When other weight-loss strategies have failed, some families select weight-loss surgery for their teen. The Weight-loss Surgery Program at South Miami Hospital has developed a treatment plan just for adolescents, ages 14-21. To qualify for weight-loss surgery, a teen must have developed to the point of “bone maturity,” which means that the kid is fully grown as determined by a doctor. Before the surgery, the teen must also participate in a three-month, age-appropriate exercise program to prepare for the weight-loss surgery. What’s more, the teen and family must undergo a psychological evaluation, which is designed to verify that the teen will be compliant and the family will be supportive of the post-surgery regimen, which includes a routine of exercise, nutrition and vitamins. The teen and the parents work closely with a bariatric nurse coordinator, bariatric surgeon, a specialized dietitian, weight-loss coach, exercise physiologist and bariatric patient navigator.
1 AnswerIn America, obesity-related diseases add a staggering $119 billion to the nation’s annual health-care costs. Fortunately, obesity is an entirely preventable problem. Unfortunately, most policy makers are still vastly unaware of just how powerful a cure regular exercise is, as proven by countless medical and scientific studies. In fact, regular exercise is the common denominator among individuals who have maintained significant weight loss.
With more policies that offer incentives for fitness and wellness activities—both financial and otherwise—people will make healthier choices. There are things one can do right away. Policymakers, for example, should allow individuals and families to pay for certain physical activities using pre-tax accounts, such as a flexible spending account. At the workplace, CEOs can sign the CEO Pledge of the National Coalition for Promoting Physical Activity and commit to creating supportive work environments for physical activity.
1 AnswerJulia Wattacheril, MD, Gastroenterology, answered on behalf of Columbia University Department of Surgery
About 90% of people who undergo bariatric surgery have some fatty liver disease. However, the surgery is not safe for everyone who has this condition. Some people, in addition to having excess fat in their livers also have scarred liver tissue, which put them at increased risk of problems from bariatric surgery. Talk to your own doctor about your fatty liver disease and whether bariatric surgery is safe and recommended for you.
1 AnswerDevi Nampiaparampil, MD, Pain Medicine, answered
Obesity and pain are related. Conditions associated with obesity—high blood pressure and diabetes—can contribute to lower back pain. In this video, Devi Nampiaparampil, MD, chief of pain management at Veterans Affairs, explains why.
1 AnswerKulreet Chaudhary, MD, Neurology, answeredYou can find triphala in powder form or tablet form. Triphala powder has a strong taste, so it may be easier to use the tablets at first. You can take triphala every evening, one hour before bed, as part of your weight-management regimen.
For the Triphala Treat, if you find the powder has too strong of a taste for you, just take two triphala tablets.
To 1/2 cup of warm water, add the following ingredients:
1/2 tsp of triphala powder
1 tsp unflavored, uncolored psyllium fiber
1 tsp ground organic flaxseed
You can easily find the triphala powder and tablets online, in a health store or Indian store for about $10 to $20.Helpful? 2 people found this helpful.
1 AnswerHelpful? 1 person found this helpful.
1 AnswerAnyone who smokes knows they should stop. But quitting smoking is especially important for people considering bariatric surgery. The guidelines for bariatric surgery require people to quit smoking 60 days prior to surgery.
The health consequences of smoking are well known and well documented, but these dangers are amplified for people with obesity. Along with the associated higher risk for cancer, heart disease and stroke, smoking increases the risks associated with surgery, including anesthesia-related complications, infections, heart attack, stroke, pneumonia and death. It also slows down healing time by narrowing blood vessels, restricting blood flow to the surgical site.
Smoking after bariatric surgery puts people at significantly higher risk for a host of complications, such as ulceration of the gastric pouch, gastritis, infection and increased shortness of breath.
However, the health benefits of smoking cessation occur almost immediately and have a long-lasting impact.
1 AnswerMehmet Oz, MD, Cardiology, answered
Overweight and obesity don't simply affect individuals -- they impact the country as a whole. In this video, First Lady Michelle Obama talks with Dr. Oz about how our national weight problem presents a threat to our country's ability to defend itself.
1 AnswerMichael Breus, PhD, Psychology, answeredResearchers at the University of Maryland School of Medicine investigated the association between obesity and work schedules among 1,700 women nurses. They divided the nurses into two categories: those with favorable work schedules, and those with unfavorable work schedules.
Among the nurses in the study, 700 were determined to have unfavorable, or adverse, work schedules. The remaining 1,000 nurses were considered to have favorable work schedules. Researchers then examined the incidence of obesity among each group, and factors related to health behaviors, home demands, and work demands that might contribute to obesity. They found a majority of nurses were overweight or obese, and that work schedules appeared to influence the risk factors that contributed to weight problems:
- 55% of nurses in both groups were either overweight or obese.
- Nurses with unfavorable work schedules slept less, reported less restful sleep, and exercised less than their counterparts with more favorable schedules. Obesity among this group was linked to these factors.
- Among nurses with favorable work schedules, obesity was more strongly linked to unhealthy behaviors, including smoking, and alcohol use, and to job stress.
- This research project compared data from three groups of workers in three different nations and found that lack of physical activity, unhealthy behaviors such as smoking, and obesity itself were associated in different ways with adverse work conditions including job strain and working overtime.
- A study of Japanese mail workers found a possible link between job stress and overeating leading to obesity.
- A three-year study of white-collar workers found an association between body-mass index and waist size and overtime work
1 AnswerDavid L. Katz, MD,MPH, Integrative Medicine, answeredVery little about genes, metabolism, or human nature has changed in the past five decades. We have epidemic childhood obesity now; we did not have it then. The ambient level of personal responsibility in 8-year-olds has not changed over that span. A dramatic change in the epidemiology of obesity is directly related to profound changes in our environments, food supply, activity levels, and social norms. We have caused the obesity epidemic, by looking the other way as a staggering array of "advances" made ever more calories ever more temptingly available, and made physical activity ever more elusive.
The root cause and cure of all but rare cases of obesity resides with how we use our feet and forks. Pharmacotherapy is no substitute.
There is, indeed, a role for pharmacotherapy in obesity -- as there is a role for surgery. But it should be a small role. I protest any indulgence in the idea that a diet drug is a meaningful solution to the problem of epidemic obesity. I protest the attention and resources that get diverted from making the modern environment more salutary, more conducive to healthful use of feet and forks. As a society, we should be doing all we can -- and we are not! -- to make sure very few of us ever need the options of surgery or drugs.