Can We Medicate Our Way Out of the Obesity Epidemic?.
No.
Obesity
In Bariatric Surgery, Sleeve Gastrectomy Now More Common than Bypass — Physician’s First Watch
In Bariatric Surgery, Sleeve Gastrectomy Now More Common than Bypass — Physician’s First Watch.
The authors examined data on some 44,000 patients undergoing surgery in a 39-hospital Michigan collaborative. From 2008 to 2013, the prevalence of sleeve gastrectomy rose from about 6% to 67% of bariatric procedures. The Roux-en-Y approach dropped from 58% to 27%; adjustable banding fell from 35% to 5%. – See more at: http://www.jwatch.org//fw109242/2014/09/03/bariatric-surgery-sleeve-gastrectomy-now-more-common#sthash.4m9BIpud.dpuf
The Suburbs Made Us Fat – The Atlantic
The Suburbs Made Us Fat – The Atlantic.
I will not make a snarky comment because I live in the suburbs and drive everywhere.
Stupidity is Worse for us than Either Sugar or Saturated Fat
Stupidity is worse for us than either sugar or saturated fat.
Read this article and you’ll encounter a well reasoned rant with lots of links for further reading enjoyment. My personal journey includes a significant weight loss experience in my early 20’s. Over the years I’ve gained back some of the 200 plus pounds lost. Over the years I’ve also gotten lazy with my dietary habits. Too many calories and an aging metabolism is not a combination for staying trim. So I got serious (again) and have dropped 12 pounds the past three months. I’ve always known what to do but failed to do what needed to be done.
And so it goes. Change. Adapt. Repeat.
Dietary Determinants of Hepatic Steatosis and Visceral Adiposity in Overweight and Obese Youth at Risk of type 2 Diabetes
Conclusion: Hepatic steatosis is associated with a greater intake of fat and fried foods, whereas visceral obesity is associated with increased consumption of sugar and reduced consumption of fiber in overweight and obese adolescents at risk of type 2 diabetes. This study was registered at clinicaltrials.gov as NCT00755547.
Higher BMI May Be Better for Older Adults
The association between all-cause mortality and BMI created a U-shaped curve with a broad base (P-nonlinearity <0.001). The “nadir of the curve for BMI and mortality was between 24.0 and 30.9, with the lowest risk being between 27.0 and 27.9 (HR 0.90, 95% CI 0.88-0.92),” wrote Caryl A. Nowson, PhD, of Deakin University in Melbourne, Australia, and her co-authors, in the American Journal of Clinical Nutrition.
They said that mortality risk did not increase with excess weight in this population until BMI was ≥33 (HR 1.08 for BMI of 33.0-33.9, 95% CI 1.00-1.15).
Risk of mortality was highest at a BMI lower than 23, the authors said. Using a BMI of 23.0 to 23.9 as the reference, there was a 12% greater risk of mortality for those with a BMI in the range of 21.0-21.9 (HR 1.12, 95% CI 1.10-1.13) and a 19% greater risk for those with a BMI in the range of 20.0-20.9 (HR 1.19, 95% CI 1.17-1.22), the authors said.
via Higher BMI May Be Better for Older Adults.
BMI and all-cause mortality in older adults: a meta-analysis.
Body-Mass Index and Mortality among Adults with Incident Type 2 Diabetes — NEJM
Conclusions
We observed a J-shaped association between BMI and mortality among all participants and among those who had ever smoked and a direct linear relationship among those who had never smoked. We found no evidence of lower mortality among patients with diabetes who were overweight or obese at diagnosis, as compared with their normal-weight counterparts, or of an obesity paradox.
via Body-Mass Index and Mortality among Adults with Incident Type 2 Diabetes — NEJM.
Swedish Obese Subjects Study Findings on 15-Year Diabetes Remission and Relapse Rates After Bariatric Surgery | Physician’s Weekly
Obesity Week!
The New DIETs (New Dietary Interventions to Enhance the Treatments for Weight Loss) Study is the first randomized trial that will compare how these four diets — none of which restrict calories — can influence body weight.
Obesity experts are anticipating answers on whether a vegan or vegetarian diet will offer better weight loss than a pescatarian or omnivorous one, experts told MedPage Today in the run-up to Obesity Week here.
Sleep Apnea Plays Role in Car Crashes
An estimated 20% to 50% of commercial drivers have sleep apnea. That high proportion may be in part due to the sedentary nature of long-haul trucking that contributes to obesity as a risk factor for sleep apnea, according to a statement from the American Academy of Sleep Medicine in support of federal legislation.
via Sleep Apnea Plays Role in Car Crashes.
Presented without the usual caustic comment.
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