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The Four Major Causes of Obesity
The prevalence of obesity is increasing worldwide. In the past few decades, this unprecedented increase in obesity has spread across every age, gender and race. In the U.S. alone, the obesity levels have risen to as much as 68% and a similar trend is observed in other countries.See all stories on this topic
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Overweight and Obesity Sufferers – Raw Food Could Be Your Answer
Statistics for 2013 show alarming figures for overweight and obese adults. According to the American Heart and Stroke Association for the year 2013 there were almost 155 million American adults over the age of 20 who were either overweight or obese. Weight problems are not only an issue for those in the US but for citizens of many countries all around the world (where food is plentiful). Perhaps more people should take action. Angela Stokes Monarch, a morbidly obese woman in her early twenties took much needed action by adopting the raw vegan diet.See all stories on this topic
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Has Perception Helped to Cause the Obesity Crisis?
Has the way that society, the media, and the way that people perceive themselves contributed to the way that obesity seems to be out of control? If we accepted ourselves for the individuals that we were meant to be, and did not spend all our efforts on being a shape that our bodies were not meant to be, then perhaps we would all be happer and healthier.See all stories on this topic
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Study finds gastric band and weight management therapies offer similar benefits
… approachesâadjustable gastric band surgery and an intensive group-based medical diabetes and weight management programâachieved similar …
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Adjustable Gastric Band Surgery or Medical Management in Patients with Type 2 Diabetes
Published Online: April 24, 2015
Abstract Context:
Recommendations for surgical compared with lifestyle and pharmacologic based approaches for type 2 diabetes (T2D) management remain controversial.
Objective:
Comparing laparoscopic adjustable gastric band (LAGB) to an intensive diabetes medical and weight management (IMWM) program for T2D.
Design:
Prospective, randomized clinical trial.
Setting:
Two Harvard Medical School affiliated academic institutions.
Interventions and Participants:
12-month randomized trial comparing LAGB (n=23) versus IMWM (n=22), in persons aged 21–65 years, BMI 30–45 kg/m2, T2D diagnosed more than 1-year prior, and HbA1c ≥6.5% on anti-hyperglycemic medication(s).
Main Outcome Measure:
The proportion meeting the pre-specified primary glycemic endpoint, defined as HbA1c <6.5% and fasting glucose <7.0 mmol/L at 12-months, on-or-off medication.
Results:
After randomization 5 participants did not undergo their surgical intervention. Of the 40 initiating intervention (22M/18F; age 51±10 years; BMI 36.5±3.7 kg/m2; diabetes duration 9±5 years; HbA1c 8.2±1.2%; 40% on insulin) the proportion meeting the primary glycemic endpoint was achieved in 33% of the LAGB group and 23% of IMWM (P=0.457). HbA1c reduction was similar between groups at both 3- and 12-months (-1.2±0.3 versus -1.0±0.3%, P=0.496). Weight loss was similar at 3- but greater 12-months post-LAGB (-13.5±1.7 versus -8.5±1.6 kg, P=0.027). Systolic blood pressure reductions were greater after IMWM than LAGB while changes in diastolic blood pressure, lipids, fitness, and cardiovascular risk scores were similar between groups. Patient reported health status assessed using Short Form-36, Impact of Weight on Quality of Life, and Problem Areas in Diabetes, all improved similarly between groups.
Conclusions:
LAGB versus a multidisciplinary intensive diabetes and weight management program have similar 1-year benefits on diabetes control, cardiometabolic risk, and patient satisfaction, which should be considered in context of other factors, such as personal preference, when selecting treatment options with obese type 2 diabetes patients. Longer duration studies are important to understand emergent differences.
Trial Registration:
Clinicaltrials.gov NCT01073020
Affiliations
1Harvard Medical School, Boston, MA, 02115;
2Joslin Diabetes Center, Boston, MA, 02215;
3Brigham and Women’s Hospital, Boston, MA, 02115
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Family in GET-THIN probe fights for $109 million in seized funds
An attorney representing three people behind the defunct Lap-Band surgery enterprise said the seizure was unjustified and frustrating to his clients …
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Dance Moms Star Abby Lee Miller Undergoes Secret Lap Band Surgery
A source revealed to OK! magazine that Abby underwent lap band surgery! âThat's the buzz among her friends, but Abby is being very hush-hush …
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European Stationary Cycles Market by Type, by End-User – Forecast to 2019
The demand for weight loss surgery in the NHS is higher than the supply in the country. Since the U.K. holds the largest share of obesity ratio in …
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Bariatric Surgery Improves Results of Joint Replacement Surgery, Says New Study
The chances of positive results during joint replacement surgery for an obese patient improve if they first elect the same bariatric procedures …
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Endoscopy Turns Eye To Fixing Problems After Weight Loss Surgery
PhiladelphiaâThe number of people undergoing bariatric surgery continues to climb, and although expertise and refinement in the procedures may …
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