TITLE

Surgeon's Requirement for Obesity Reduction: Its Influence on Weight Loss

AUTHOR(S)
Goldberg, Ross F.; Parker, Michael; Stauffer, John A.; Moti, Salman; Sylvia, Jacob; Ames, Gretchen E.; Asbun, Horacio J.; Lynch, Scott A.; Smith, C. Daniel; Bowers, Steven P.
PUB. DATE
March 2012
SOURCE
American Surgeon;Mar2012, Vol. 78 Issue 3, p325
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The objective of this study was to examine whether preoperative recommendation for specific reductions in body mass index (BMI) influenced weight loss in obese surgical patients. We retrospectively reviewed the electronic medical records of 48 patients who enrolled between January 2007 to June 2010 in an 800-calorie per day liquidmeal replacement (LMR)weight loss program. Of these, 9 patients (surgical group) enrolled as a result of general surgeon-directed weight loss to enable nonbariatric surgery and 39 enrolled seeking weight loss (medical group). Patients en- rolled in the LMR program before bariatric surgery were excluded from analysis. All patients were seen in the setting of a comprehensive weight loss program supervised by a medical bariatrician and followed for a period of 4 months. There were no significant differences in mean initial BMI between surgical and medical patients (41.7 ± 4.55 and 41.6 ± 8.54 kg/m² , respectively) or participation time in the weight loss program (120 days vs 133 days). Of the nine surgical patients, only five (56%) reached their weight goal and underwent the planned surgical procedure. Weight loss was significantly less in the surgical compared with medical patients (BMI reduction 4.03 ± 3.99 vs 7.75 ± 4.90 kg/m² , respectively; P < 0.05). Weight loss was significantly lower in patients directed to undergo BMI reduction to enable a general surgical procedure. Future studies are needed to assess factors influencing weight loss (metabolism, exercise capacity, motivation) in patients requiring weight loss to enable a surgical procedure.
ACCESSION #
73211040

 

Related Articles

  • Assessment and Preparation of Patients for Bariatric Surgery. Collazo-Clavell, Maria L.; Clark, Matthew M.; McAlpine, Donald E.; Jensen, Michael D. // Mayo Clinic Proceedings;Oct2006 Supplement, Vol. 81 Issue 10, pS11 

    The number of bariatric surgical procedures performed in the United States has Increased steadily during the past decade. Currently accepted criteria for consideration of bariatric surgery include a body mass index (calculated as weight in kilograms divided by the square of height in meters) of...

  • Preparation of a severely obese adolescent for significant and long-term weight loss: an illustrative case. Kruger, Andrew; Hrovat, Kathleen; Xanthakos, Stavra; Inge, Thomas // Pediatric Surgery International;Aug2013, Vol. 29 Issue 8, p835 

    For severely obese patients planning bariatric surgery, many surgeons advise pre-operative weight loss which can be difficult for some to achieve. We report a 16-year-old male who was referred for weight loss surgery in a very late stage of severe obesity with a weight and BMI of 310 kg and 93...

  • Low Numeracy Skills Are Associated With Higher BMI. Huizinga, Mary Margaret; Beech, Bettina M.; Cavanaugh, Kerri L.; Elasy, Tom A.; Rothman, Russell L. // Obesity (19307381);Aug2008, Vol. 16 Issue 8, p1966 

    The article focuses on a study on the relationship between numeracy skills and body mass index (BMI). According to the study, there is a statistically significant negative link between numeracy skills and BMI. It notes that the study cannot identify whether people with lower numeracy skills are...

  • Research bites.  // Australian Journal of Pharmacy;Jan2011, Vol. 92 Issue 1088, p36 

    The article presents findings of studies related to weight loss in Australia. A study published on www.bmj.com indicates that children who have a high body mass index (BMI) are more likely to have high blood pressure, cholesterol and blood insulin. Another study conducted by students from Monash...

  • Cultural conflicts in the weight loss experience of overweight Latinos. Diaz, V. A.; Mainous, A. G.; Pope, C. // International Journal of Obesity;Feb2007, Vol. 31 Issue 2, p328 

    Objective:In spite of the high prevalence of obesity in the Latino population, there is limited recent information that can be used by health-care providers to develop culturally appropriate weight loss strategies for this population. Therefore, we describe weight loss experiences, attitudes and...

  • WALKING FOR WEIGHT LOSS? READ THIS. Bodnar, Sara // Shape;Jan2008, Vol. 27 Issue 5, p95 

    The article offers information regarding a study on walking for weight loss. The study conducted by Raymond C. Browning, instructor at the University of Colorado's Center for Human Nutrition suggests overweight people to walk slow in the beginning of their exercise session. It states that while...

  • Heavy adjustments. Marshall, Samantha // Crain's New York Business;4/30/2007, Vol. 23 Issue 18, p27 

    The article focuses on the psychological changes that accompany rapid weight loss. Attention to physical attributes is considered responsible for the rising number of bariatric procedures in New York. Psychologists state that emotional changes to food and eating, make patients feel that they...

  • Short-Term Dynamics and Metabolic Impact of Abdominal Fat Depots After Bariatric Surgery. Weiss, Ram; Appelbaum, Liat; Schweiger, Chaya; Matot, Idit; Constantini, Naama; Idan, Alon; Shussman, Noam; Sosna, Jacob; Keidar, Andrei // Diabetes Care;Oct2009, Vol. 32 Issue 10, p1910 

    OBJECTIVE -- Bariatric surgery is gaining acceptance as an efficient treatment modality for obese patients. Mechanistic explanations regarding the effects of bariatric surgery on body composition and fat distribution are still limited. RESEARCH DESIGN AND METHODS -- Intra-abdominal and...

  • Let's not admit defeat in fighting obesity. Katelaris, Annette // Medical Journal of Australia;8/1/2011, Vol. 195 Issue 3, p107 

    The article cites a study that calls for bariatric surgery to be made more widely available in public hospitals in Australia to help obese patients. It discusses key factors that make it difficult for obese people to achieve significant and sustained weight loss with diet, exercise, medication...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics