Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Are obese adolescents too young for bariatric surgery?

04.05.2010
One-half of physicians say yes despite potential benefits, U-M study finds

Severely obese adolescents may desire or potentially benefit from bariatric surgery. However, half of primary care physicians say they would not recommend the procedure to a patient under the age of 18, according to research published in Obesity Surgery.

Childhood obesity has increased dramatically since the 1970s. Obese adolescents are more likely to suffer from type 2 diabetes, hypertension, non-alcoholic steotohepatitis, sleep apnea, choleolithiasis and premature death as adults.

Researchers surveyed a national random sample of pediatricians and family physicians for their opinions on referring adolescents for bariatric surgery. They discovered half of these physicians would not consider it for adolescent patients.

“We still have a lot to learn about the long term effects of bariatric surgery among adolescents,” says Susan Woolford, M.D., M.P.H., medical director of the Pediatric Comprehensive Weight Management Center at the University of Michigan, “But recent studies suggest that it can be helpful to improve the health outcomes of severely obese adolescents.”

“Physicians worry whether the risks will outweigh the benefits,” adds Woolford, who is also an assistant professor in the department of pediatrics and communicable diseases at U-M. “How long adolescents will be able to sustain the weight loss and what the psychological outcomes would be in their future, are questions that are still being explored. If findings are similar to those in adults, there could be significant weight loss and health benefits.”

Physicians who support the possibility of bariatric surgery for adolescents may do so because studies have indicated that obesity in adolescents has long-term health effects even if patients eventually lose weight, the authors write. Adolescent years can also be difficult socially and emotionally for extremely obese youth.

“With the increasing media presentations of surgeries for weight loss among the general public and Hollywood celebrities, more obese adolescents and their parents are likely to consider it,” the authors write. Primary care physicians should be prepared to discuss this treatment option with families.

“Primary care physicians are on the front line of obesity treatment,” says Woolford, “Their attitudes regarding bariatric surgery may affect whether or not an adolescent pursues the procedure.”

The study also found almost all physicians endorsed participation in a monitored weight loss program as a prerequisite for bariatric surgery, though the minimum suggested duration for participation varied from three months to over 5 years.

For adolescents, participating in these programs could be helpful by providing time to make a stable decision regarding surgery and to adopt healthy habits that will improve their post-operative course, but the delay in surgery could also lead to further weight gain.

The authors suggest further studies should explore primary care physicians’ knowledge regarding the risks and benefits of bariatric surgery for adolescents and the basis upon which they make referral decisions regarding bariatric surgery for their obese patients.

Additional authors: Along with Woolford, Sarah J. Clark, M.P.H., Achamyeleh Gebremariam, M.S., Matthew M. Davis, M.D., M.A.P.P. and Gary L. Freed, M.D., M.P.H., all of the University of Michigan.

Written by Jenna Frye

Jenna Frye | EurekAlert!
Further information:
http://www.umich.edu

More articles from Studies and Analyses:

nachricht Europe’s Demographic Future. Where the Regions Are Heading after a Decade of Crises
10.08.2017 | Berlin-Institut für Bevölkerung und Entwicklung

nachricht Scientists reveal source of human heartbeat in 3-D
07.08.2017 | University of Manchester

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

Nagoya physicists resolve long-standing mystery of structure-less transition

21.08.2017 | Materials Sciences

Chronic stress induces fatal organ dysfunctions via a new neural circuit

21.08.2017 | Health and Medicine

Scientists from the MSU studied new liquid-crystalline photochrom

21.08.2017 | Materials Sciences

VideoLinks
B2B-VideoLinks
More VideoLinks >>>