Related Posts Plugin for WordPress, Blogger...

Baseline Body Weight Does Not Predict Success of Bariatric Surgery

>> Monday, March 18, 2013






Currently, the critieria for who qualifies for bariatric surgery typically includes a body mass index (BMI) criterion - ie, a patient has to be at a certain body weight relative to their height to qualify for surgery.

A review of data to date on the landmark SOS trial was just published by L. Sj√∂strom, which I encourage anyone interested in this field to read.  They have now followed SOS study patients for 20 years - though it's noted that many patients have dropped out of the study follow up along the way, so we do have to take the results with a large grain of salt.

While there are many results in this study that are very worthy of discussing, what I wanted to point out today is that the SOS study showed a benefit of obesity surgery to decrease the risk of death, diabetes, and cardiovascular disease, as well as a decreased risk of cancer in women. What is even more interesting is that the baseline BMI did NOT predict the effect of surgery on any of these endpoints.  (For those who download the article - see figure 7).  Interestingly, higher baseline insulin levels did predict favorable outcomes with regards to bariatric surgery decreasing the risk of death, cardiovascular disease, and diabetes (but not cancer).

This data therefore lends further evidence to the fact that BMI criteria should not be a fixed and fast rule for who qualifies for obesity surgery and who doesn't; looking at the whole patient and their metabolic profile (as always) is important!

Dr Sue Pedersen www.drsue.ca © 2013 

Follow me on Twitter for daily tips! @drsuepedersen






0 comments:

A HEARTFELT WELCOME!

I am excited that you have arrived at my site, and I hope you are too - consider this the first step towards a Healthier New You!! As a medical doctor, Endocrinologist, and obesity specialist, I am absolutely passionate about helping people with weight management. Though there is certainly no magic cure for obesity, there IS a successful treatment plan out there for you - it is all about understanding the elements that contribute to your personal weight struggle, and then finding the treatment plan that suits your needs and your lifestyle. The way to finding your personal solution is to learn as much as you can about obesity: how our toxic environment has shaped us into an overweight society; the diversity of contributors to obesity; and what the treatment options out there are really all about. Knowledge Is Power!!


Are you ready to change your life? Let's begin our journey together, towards a healthier, happier you!!




  © Blogger templates Palm by Ourblogtemplates.com 2008

Back to TOP