-
European Journal of Gastroenterology &... Feb 1999Obesity is a major health hazard in developed countries, and morbid obesity is associated with serious, debilitating and life-threatening sequelae. Medical treatments... (Review)
Review
Obesity is a major health hazard in developed countries, and morbid obesity is associated with serious, debilitating and life-threatening sequelae. Medical treatments have been unsuccessful in the long run, if at all. Operations for massive obesity have developed over the last 40 years, based on malabsorption or gastric reduction, or a combination of both. These operations are being extended into the laparoscopic realm. Operation has been found to be the only method of achieving sustained significant weight loss, with reversal of the co-morbidities and rehabilitation, and with an acceptable complication rate, in the majority of these patients.
Topics: Biliopancreatic Diversion; Developed Countries; Gastric Bypass; Gastroplasty; Humans; Jejunoileal Bypass; Laparoscopy; Obesity, Morbid; Postoperative Complications; Weight Loss
PubMed: 10102211
DOI: No ID Found -
AORN Journal Dec 2003MORBID OBESITY has a significant impact on the health, psychosocial well-being, longevity, and quality of life of those affected. BARIATRIC SURGERY is not a cure for...
MORBID OBESITY has a significant impact on the health, psychosocial well-being, longevity, and quality of life of those affected. BARIATRIC SURGERY is not a cure for obesity; however, surgical interventions can offer the potential for long-term weight-loss success for individuals who are obese. CAREGIVERS should be prepared to meet both the physiological and psychological needs of these patients. EDUCATION is key to helping the public understand that obesity is a chronic disease, and bariatric surgery should be viewed no differently than surgery for other chronic diseases.
Topics: Gastric Bypass; Humans; Obesity, Morbid; Patient Selection; Perioperative Nursing; Quality of Life
PubMed: 14692670
DOI: 10.1016/s0001-2092(06)60589-9 -
International Journal of Environmental... Sep 2021Sleep is an important modulator of neuroendocrine function and glucose metabolism. Poor sleep quality is related to metabolic and endocrine alterations, including...
BACKGROUND
Sleep is an important modulator of neuroendocrine function and glucose metabolism. Poor sleep quality is related to metabolic and endocrine alterations, including decreased glucose tolerance, decreased insulin sensitivity, and increased hunger and appetite.
OBJECTIVE
The aim of the present study was to determine the association between sleep quality with metabolic syndrome (MetS) markers, fitness and body fat of women with severe/morbid obesity.
METHODS
This cross-sectional study included 26 women with severe/morbid obesity. Fasting plasma glucose (FPG), high-density lipids (HDL-c), triglycerides (TGs), and the metabolic outcomes total cholesterol (Tc) and low-density lipids (LDL-c), systolic (SBP) and diastolic blood pressure (DBP), body composition and fitness were measured.
RESULTS
Poor sleep quality showed a positive association with body fat (%) ≥ 48.2 (OR; 8.39, 95% CI; 1.13-62.14, = 0.037), morbid obesity (OR; 8.44, 95% CI; 1.15-66.0, = 0.036), glucose ≥ 100 mg/dL (OR; 8.44, 95% CI; 1.15-66.0, = 0.036) and relative handgrip strength ≤ 0.66 (OR; 12.2, 95% CI; 1.79-83.09, = 0.011).
CONCLUSION
sleep quality is associated with health markers in women with severe/morbid obesity.
Topics: Adipose Tissue; Cross-Sectional Studies; Female; Hand Strength; Humans; Obesity, Morbid; Sleep
PubMed: 34501884
DOI: 10.3390/ijerph18179294 -
Obesity Research & Clinical Practice 2018As the prevalence of morbid obesity increased in Korea, the estimation of the accurate socioeconomic costs by morbid obesity was required; we analysed national medical...
As the prevalence of morbid obesity increased in Korea, the estimation of the accurate socioeconomic costs by morbid obesity was required; we analysed national medical costs through the big data. From 2009 year to 2013 year, Direct Costs (DC) for medical costs, transit costs and nursing costs and Indirect Costs (IC) for Future Income Loss (FIL) and Productivity Loss (PL) of morbid obesity (BMI≥30) were calculated, and socioeconomic costs were estimated by applying Population Attributable Risk (PAR) proportion according to obesity related diseases. From 10 year follow up research, Relative risk (RR) for morbid obesity related disease was analysed in comparison with control group. The high RR disease were congestive heart failure (RR 3.204 CI 2.421-3.987), hypertension (RR 3.13 CI 3.058-3.202), type 2 DM (RR 3.112 CI 2.973-3.251), pulmonary embolism (RR 2.969 CI 1.812-4.126), dyslipidemia (RR 2.283 CI 2.221-2.345) and ischaemic heart disease (RR 2.187 CI 2.068-2.306) in order. The socioeconomic costs by morbid obesity tended to increase 1.47 times from 2009 year (492 billion KRW) to 2013 year (726.2 billion KRW). The growth of the prevalence and the socioeconomic costs by morbid obesity in Korea are required not only the personal care issue but also social and national strategies for the future morbid obesity control.
Topics: Adult; Cost of Illness; Female; Health Care Costs; Humans; Male; Middle Aged; National Health Programs; Obesity, Morbid; Prevalence; Republic of Korea; Socioeconomic Factors
PubMed: 28522388
DOI: 10.1016/j.orcp.2017.04.010 -
Professional Nurse (London, England) Nov 1999Many people find it difficult to lose weight. Surgery is often considered a last resort for morbidly obese people after more traditional methods of weight control have... (Review)
Review
Many people find it difficult to lose weight. Surgery is often considered a last resort for morbidly obese people after more traditional methods of weight control have failed. Patients require expert nursing care peri-operatively.
Topics: Body Mass Index; Gastroplasty; Humans; Obesity, Morbid; Perioperative Care; Treatment Outcome
PubMed: 10765315
DOI: No ID Found -
Revista Do Colegio Brasileiro de... 2015
Topics: Bariatric Surgery; Brazil; Delivery of Health Care; Humans; Obesity, Morbid; Public Health
PubMed: 26176670
DOI: 10.1590/0100-69912015002001 -
Gastrointestinal Endoscopy Clinics of... Apr 2011Obesity is a significant health problem that has assumed epidemic proportions. A durable reduction in weight and improved morbidity and mortality have been realized with... (Review)
Review
Obesity is a significant health problem that has assumed epidemic proportions. A durable reduction in weight and improved morbidity and mortality have been realized with the introduction of various bariatric surgical procedures. It is unknown how safe the current practices of sedation for endoscopic procedures are in bariatric patients. Morbid obesity can result in pulmonary hypertension, obstructive sleep apnea, and restrictive lung disease. This article explores these issues and how they may impact the risk profile of current standards for endoscopic sedation.
Topics: Anesthesia; Bariatric Surgery; Endoscopy, Gastrointestinal; Humans; Obesity, Morbid; Risk Factors
PubMed: 21569977
DOI: 10.1016/j.giec.2011.02.011 -
AORN Journal Feb 2019
Topics: Bariatric Surgery; Health Knowledge, Attitudes, Practice; Humans; Obesity, Morbid; Patient Selection
PubMed: 30694538
DOI: 10.1002/aorn.12621 -
Journal of Investigative Surgery : the... 2004
Topics: Animals; Electric Stimulation Therapy; Gastric Emptying; Humans; Obesity, Morbid; Satiety Response; Stomach
PubMed: 15204710
DOI: 10.1080/08941930490422032 -
Obesity Facts 2022Bariatric surgery is a life-changing treatment, but knowledge of its influence on changes in work ability is still limited. We hypothesized that self-reported work...
INTRODUCTION
Bariatric surgery is a life-changing treatment, but knowledge of its influence on changes in work ability is still limited. We hypothesized that self-reported work ability improves in response to surgery-induced weight loss and sociodemographical variables (e.g., age, sex, and marital status), and that psychosocial characteristics (e.g., depressive symptoms and dysfunctional eating) may have predictive value as to patients' work ability.
METHODS
A total of 200 participants scheduled for bariatric surgery were recruited between September 2015 and June 2018. They completed several self-report measures at the preoperative examination (t1) and at 6- (t2) and 12 months (t3) after bariatric surgery. A repeated-measures analysis of variance was calculated to detect any changes in the work ability and body mass index (BMI) among the 3 time points. Further, a hierarchical multiple regression analysis was used to determine whether any demographical and psychosocial characteristics at (t1) would predict work ability at (t3).
RESULTS
Participants (82% of whom were women) were middle-aged and showed a BMI of nearly 46 at the preoperative medical examination. Excess weight loss at (t2) and at (t3) was 49 and 66%, respectively. Work ability increased toward a moderate level after weight-loss surgery. Work ability and dysfunctional eating at (t1) showed significant predictive value with respect to work ability at (t3).
DISCUSSION
The results suggest that weight-loss surgery has a positive impact on work ability, and indicate a predictive value for the extent of weight loss and dysfunctional eating behavior. Against our hypothesis and in contrast to former research, a predictive value for depressive symptoms and age was not revealed. Further research must show how interventions can support and maintain improvements in work ability after bariatric surgery, in order to reduce sick leave and unemployment in patients with preoperative morbid obesity.
Topics: Bariatric Surgery; Female; Humans; Longitudinal Studies; Middle Aged; Obesity, Morbid; Weight Loss; Work Capacity Evaluation
PubMed: 34749355
DOI: 10.1159/000519269