope" of Obesity Therapy - How Gastroenterology Is Filling the Obesity Treatment Gap is being presented live on Thursday, Nov. 4 at 5 p.m. EDT. Obesity week is a virtual program this year. Join your peers at this science-driven conference with more than 90 hours of policy, basic science, translational and clinical sessions, and 400 posters featuring more than 250 expert speakers. Find more details or register.
As President Joe Biden looks to cut more than $1 trillion from his $3.5 trillion budget package, some Democrats are pushing to include a permanent expansion of Affordable Care Act subsidies and bridging coverage gaps in states that did not broaden Medicaid eligibility. Rep. Suzan DelBene, D-Wash., who leads the 95-member New Democrat Coalition, has called on party leaders to limit the package's health care provisions to the Medicaid and ACA changes and remove an expansion of Medicare benefits, but Sen. Bernie Sanders, I-Vt., said the Medicare provisions are "not negotiable."
The number of messages physicians at ambulatory care clinics receive rose between March 2020 and June 2021, with physicians in surgical specialties experiencing the steepest rise, potentially due to a backlog of elective procedures to be cleared, according to a research letter in JAMA Network Open. The average number of patient requests for medical advice rose for primary care, medical and surgical physicians, while the number of patient calls also rose, and researchers warned about the growing burden on physicians.