By Alan Moses HealthDay Reporter


MONDAY, June 14, 2021 (HealthDay News) – South America և has the highest rates of obesity in the Midwest, but a new study shows that obese people in those areas are the least likely to choose to save weight. surgery.

“Bariat surgery has been shown to provide long-term weight loss, sustained improvement in cardiovascular and metabolic health, and even longevity,” said lead researcher Dr. Scott Schimpke, but the analysis “shows that we continue to lack the best treatment for the disease.” : Obesity և associated metabolic syndrome.

Shimpken, an assistant professor in Minimal Invasive and Bariatric Surgery at Rush College of Medicine in Chicago,’s colleagues say obesity is associated with a significantly higher risk of developing more than 40 different serious illnesses, including heart disease and diabetes.

The American Heart Association explains that metabolic syndrome, a group of five different conditions, increases the risk of developing such diseases. Abdominal obesity is one of such conditions. The other four include high blood sugar, high triglycerides, high blood pressure, and “good” HDL cholesterol.

Barrier surgery, including gastrectomy and gastric bypass, can reduce this risk by helping patients achieve significant weight loss, researchers say.

In fact, the study group noted that bariatric surgery is the standard of care for patients with severe obesity. Obesity is defined as a body mass index (BMI) of 40, or BMI 35 և as high as obesity-related complications such as diabetes.

Using data from insurance claims, Schimpken և his team focused on nearly 1.8 million obese patients in the United States’s eligible for bariatric surgery.

About 100,000 of them actually underwent bariatric surgery during that time. But the procedure procedure varied greatly by state.

For example, while approximately 9% to 10.4% of eligible patients in New Jersey, Rhode Island, and Delaware preferred surgery, less than 3% did so in West Virginia, Alabama, and Arkansas.

Overall, the researchers found that the lowest rate by region was Middle East, where only more than 4% of eligible patients underwent surgery, despite the fact that almost 34% of people in the Middle East were obese in the country).

In contrast, the highest rate of surgery (almost 8%) was observed in the Northeast region, where the overall rate of obesity was lower (29%).

The findings were presented at a virtual meeting of the American Society for Metabolic Surgery last week. Such research is considered preliminary until it is published in a peer-reviewed journal.

“Most likely, several factors can contribute to a wide range of uses,” said Shimpke. He highlighted the differences in the levels of access to medical care; Beliefs and attitudes of patients և guiding doctors. Number of existing hospitals և surgeons. և Insurance coverage requirements.

Shimpke also pointed out “the negative psycho-social context associated with bariatric surgery for both physicians / practitioners and patients, which needs to be addressed through strategic campaigns detailing the safety and effectiveness of bariatric surgery.”

After all, Lona Sandon, Director of the Clinical Nutrition Program at the School of Health Specialties at UT Southwestern Medical Center in Dallas, is likely to play a wide role in the social, cultural and economic driving forces. He was not part of the study.

One is that “people who are surrounded by such body size may not perceive their weight as abnormal, and therefore may not seek bariatric surgery,” Sandon said. “[And] “There are ethnic and cultural differences between the countries with the highest rates of obesity compared to the lowest rates.”

In addition, “countries with higher rates of obesity also tend to have higher rates of food insecurity, which means lower incomes overall,” he said. “Bariar surgery is an expensive offer, especially if there is no good insurance coverage for it.”

But whether the success of weight loss depends on the “difficult” change in the postoperative diet or lifestyle, this process can certainly “help people lose weight”. [other negative health] “Conditions are better controlled,” Sandon said.

According to him, eligible patients may better “understand the treatment options և the potential for success” by sharing surgery success stories, highlighting the benefits of reducing high-risk health problems such as high blood pressure and diabetes.

A SO BYORNER. Scott Schimpke, PhD, Associate Professor, Department of Minimally Invasive Bariatric Surgery, Rush Medical College, Chicago; Lona Sando, PhD, RDN, LD, Program Director Associate Professor, Department of Clinical Nutrition, School of Health, UT Southwestern Medical Center, Dallas; American Society for Metabolic and Bariatric Surgery, Presentation, Virtual Annual Meeting, 2021 June 10-12

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