Study finds low complication rate after bariatric surgery in elderly | Bariatric surgery beneficial for teens with extreme obesity, study says | Obesity gene variants tied to overeating in children, study finds
June 3, 2019
News and information for bariatric health care professionals
Elderly patients who underwent sleeve gastrectomy or Roux-en-Y gastric bypass had few complications, according to a study in Surgery for Obesity and Related Diseases. However, researchers found that sleeve gastrectomy appears to be safer than RYGB for patients over 65, with RYGB associated with greater risks for readmission, reoperation and 30-day complications.
The benefits of bariatric surgery for teens with extreme obesity likely outweigh the risks, but additional studies are needed, according to a review published in The Journal of Pediatrics. "Although bariatric surgery incurs substantial initial costs and morbidity, if assessed over a time period of five years, bariatric surgery in severely obese adolescents would be cost-effective," wrote researchers with Rutgers' Robert Wood Johnson Medical School.
Children who possess the AT obesity gene variants consumed 64 more calories than those with the TT variant during a meal in which they were allowed to eat as much as they wanted of familiar foods, according to findings published in the journal Obesity, while children with the AA gene variant consumed 128 more calories than those with the TT variant. "Even though  calories is not a lot per se, if this pattern generalized to multiple meals per week or day, this increased caloric intake can add up over time and may contribute to gaining excess weight," said senior study author Michael Rosenbaum of Columbia University Irving Medical Center.
A CDC study published in BMJ Open Diabetes Research & Care showed that new cases of diabetes dropped from 1.7 million in 2009 to nearly 1.3 million in 2017, while rates of obesity continue to increase. Changes in blood glucose testing, increased recognition of prediabetes and success persuading patients to improve their health before the onset of diabetes were among the factors that could be driving these trends, said researcher Dr. Stephen Benoit.
Researchers looked at 110 children and adolescents who were overweight or had two overweight parents and found that those who often experienced weight-based teasing had a 33% higher body mass index increase on average and 91% greater fat mass gain annually, compared with those who weren't teased for their weight. The findings were published in Pediatric Obesity.
Online surveys of more than 1,500 people from the US, UK and India found many respondents viewed people with obesity in dehumanizing ways, and data linked that practice to support for policies that discriminate against people with obesity, researchers reported in the journal Obesity. "While many cases of weight bias are implicit and subtle, it's not at all uncommon for explicit stigma to occur, whether in health care settings, among family members and certainly in society at large," said Dr. Scott Kahan of the Obesity Society.
Massachusetts General Hospital employees who bought the least healthful food in the hospital cafeteria were more likely to eat a less nutritious diet when not at work and be obese or overweight, compared with workers who purchased more healthful foods, according to a study in the American Journal of Preventive Medicine. Workers who had the lowest Healthy Purchasing Score had the lowest overall diet quality and the highest risk for obesity, diabetes and hypertension.
An Austrian study in the journal Wiener klinische Wochenschrift, presented at the European Public Health Week, revealed that individuals who achieved the recommended amount of exercise weekly into old age were two times more likely to perform instrumental activities of daily living, such as doing housework and running errands, and three times more likely to manage activities of daily living, such as drinking, eating and getting up, than those who were less physically active. Research has also shown that regular exercise leads to improved overall health, lower all-cause mortality, greater self-worth and better cognitive function.
ABE members can save $500 on registration for "Bariatric Endoscopy: Accelerate Your Practice," ASGE's clinical bariatrics course to be held June 21-22. Get up to speed on everything you need to know and gain hands-on experience from experts in the field. You can participate in person, live stream or on-demand. Register today and secure your spot!
A study in Annals of Internal Medicine estimates that physician burnout costs the US an average of $4.6 billion per year. Researchers developed a mathematical model to calculate the cost of turnover and shorter hours linked to burnout and found that the issue costs health care organizations $7,600 per doctor per year, meaning it "makes good business sense" for institutions to address burnout, according to researcher Joel Goh.
Researchers who analyzed over 700 comments on the proposed interoperability rule found that issues related to patient matching, such as the lack of unique identifiers and patients sharing the same names and dates of birth, could hinder the exchange of EHRs, compromise care coordination and increase health care costs. "Today, there is no consistent approach to accurately matching a patient to their health information, which has led to significant costs to hospitals, health systems, physician practices, long-term post-acute care (LTPAC) facilities, and other providers," AHIMA CEO Wylecia Wiggs Harris wrote in her comment.