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Effect of Laparoscopic Sleeve Gastrectomy vs Laparoscopic Roux-en-Y Gastric Bypass on Weight Loss in Patients With Morbid Obesity: The SM-BOSS Randomized Clinical Trial. Sleeve gastrectomy is increasingly used in the treatment of morbid obesity, but its long-term outcome vs the standard Roux-en-Y gastric bypass procedure is unknown.To determine whether there are differences between sleeve gastrectomy and Roux-en-Y gastric bypass in terms of weight loss, changes in comorbidities, increase (...) in quality of life, and adverse events.The Swiss Multicenter Bypass or Sleeve Study (SM-BOSS), a 2-group randomized trial, was conducted from January 2007 until November 2011 (last follow-up in March 2017). Of 3971 morbidly obese patients evaluated for bariatric surgery at 4 Swiss bariatric centers, 217 patients were enrolled and randomly assigned to sleeve gastrectomy or Roux-en-Y gastric bypass with a 5-year follow-up period.Patients were randomly assigned to undergo laparoscopic sleeve gastrectomy (n
Association of Bariatric Surgery vs Medical Obesity Treatment With Long-term Medical Complications and Obesity-Related Comorbidities. The association of bariatric surgery and specialized medical obesity treatment with beneficial and detrimental outcomes remains uncertain.To compare changes in obesity-related comorbidities in patients with severe obesity (body mass index ≥40 or ≥35 and at least 1 comorbidity) undergoing bariatric surgery or specialized medical treatment.Cohort study (...) with baseline data of exposures from November 2005 through July 2010 and follow-up data from 2006 until death or through December 2015 at a tertiary care outpatient center, Vestfold Hospital Trust, Norway. Consecutive treatment-seeking adult patients (n = 2109) with severe obesity assessed (221 patients excluded and 1888 patients included).Bariatric surgery (n = 932, 92% gastric bypass) or specialized medical treatment (n = 956) including individual or group-based lifestyle intervention programs.Primary
Viewpoint: Toward Precision Approaches for the Prevention and Treatment of Obesity 29340687 2018 01 26 2018 11 13 1538-3598 319 3 2018 01 16 JAMA JAMA Toward Precision Approaches for the Prevention and Treatment of Obesity. 223-224 10.1001/jama.2017.20051 Yanovski Susan Z SZ National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland. Yanovski Jack A JA Division of Intramural Research, Eunice Kennedy Shriver National Institute of Child (...) Health and Human Development, National Institutes of Health, Bethesda, Maryland. eng Z01 HD000641-13 NULL Intramural NIH HHS United States Z99 DK999999 NULL Intramural NIH HHS United States Z99 HD999999 NULL Intramural NIH HHS United States ZIA HD000641 HD NICHD NIH HHS United States Journal Article United States JAMA 7501160 0098-7484 AIM IM JAMA. 2018 Jan 16;319(3):238-240 29340660 Humans Obesity etiology genetics prevention & control therapy Precision Medicine 2018 1 18 6 0 2018 1 18 6 0 2018 1 27
ObesityObesity - medSask Home - College of Pharmacy and Nutrition - University of Saskatchewan Toggle Menu Search the U of S Search ObesityObesity has become common in Canada-approximately 59% of the population is overweight and 23% are obese. The obesity rate in children has risen significantly over the last 10 years. Current evidence supports the view that obesity is a disease, although it is also a societal issue. Being obese increases the risk of many chronic disease and health conditions (...) such as: coronary heart disease, stroke, hypertension, insulin resistance, type 2 diabetes, dyslipidemia, gallbladder and liver disease, osteoarthritis, and respiratory diseases. Colon cancer and hormonally related cancers such as prostate, endometrial and breast cancer, have been associated with obesity. For more information, go to: Canadian Obesity Network Webinars: Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults
favorable findings (one for Body Mass Index z-score [BMIz] and one for combined overweight/obesity prevalence), and one reported unfavorable results for BMIz. Physical Activity Of the three studies that reported physical activity outcomes, two reported favorable findings and one reported no change in physical activity. Dietary-related Outcomes Two studies reported on consumption of fruits and vegetables, sugar-sweetened beverages, and low nutrient foods (i.e., high-energy dense foods). Findings were (...) Obesity Prevention and Control: Supporting Healthier Snack Foods and Beverages Sold or Offered Combined with Physical Activity Interventions in Schools Obesity: Snacks Plus Physical Activity in Schools | The Community Guide Welcome to The Community Guide! Let us know what you think of the website by completing this . Open Navigation or Search form Search Search The Community Guide You are here » Systematic Review Topic Insufficient Evidence October 2018 Audience Adolescents and Young Adults
results from the systematic review are available in the . The systematic review included 14 studies. Weight-related Outcomes The combined prevalence of overweight and obesity decreased by a median of 0.4 (6 studies). Students’ body mass index z-scores (BMIz) increased by a median of 0.005 units (8 ). Dietary Outcomes Fruit and Vegetable Consumption The number of servings of fruits and vegetables students consumed per day increased by 0.10 servings (6 study arms). Other outcomes related to fruit (...) :170. Marcus C, Nyberg G, Nordenfelt A, Karpmyr M, Kowalski J, Ekelund U. A 4-year, cluster-randomized, controlled childhood obesity prevention study: STOPP. International Journal of Obesity 2009;33(4):408-17. Millar L, Kremer P, de Silva-Sanigorski A, McCabe MP, Mavoa H, et al. Reduction in overweight and obesity from a 3-year community-based intervention in Australia: the 'It's Your Move!' project. Obesity Reviews 2011;12 Suppl 2:20-8. Millar L, Robertson N, Allender S, Nichols M, Bennett C
finding focuses on interventions to increase water access with physical activity interventions. Read a for school-based interventions to prevent or control obesity. Summary of Results Detailed results from the systematic review are available in the . The systematic review included one study. The single study in this review reported a decrease in consumption of sugar-sweetened beverages, and an increase in the prevalence of overweight or obese. Summary of Economic Evidence An economic review (...) Obesity Prevention and Control: Increasing Water Access Combined with Physical Activity Interventions in Schools Obesity: Water Access Plus Physical Activity in Schools | The Community Guide Welcome to The Community Guide! Let us know what you think of the website by completing this . Open Navigation or Search form Search Search The Community Guide You are here » Systematic Review Topic Insufficient Evidence April 2018 Audience Adolescents and Young Adults Children/Infants Decision-makers
), and examined if studies targeting high risk groups or individuals were more successful in relation to preventing overweight and obesity than studies targeting general population groups (9). Among 15 identified studies, 7 targeted children or adolescents susceptible to future overweight or obesity. Intervention studies that did not target high-risk groups generally were unable to show an effect of the intervention, which may reflect that most intervention effects were not sufficiently large to induce (...) significant overall change. Interventions targeting high-risk groups and conducted in school settings appeared to be slightly more effective than studies conducted in community settings. The authors’ state that “most of the previous studies that used high-risk strategies to identify susceptibility to future overweight and obesity, were selecting high risk individuals based on their ethnicity or socioeconomic status only, and more studies Which service or policy mechanisms, models or approaches, have been
Treadmill workstations in office workers who are overweight or obese: a randomised controlled trial. Treadmill workstations that enable office workers to walk on a treadmill while working at their computers might increase physical activity in offices, but long-term effects are unknown. We therefore investigated whether treadmill workstations in offices increased daily walking time.We did a randomised controlled trial of healthy office workers who were either overweight or obese. We recruited
Lifestyle intervention in obese Chinese adolescents with non-alcoholic fatty liver disease: a randomised controlled study. 30135268 2018 12 19 1024-2708 24 Suppl 4 4 2018 Aug Hong Kong medical journal = Xianggang yi xue za zhi Hong Kong Med J Lifestyle intervention in obese Chinese adolescents with non-alcoholic fatty liver disease: a randomised controlled study. 12-15 Chan D Fy DF Department of Paediatrics, The Chinese University of Hong Kong. Nelson E As EA Department of Paediatrics
Obesity in Pregnancy No. 239-Obesity in Pregnancy - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 40, Issue 8, Pages e630–e639 No. 239-Obesity in Pregnancy x Gregory A.L. Davies , MD Kingston, ON x Cynthia Maxwell , MD Toronto, ON x Lynne McLeod , MD Halifax, NS No. 239, February 2010 (Reaffirmed August 2018) DOI: To view the full text, please login as a subscribed user or . Click to view the full text (...) on ScienceDirect. Abstract Objective To review the evidence and provide recommendations for the counselling and management of obese parturients. Outcomes Outcomes evaluated include the impact of maternal obesity on the provision of antenatal and intrapartum care, maternal morbidity and mortality, and perinatal morbidity and mortality. Evidence Literature was retrieved through searches of Statistics Canada, Medline, and The Cochrane Library on the impact of obesity in pregnancy on antepartum and intrapartum
Influence of subacute physical exercise on medium- and long-chain fatty acid profile in serum of individuals with overweight. to test the hypothesis that acute physical exercise would change the fatty acids in the serum of individuals with increased body weight.sixty-six sedentary women with excess weight were included in the sample (BMI = 29.6 ± 4.2). They were aged 24.4 ± 3.6 years and were randomly divided into control and exercise groups. After 12 hours fasting, basal blood collection (...) ); azelaic (before = 20.3 ± 10.5% vs after = 27.7 ± 25.4%, p = 0.295); elaidic (before = 0.03 ± 0.01% vs after = 0.04 ± 0.01%, p = 0.328); oleic (before = 16.1 ± 7.4% vs after = 20.3 ± 14.6%, p = 0.236).pelargonic (before = 0.70 ± 0.45% vs after = 0.71 ± 0.51%, p = 0.776); azelaic (before = 62.1 ± 26% vs after = 57.1 ± 27%, p = 0.197); elaidic (before = 0.05 ± 0.02% mg/dl vs after = 0.05 ± 0.03%, p = 0.530); oleic (before = 26.8 ± 22.7% mg/dl vs after = 29.0 ± 22.4%, p = 0.525).in women with overweight
. Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics. 2002 Jan;109(1):45-60. http://www.ncbi.nlm.nih.gov/pubmed/11773541?tool=bestpractice.com Worldwide, the definition of overweight and obesity changes; however, a BMI >85th percentile is defined as overweight or at risk for overweight in the US and UK, a BMI ≥95th percentile is variably defined as obesity or overweight, and a BMI >99th (...) percentile is defined as severe obesity. Barlow SE. Expert Committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007 Dec;120(suppl 4):S164-92. http://pediatrics.aappublications.org/content/120/Supplement_4/S164.full http://www.ncbi.nlm.nih.gov/pubmed/18055651?tool=bestpractice.com Canoy D, Bundred P. Obesity in children. BMJ Clin Evid. 2011 Apr 4;2011. pii: 0325. http://www.ncbi.nlm.nih.gov/pmc/articles
guideline for the management of overweight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society. Circulation. 2014 Jun 24;129(25 suppl 2):S102-38. http://circ.ahajournals.org/content/129/25_suppl_2/S102.long http://www.ncbi.nlm.nih.gov/pubmed/24222017?tool=bestpractice.com World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Geneva, Switzerland (...) Obesity in adults Obesity in adults - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search Obesity in adults Last reviewed: February 2019 Last updated: January 2018 Summary Presentation of obesity may range from asymptomatic to presentation complicated by multiple comorbidities, including cancer, CAD, diabetes, hypertension, gout, obstructive sleep apnoea, and osteoarthritis. The definitive test for the diagnosis of obesity
) with overweight and obesity (body mass index [BMI; calculated as weight in kilograms divided by height in meters squared] ≥85th percentile) with at least 1 parent with overweight and obesity (BMI ≥25) were recruited.HIGH SFM+ vs LOW SFM+ (CONTROL matched the dose of LOW).Intention-to-treat analysis using mixed-effects models estimated change in child percentage overweight (percentage above the median BMI for a child's age and sex) for the FBT period (0-4 months) and the SFM+ period (4-12 months (...) Dose, Content, and Mediators of Family-Based Treatment for Childhood Obesity: A Multisite Randomized Clinical Trial Elucidation of optimal dosing and treatment content is critical for health care providers, payers, and policy makers, as well as mechanisms of change to inform intervention delivery and training initiatives for childhood obesity.To evaluate effects, following a 4-month family-based behavioral weight loss treatment (FBT), of 2 doses (HIGH or LOW) of a weight-control intervention
Clinic and Home-Based Behavioral Intervention for Obesity in Preschoolers: A Randomized Trial To test the hypotheses that an innovative skills-based behavioral family clinic and home-based intervention (LAUNCH) would reduce body mass index z score (BMIz) compared with motivational interviewing and to standard care in preschool-aged children with obesity.Randomized controlled trial with children between the ages of 2 and 5 years above the 95th percentile for body mass index for age and sex
, behavior-based weight loss and weight loss maintenance interventions) has a moderate net benefit. Patient Population Under Consideration This recommendation applies to adults 18 years or older. The USPSTF uses the following terms to define categories of increased BMI: “overweight” is a BMI of 25 to 29.9 and “obesity” is a BMI of 30 or higher. Obesity can be categorized as class 1 (BMI of 30.0 to 34.9), class 2 (BMI of 35.0 to 39.9), or class 3 (BMI of ≥40) (see the for other USPSTF recommendations (...) Preventive Services Task Force recommends multicomponent interventions that use technology-supported coaching or counseling to help adults lose weight and maintain weight loss. Research Needs and Gaps Further research is needed to examine the effects of interventions for obesity on longer-term weight and health outcomes (eg, cardiovascular outcomes), including data on important subpopulations (eg, older adults, racial/ethnic groups, or persons who are overweight). Psychosocial, quality of life
these combined interventions increase students’ physical activity, modestly increase their fruit and vegetable consumption, and decrease the prevalence of overweight and obesity. There were not enough studies to determine whether these interventions work for middle and high school students. The CPSTF recommends the following related intervention approaches: Healthy Eating Interventions Alone Physical Activity Interventions The CPSTF finds insufficient evidence for two other intervention approaches that focus (...) in the . The systematic review included 21 studies with 22 study arms. Overweight and Obesity Prevalence The prevalence of overweight and obesity decreased by a median of 2.0 (7 studies). Physical Activity Physical activity increased by a median of 22 minutes per day (6 studies). Students’ cardiorespiratory fitness measures improved (8 studies). Fruit and Vegetable Consumption Students consumed 12 more fruits and vegetables per day (4 studies). The number of times per day students consumed fruits and vegetables
Time to Look Beyond Obesity Metrics and Mortality in Kidney Disease 29725628 2018 11 14 2468-0249 3 2 2018 Mar Kidney international reports Kidney Int Rep Time to Look Beyond Obesity Metrics and Mortality in Kidney Disease. 244-246 10.1016/j.ekir.2017.12.010 Navaneethan Sankar D SD Selzman Institute for Kidney Health, Section of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. Section of Nephrology, Michael E. DeBakey Veterans Affairs Medical Center, Houston (...) Am Soc Nephrol. 2018 Jan;29(1):250-259 29038285 Kidney Int. 2016 Mar;89(3):675-82 26880461 Obesity (Silver Spring). 2015 Apr;23(4):893-7 25755182 Ann Intern Med. 2006 Jan 3;144(1):21-8 16389251 Clin J Am Soc Nephrol. 2014 Dec 5;9(12):2079-88 25392147 Kidney Int. 2017 May;91(5):1224-1235 28187985 Kidney Int. 2018 Mar;93(3):733-740 29102374 BMC Nephrol. 2014 Jul 08;15:108 25005601 J Am Soc Nephrol. 2014 Sep;25(9):2088-96 24652789