Adolescents with Severe Obesity Lost Weight and Sustained it After Bariatric Surgery, New Research Finds & More Latest News

Adolescents with extreme weight problems who underwent bariatric surgical procedure earlier than the age of twenty-two had vital sustained reductions in weight and comorbidities a decade or extra after surgical procedure, in response to a brand new evaluation revealed within the Journal of the American College of Surgeons.

Researchers from the University of Texas Health Science Center in Houston and the University of Miami discovered that at a imply follow-up of 14.4 years after present process bariatric surgical procedure, imply whole physique weight decreased by 31.3% amongst members. Also, investigators famous that members had a 100% remission in diabetes, bronchial asthma, and elevated lipids.

“There are long-term benefits to completing bariatric surgery before the age of 22,” stated senior creator Sarah Messiah, PhD, MPH, professor, and director of the Center for Pediatric Population Health at UTHealth School of Public Health-Dallas, in a press launch. “The durability of the positive health outcomes isn’t well known this far out at this young age. It’s been a gap in understanding that this research has helped fill.”

A complete of 96 sufferers (imply age, 18.6 years; 83% ladies; 75% Hispanic) who accomplished metabolic and bariatric surgical procedure (MBS) at 21 years of age or youthful had been enrolled within the examine. The median pre-MBS physique mass index (BMI) amongst members was 45 kg/m2.

Approximately 90% of members underwent Roux-en-Y gastric bypass (RYGB) and 8.3% underwent laparoscopic adjustable gastric banding (LAGB).

After surgical procedure, imply whole physique weight decreased by 31.3% amongst RYGB members and 22.5% amongst LAGB members, in response to the crew. Patients with pre-MBS hyperlipidemia (14.6%), bronchial asthma (10.4%), and kind 2 diabetes (5.2%) reported 100% remission at follow-up. Also, pre-post decreases had been discovered within the following comorbidities:

  • Hypertension (13.5% vs 1%, p=.001)
  • Sleep apnea (16.7% vs 1%, p<.001)
  • Gastroesophageal reflux illness (13.5% vs 3.1%, p=.016)
  • Anxiety (7.3% vs 2.1%, p=.169)
  • Depression (27.1% vs 4.2%, p<.001)

“Adolescents are the fastest-growing segment of the severe obesity epidemic in the U.S., and the COVID-19 pandemic has exacerbated the problem,” stated Messiah within the launch. “The evidence from this study supports recent recommendations from the American Academy of Pediatrics to increase access to surgery for adolescents. We hope this data could change barriers to access for these children.”



 

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