Weight Loss Surgery Linked to Reduction in Heart Attacks

Countless research studies have demonstrated that obesity is associated with increased cardiovascular events (such as heart attacks) and death. Now, a large study has just provided evidence that weight loss surgery can provide increased protection against cardiovascular events. A new study of more than 4000 obese individuals showed that receiving weight loss surgery was associated with a reduced long-term occurrence of cardiovascular deaths, as well as fewer heart attacks and strokes. The study was published in the January 4 issue of JAMA (Journal of the American Medical Association). The data is from The Swedish Obese Subjects (SOS) study, an ongoing, nonrandomized and controlled study conducted at 25 public surgical departments and 480 primary health care centers in Sweden. Researchers looked at patients enrolled from 1987 through 2001. Of the 4000 patients, approximately half were treated with bariatric surgery and the other half was treated through standard non-surgical care, which included advice on making healthy lifestyle changes. The findings were interesting; the data indicated that patients who had surgery were 30 percent less likely to suffer from a stroke or heart attack than patients in the control group, and half as likely to die from such an event. However, the findings did not demonstrate a statistically significant relationship between weight change and cardiovascular events in either of the groups, meaning the amount of weight loss itself did not show a role in the protection against cardiovascular events. The study authors said this could be because of a lack of statistical power to show this relationship, or because there’s something about bariatric surgery itself which has an affect. They concluded that these results ” joined with the previously discovered associations between weight loss surgery and favorable outcomes regarding long-term changes of body weight, cardiovascular risk factors, quality of life, diabetes, cancer, and mortality ”show that there are many benefits to bariatric surgery. Further, some of these benefits are independent of the degree of the surgically induced weight loss.” Deciding to have weight loss surgery is a big decision that should be carefully analyzed. You can learn more about the Gastric Band Institute’s surgical weight loss program on our website or view our upcoming educational seminars.

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Relationship Between Personality and Obesity, New Study

Research has shown that there are numerous factors that affect body weight and influence obesity. At the Gastric Band Institute, we prioritize keeping up-to-date with the latest studies related to the causes and treatments of obesity. Recently, an interesting study on obesity was published by the American Psychological Association, finding that personality traits can have an impact on body weight. The study was based on approximately 50 years of data and was comprised of almost 2000 research subjects. Researchers at the National Institute on Aging used the data to look at the association between personality traits and Body Mass Index (BMI). The data came from a longitudinal study where the subjects were assessed on the Big Fivepersonality traits: openness, conscientiousness, extraversion, agreeableness and neuroticism. Additionally, the participants were evaluated on 30 sub-categories of the these traits. The research team found from the data that the personality trait of impulsivity has the highest association with obesity. Impulsivity is a sub-trait of the category neuroticism, which in the clinical sense means a person who is more likely to experience negative emotions. The researchers found that people with high neuroticism and low conscientiousness are most likely to have cyclical weight gain and loss throughout their lives. The participants who ranked in the top 10 percent on impulsivity, especially those who are aggressive, competitive, and risk-takers, were on average around 22 pounds heavier than the participants in the bottom 10 percent for the trait. The findings indicate that the relationship between weight gain and personality traits is indeed a complex relationship. However, the goal of the study is to one day be able to create specific and personality-tailored treatments through pinpointing the connections between obesity and personality traits. Because psychological support is an important part of any weight loss process, and especially for people who have chosen weight loss surgery, we encourage our patients to attend the support groups we offer, which can ease the transition into your new lifestyle.

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Food May Be Addictive

Could certain foods be as addictive as drugs like cocaine and nicotine? Growing research is suggesting that fatty and overly-processed foods affect the brain in a manner similar to addictive drugs. So yes, Twinkies might be addictive, just like drugs.

In the past year alone, twenty-eight scientific papers have been published on food addiction, adding to the growing body of evidence demonstrating that food can be addictive. The Director of the National Institute on Drug Abuse said that the data is so overwhelming that the field is forced to accept it. One of the studies used magnetic resonance imaging to look at brain activity of obese women. Pictures of milkshakes lit up the same regions in the brain that become hyperactive in alcoholics anticipating a drink. Another study gave rats a spread of fatty and sugary products including bacon, pound cake, cheesecake and cake frosting. Rats that had access to these foods for only 1 hour per day began binge eating, although nutritious food was available all day long. Other rats had access to the sweets and fatty foods for 18-23 hours per day and they became obese. The researchers saw in the rats the same brain pattern that occurs with escalating intake of cocaine.

Obesity is a growing concern in the US, fueled in part by our overly-processed food environment. With 1/3 of adults and 17 percent of children obese today, the health costs of obesity to society is massive. A 2009 study found that moderate obesity reduces life expectancy by 2-4 years, and severe obesity by as much as 10 years. Obesity is also a risk factor for diabetes, heart disease, certain cancers, sleep apnea and stroke. At the Gastric Band Institute, we understand that changing eating behaviors is a lifetime commitment, and that changing lifetime habits require education, support, and commitment. We are here to assist in making the necessary changes that can lead to better health. You can learn more about our program here.

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Lower BMI Band Debate

Today the 29th national meeting of The Obesity Society featured a debate about whether or nor the FDA’s decision to approve the Lap-Band for some patients with a BMI as low as 30, was a good decision. The debate featured Dr. John Dixon arguing that it was a good decision, and Dr. Edward Livingston arguing that it was not the right decision.

Dr. Dixon highlighted the fact that in the trial the FDA required before approving the band for lower BMI’s, over 80% of the participants lost more than 40% of their excess weight. The FDA had required a minimum threshold of 30% of the participants reach this threshold, so the trial well exceeded the minimum expectations. Dr. Dixon also highlighted the safety and ease of the band surgery, and the importance of having treatment options for individuals with lower BMI’s.

Dr. Livingston argued that although he agreed that the FDA trial participants had great weight loss with the band, that the follow up was not long term enough yet to make a decision. He believes that more data should be provided, including data on the improvement of co-morbidities, which the FDA trial did not focus on.

As a gastric band expert, Dr. Jaime Ponce was asked by Doctors of Weight Loss to weight-in on the debate. He told the group, “We have gastric band studies with high level of evidence, including two prospective randomized clinical trials showing extremely good weight loss and improvement in diabetes in these patients. Other studies have documented weight loss with the gastric band in the range of 42-87% EWL at 1-5 years follow-up. Obesity is a disease, with chronic medical consequences, the tipping point is a BMI of 30, and should be treated. Bariatric surgery should be one of the options.”

You can read more about the debate, and about Dr. Ponce’s opinion here.

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Featured Presenter at Surgeons’ Educational Event

Dr. Jaime Ponce attended the American Society for Metabolic and Bariatric Surgery’s (ASMBS) 2nd annual Fall Educational Event last week. He served as the Director of a video course on managing difficult cases and was featured as an expert speaker at several sessions.

Before the start of the conference, Dr. Ponce participated in the ASMBS Executive Council meeting as the President-Elect of the society. The meeting included a review of the past year, plans for the upcoming year, and extensive discussion of access-to-care issues. Dr. Ponce has been working along with Dr. Robin Blackstone, current President of ASMBS, on the issues presented and discussed with the rest of the council.

Following the Executive Council meeting, the educational event began on Friday when bariatric surgeons from around the country attended courses which covered various topics in bariatric surgery, including management of difficult cases, adolescents, sleeve gastrectomy, and Center of Excellence designation. For a course about weight loss procedures in patients with lower BMI, Dr. Ponce presented on the laparoscopic gastric band procedure for these patients. He also spoke at a session about billing and coding, and moderated a course in complex cases and management of complications of gastric bands. Later that day, Dr. Ponce co-directed a video course about managing difficult bariatric cases which covered various laparoscopic techniques for addressing complications.

On the final day of the event, Dr. Ponce, along with Dr. Emma Patterson, spoke about complications of the adjustable gastric band. Dr. Ponce covered dysphagia and weight loss failure and Dr. Patterson covered slippage and erosion. Attending programs like the ASMBS Fall Educational Event are critical to surgeons who prioritize staying on the cutting edge of research and having the chance to collaborate with other leading surgeons.

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IFSO World Congress

Last week Dr. Jaime Ponce joined expert bariatric surgeons from around the world at the XVI World Congress of the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) in Hamburg, Germany. IFSO is a federation composed of national associations of bariatric surgeons, currently made up of 40 official member associations. The role of the organization is mainly scientific, connecting bariatric surgeons with health professionals involved in treating obese patients, such as nurse practitioners, dieticians, nutritionists, psychologists, internists and anesthesiologists. This year, the Congress brought together more than 2,500 obesity experts from around the world, the largest attendance in IFSO’s history.

Dr. Ponce presented at the Congress on September 1st. He spoke about the critical elements in gastric banding surgical techniques. Additionally, he participated in a revisional course in which the option of placing a gastric band over a failed bypass (“band over bypass”) was presented. He also spoke about sleeve revisions and gastric plication – a new procedure that Dr. Ponce and several other US surgeons are performing under research protocols – with literature review and evidence on these approaches.

You can read further coverage on the Congress here.

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Diabetes in Children and Adolescents, as Soda Consumption Increases?

According to a recent article, attorneys for the soda industry have filed document requests with several public agencies across the country, stating that they are defending their products from “baseless” attacks. They are asking the agencies for scientific documents related to how soda contributes to obesity. Last month, the American Beverage Association (ABA) sued the New York City’s Department of Health and Mental Hygiene, which is a major contributor in the efforts to fight obesity.

Obesity-related diseases are now responsible for nearly ten percent of United States medical spending, an estimated $147 billion each year. This figure does not include the cost of lost worker productivity, which is estimated at more than $73 billion each year. With the growing proof of how high-calorie, low nutrient foods and beverages, such as soda, are adding to our obesity epidemic, it’s no surprise that soda-makers are feeling under pressure. However, it seems that the industry may be taking an extreme step by suing public awareness campaigns that are trying to educate citizens about the harms of over-indulging in sugary beverages.

Dr. RoseMarie Jones commented on the article: “Drinking soda has been a part of the American lifestyle for decades. Interestingly, the steep rise in consumption of soda parallels the same rise in dental caries as well as obesity percentage in the last 20 years. Quite a few of the beverages promoted as ‘healthy’ actually contain huge amounts of sugar. No wonder we are seeing a such an increase in diabetes in children and adolescents.”

Diabetes is a growing concern. Many children are drinking too much soda and sugary beverages, which is a risk factor for type 2 diabetes. According to data from the National Youth Physical Activity and Nutrition Study, although teens are drinking healthy beverages including water and low fat milk, many of them are also consuming soda every day. The study consisted of 11,429 high school students and found that 24% of the teens drink soda each day, 16% drink a sports drink daily, and 17% drink another type of sugar-sweetened beverage each day. Most Americans diets contain more added sugar than is recommended, and drinking sugary beverages daily is increasing teens’ risk for obesity and its associated diseases.

You can learn more about pre and post-surgical nutrition here.

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Welcome to Our Blog!

We Welcome You To Our Blog!

The surgeons at The Gastric Band Institute offer the gastric band and gastric sleeve procedures as comprehensive surgical treatments to help obese people lose weight and keep it off. In addition to losing weight, bariatric surgery assists some patients in reducing life-threatening co-morbidities such as high blood pressure, diabetes, arthritis and GERD (reflux).

We understand that losing weight and maintaining the weight loss over an extended period of time is difficult, but we also recognize that each individual patient has special needs. Understanding those needs allows us to promote the strong motivation and long-term commitment that are crucial to modifying eating behaviors. Our staff recognizes that altering lifetime habits requires education, emotional support and commitment. We will help you to make a decision that will modify your eating behavior and assist you in making the necessary lifestyle changes that can lead you to better health.

Making the decision for the best surgical option is a difficult one. We invite you to explore our pages to decide whether you are a candidate for lap band surgery in Tennessee and whether we are the program for you. With our practice located in Chattanooga Tennessee, we have also performed lap band surgery for patients in Atlanta GA, Knoxville TN and all surrounding areas. More >>

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