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Patients in Scotland who are being evaluated for weight loss surgery are older and overweight.

A study by SurgiCal Obesity Treatment (SCOTS) of people undergoing bariatric surgery found that the greater body mass index (BMI), which is associated with older age, was associated with poor physical activity and quality of life in people seeking bariatric surgery. treatment.

The study, led by Lancaster University in Glasgow, was published today BMJ Open:– He also found that older age և greater weight often lead to the necessary use of specialized aids տանը equipment at home.

Among patients with the oldest և highest BMI, quality of life was adequate for those reported with palliative care in cancer patients or patients with end-stage renal disease.

Bariatric surgery is a term used to describe various types of weight loss, in particular, gastric bypass surgery, which modifies the digestive system to reduce appetite, increase satiety, and limit the amount of food absorbed by the body.

There is currently no information on the delivery of bariatric surgery to people with severe obesity.

With increasing prevalence of severe obesity, effective treatment is a priority. The effectiveness of bariatric surgery for significant long-term weight loss is well established. However, the operation of bariatric surgery seems to be a low priority within the NHS, which means that the number of people suffering from severe obesity is actually undergoing surgery.

Those who have surgery usually do so after many years of alternative conservative interventions, at a time when their average BMI is extremely high (48), և they are 47 years old at an average age. This is much higher than the average age at 42 years of bariatric surgery և BMI at 42.

Professor Enn Jennifer Logg, a former professor of metabolic medicine at the University of Lancaster and the University of Glasgow, says: .

“We also need more research to understand the health effects, as well as the best treatment for severe obesity. Most often, patients with a BMI of more than 40 or sometimes more than 30 BMI are grouped together in research studies, but our study shows that with increasing BMI, health is significantly lower and age is growing.

“Policy makers need to take into account the health care needs of these people and invest in greater access to effective weight management.”

Obesity is associated with a variety of adverse health effects, including the risk of most major chronic diseases. The level of severe obesity has increased in Great Britain. 2.9% of adults in England 4 4% of all adults in Scotland now have an 40 40 և high BMI.

The SCOTS study is the first national epidemiological study based on long-term outcomes after bariatric surgery. The study in this group gathered clinical outcomes from patients suffering from severe obesity seeking treatment in Scotland before undergoing bariatric surgery.

The study looked at 445 people who had undergone bariatric surgery at one of Scotland’s 14 centers that offer this type of surgery. Patients were recruited from 2013 to 2016.

“Study of surgical treatment of obesity (SCOTS). A prospective, observational study on the health and socio-economic burden of individuals seeking treatment for severe obesity in Scotland and the United Kingdom. BMJ Open:.


Patient-supplier discussions about bariatric surgery play a key role in weight loss outcomes


Additional information:
Ruth M Mackenzie et al, SurgiCal Obesity Treatment Study (SCOTS). A prospective, observational study on the health և socioeconomic burden of those seeking treatment for severe obesity in Scotland, UK, BMJ Open: (2021): DOI: 10.1136 / bmjopen-2020-046441:

Provided by Lancaster University

Quote:Study. Obese patients undergo bariatric surgery too late (August 31, 2021)

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