Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

The criteria for weight-loss surgery need to be changed

18.02.2013
Weight-loss surgery is currently only offered to patients who exceed a certain BMI. However, surgical intervention could improve the health of many more people.

This is shown by the Swedish Obese Subjects study carried out at the Sahlgrenska Academy, University of Gothenburg, Sweden, involving 104 patients who were operated on despite their BMI being “too low”. As a result, the risk of developing diabetes was reduced by 67 percent.

In order to meet the current selection criteria for weight-loss surgery, Swedish patients must have a body mass index (BMI) above 40 for healthy patients, or above 35 in combination with other risk factors such as type 2 diabetes.

However, these selection criteria have not been devised in a scientific manner, and need to be improved. This is the opinion of researchers at the Sahlgrenska Academy, University of Gothenburg, who have shown in a new study that weight-loss surgery also offers significant health benefits for patients who do not meet today’s criteria.

In the study, which has been published in Diabetes Care, the researchers from Gothenburg have monitored 104 patients who had weight-loss surgery before the current criteria were established, and who would not have been offered the operation today. The study shows that, 15 years after the procedure, these patients had a 67 percent lower risk of developing diabetes compared with a control group who were not operated on.

“The effect was the same as for patients who meet the current criteria,” explains researcher Kajsa Sjöholm from the Sahlgrenska Academy, University of Gothenburg. “In other words, there is no proof that weight-loss surgery has a greater preventive effect against diabetes for patients who exceed today’s BMI limit than for those who don’t.”

The study also shows that weight-loss surgery reduces the risk factors for cardiovascular disease among patients who are not currently eligible for this surgery.

With reference to previous results published in the SOS study at the University of Gothenburg, which showed that weight-loss surgery generally results in a long-lasting reduction in weight and reduces the risk of diabetes, heart disease, stroke, cancer and premature death, the researchers from Gothenburg believe that today’s selection criteria should be re-evaluated.

According to the researchers, strict BMI limits can lead to patients with a high risk of future disease who would benefit from treatment being denied surgery. Previous research findings show that the selection can be improved by analysing patients’ insulin and glucose values.

The article “Evaluation of Current Eligibility Criteria for Bariatric Surgery: Diabetes prevention and risk factor changes in the Swedish Obese Subjects (SOS) study” was published in Diabetes Care on 28 January.

ABOUT THE SOS STUDY
The Swedish Obese Subjects (SOS) study has monitored 4,047 obese patients for up to 20 years. Of these, half underwent weight-loss surgery and half were treated by the Swedish primary healthcare service. The study has contributed towards increased knowledge of the long-term effects of weight-loss surgery, and the researchers have published a number of internationally noted reports showing that weight-loss surgery prevents diabetes, cardiovascular disease and cancer, and reduces the risk of premature death.
Contact:
Lena Carlsson, Professor at the Institute of Medicine, Sahlgrenska Academy,
+46 (0)70 679 1154
lena.carlsson@medic.gu.se
Kajsa Sjöholm, Docent at the Institute of Medicine, Sahlgrenska Academy,
+46 (0)73 368 0308
kajsa.sjoholm@medic.gu.se

Annika Koldenius | idw
Further information:
http://www.gu.se

More articles from Health and Medicine:

nachricht New flexible, transparent, wearable biopatch, improves cellular observation, drug delivery
12.11.2018 | Purdue University

nachricht Exosomes 'swarm' to protect against bacteria inhaled through the nose
12.11.2018 | Massachusetts Eye and Ear Infirmary

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

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

Im Focus: A Leap Into Quantum Technology

Faster and secure data communication: This is the goal of a new joint project involving physicists from the University of Würzburg. The German Federal Ministry of Education and Research funds the project with 14.8 million euro.

In our digital world data security and secure communication are becoming more and more important. Quantum communication is a promising approach to achieve...

Im Focus: Research icebreaker Polarstern begins the Antarctic season

What does it look like below the ice shelf of the calved massive iceberg A68?

On Saturday, 10 November 2018, the research icebreaker Polarstern will leave its homeport of Bremerhaven, bound for Cape Town, South Africa.

Im Focus: Penn engineers develop ultrathin, ultralight 'nanocardboard'

When choosing materials to make something, trade-offs need to be made between a host of properties, such as thickness, stiffness and weight. Depending on the application in question, finding just the right balance is the difference between success and failure

Now, a team of Penn Engineers has demonstrated a new material they call "nanocardboard," an ultrathin equivalent of corrugated paper cardboard. A square...

Im Focus: Coping with errors in the quantum age

Physicists at ETH Zurich demonstrate how errors that occur during the manipulation of quantum system can be monitored and corrected on the fly

The field of quantum computation has seen tremendous progress in recent years. Bit by bit, quantum devices start to challenge conventional computers, at least...

Im Focus: Nanorobots propel through the eye

Scientists developed specially coated nanometer-sized vehicles that can be actively moved through dense tissue like the vitreous of the eye. So far, the transport of nano-vehicles has only been demonstrated in model systems or biological fluids, but not in real tissue. The work was published in the journal Science Advances and constitutes one step further towards nanorobots becoming minimally-invasive tools for precisely delivering medicine to where it is needed.

Researchers of the “Micro, Nano and Molecular Systems” Lab at the Max Planck Institute for Intelligent Systems in Stuttgart, together with an international...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

“3rd Conference on Laser Polishing – LaP 2018” Attracts International Experts and Users

09.11.2018 | Event News

On the brain’s ability to find the right direction

06.11.2018 | Event News

European Space Talks: Weltraumschrott – eine Gefahr für die Gesellschaft?

23.10.2018 | Event News

 
Latest News

In focus: Peptides, the “little brothers and sisters” of proteins

12.11.2018 | Life Sciences

Materials scientist creates fabric alternative to batteries for wearable devices

12.11.2018 | Materials Sciences

A two-atom quantum duet

12.11.2018 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>