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Surgery better than diet, exercise in obese teens
Reuters on Yahoo ^ | 2/9/10 | Julie Steenhuysen

Posted on 02/09/2010 7:29:12 PM PST by NormsRevenge

CHICAGO (Reuters) – Severely obese teens who had surgery to limit what they could eat lost more weight and enjoyed more health benefits than those who did an intensive lifestyle program, researchers said on Tuesday.

They said 21 of 25 severely obese teens aged 14 to 18 who underwent a form of gastric banding lost more than half of their excess weight compared with just 3 out of 25 who did a diet, exercise and behavior modification program.

"In this study, gastric banding proved to be an effective intervention leading to a substantial and durable reduction in obesity and to better health," Dr. Paul O'Brien of Monash University in Melbourne, Australia, and colleagues wrote in the Journal of the American Medical Association.

O'Brien and colleagues evaluated the effectiveness of Allergan Inc's Lap-Band gastric banding treatment. The procedure involves wrapping an adjustable band around the top of the stomach, giving the patient the illusion of fullness with small meals.

Obesity, which affects nearly a third of U.S. children, has become a top White House priority with the announcement on Tuesday of President Barack Obama's plan to solve childhood obesity ..

Many studies have looked at the safety and effectiveness of weight-loss surgery, or bariatric surgery, in obese adults, but there is less evidence of its safety and effectiveness in children and teens. Gastric banding is a type of bariatric surgery.

The surgery is becoming increasingly popular as obese people struggle to lose weight and avoid the health complications that accompany the extra pounds -- such as diabetes, heart disease, joint pain and some cancers.

Teens in the O'Brien team's study had a body mass index of more than 35 and were assigned to either get the surgery or do a weight loss program. The team followed their progress for two years.

(Excerpt) Read more at news.yahoo.com ...


TOPICS: Culture/Society; Your Opinion/Questions
KEYWORDS: diet; exercise; lapband; obese; obesity; surgery; teens; weightloss

1 posted on 02/09/2010 7:29:12 PM PST by NormsRevenge
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To: NormsRevenge

Is this why we need government health care?


2 posted on 02/09/2010 7:34:57 PM PST by Notasoccermom
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To: NormsRevenge

Think of how much healthier they’d be if we simply put their brains into a jar.


3 posted on 02/09/2010 7:36:30 PM PST by Question Liberal Authority ("My...health care plan is a Bolshevik plot... which will destroy America." - Barack Obama)
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To: NormsRevenge

What I don’t get is basically the gastric bypass surgery forces you to go on a very limited diet and regime. Why not just eat as though you had the surgery but skip the surgery?


4 posted on 02/09/2010 7:37:16 PM PST by mnehring
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To: NormsRevenge

Sasquatch won’t be happy with this report. Sasquatch would prefer to force diet and exercise upon the fat whitey kids.


5 posted on 02/09/2010 7:40:27 PM PST by tfbcowinafog
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To: mnehring

There are also medications that can cut down on appetite. That’s not for everybody who is a bit pudgy, but it can help in especially troublesome cases.


6 posted on 02/09/2010 7:41:02 PM PST by HiTech RedNeck (I am in America but not of America (per bible: am in the world but not of it))
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To: NormsRevenge

Gastric bypass absolutely proves that eating less is the best diet.


7 posted on 02/09/2010 7:42:27 PM PST by umgud (I couldn't understand why the ball kept getting bigger......... then it hit me.)
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To: mnehring

Not a bad idea, if the ones who needed to do that would stick to it. They won’t, hence the surgery.


8 posted on 02/09/2010 7:44:08 PM PST by Judith Anne
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To: mnehring

I thought people were gaining the weight back after banding by continuously eating throughout the day. They have constant digestive upset and acid reflux, and perhaps permanent damage to their systems. And they’re just children! Seems exercise and teaching them how to cook real, wholesome food would be better for kids. Of course, that would take some effort on the part of the parents, so that’s probably not going to work. Better to let the government handle it.


9 posted on 02/09/2010 7:44:08 PM PST by Snapping Turtle
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To: NormsRevenge
Yes. They should sit down and relax more--find friends who appreciate their preferences. They're too active. Use contraptions to turn them into works of art, like characters in cyberpunk movies. You know that our ancestors were wrong about exercise being healthy.


10 posted on 02/09/2010 7:46:56 PM PST by familyop (cbt. engr. (cbt), NG, '89-' 96, Noachide follower)
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To: NormsRevenge
Missing a time line -- the kids that had banding v. kids that went diet and exercise. I think banding is a travesty. Roseanne - is she still skinny? Nope. Carnie Wilson had banding in 2000 - here she is now : Picture 2 I've read that there is a correlation between the introduction of "fat free" foods in our diets in the 1980's and the onset of extreme obesity in children and adults. Makes sense - they removed the fat and replaced it with sugar. And most kids get NO exercise. Except punching a keyboard or watching television.
11 posted on 02/09/2010 7:47:31 PM PST by carolina71
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To: Snapping Turtle; mnehring
I thought people were gaining the weight back after banding by continuously eating throughout the day. They have constant digestive upset and acid reflux, and perhaps permanent damage to their systems.

I ran into a lady the other day who was moderately overweight. She lamented her condition and said she'd better lose weight if she wanted her knee joints to not grow worse.

She added that she'd had gastric bypass surgery in the past, but had undone the weight loss because she had not changed her eating habits.

That's frightening: to have one's guts cut up and rearranged, then not learn new eating habits, then gain the weight back, plus more...

Sorry, I'd rather stick with a gradual and natural modification of eating habits and forego any surgery. I like having a GI tract that's truly intact.

12 posted on 02/09/2010 7:49:16 PM PST by thecodont
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To: mnehring
What I don’t get is basically the gastric bypass surgery forces you to go on a very limited diet and regime. Why not just eat as though you had the surgery but skip the surgery?

I haven't done extensive research into this but if memory serves correctly gastric bypass cures diabetes (type II) and insulin resistance almost immediately. There may be something about just manipulating the stomach that causes the body to help the dieter biochemically. Though some surgeons I talk to feel it is the reduced caloric intake that has the positive benefits I don't know of any research that indicate this is the case (I haven't looked that hard either). There are also some studies that liposuction improves blood lipid profiles as well. I'm not advocating surgery but there is certainly a biochemical process at foot here that we don't understand that well. My sense is that once we have discovered the process we will not need the surgery and will be able to treat obesity medically.

13 posted on 02/09/2010 7:53:45 PM PST by stig
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To: mnehring

As Nixon said, “When you’ve got ‘em by the balls, their hearts and minds will follow.”


14 posted on 02/09/2010 8:01:02 PM PST by utahagen
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To: mnehring

“Why not just eat as though you had the surgery but skip the surgery?”

Because this way the patient does not feel hungry all the time.

I took off a lot of weight “the old fashion” way several times. Once I get down to a certain point, and NOT where I should be, I become ravenously hungry ALL THE TIME and absolutely miserable.

You try living with that 24 hours a day, and I guarantee you will end up putting weight back on.

I just gave up and now I am about 40 pounds over weight but I don’t get heavier and I am not miserable every waking moment.

Newsflash for all the weight cops on FR: not everyone is built or functions the same way YOU do.


15 posted on 02/09/2010 8:11:31 PM PST by Nik Naym (Hey Sarah, I luv ya, but stumping for McCain???)
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To: Snapping Turtle

Yes, I’d be interested in the long term lifespan stats on these banded teens.


16 posted on 02/09/2010 8:12:39 PM PST by Persevero
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To: NormsRevenge

Who paid for this “study”?


17 posted on 02/09/2010 8:13:28 PM PST by GeronL (Dignity is earned from yourself. Respect is earned from others.)
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To: Nik Naym

True, Nik, who gets to decide what “normal” is?


18 posted on 02/09/2010 8:13:45 PM PST by Persevero
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To: null and void
Think of how much healthier they’d be if we simply put their brains into a jar.
19 posted on 02/09/2010 8:19:13 PM PST by Grizzled Bear (Does not play well with others.)
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To: stig

Our priest had it done about 8 weeks ago, he hasn’t had to have insulin since day one.


20 posted on 02/09/2010 8:20:46 PM PST by tiki (True Christians will not deliberately slander or misrepresent others or their beliefs)
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To: NormsRevenge

I had one kid who used to stuff himself silly when he was a toddler. This was shortly after we adopted him from an orphanage, and I suppose he felt like he had to eat a lot when he got the chance.

We made an effort to explain that we would always be there to love and care for him. We also limited him to no more than second helpings, telling him that eating too much would make him fat, which would hurt his body.
After supper we would cuddle him and read a book together, and eventually he started to like that even better than suppertime. We tended to eat family dinners and stick to fruit for snacks, so it was easy to monitor the situation.

Today he’s the picture of health, and we still have a good relationship. We have two other kids, but they were never that focused on eating that it was a problem.

Gross overeating is a sign of emotional issues. Parents need to get serious about helping their kids find healthy solutions to their insecurities, before they compound their problems with obesity. An unhappy kid is not going to feel happier fat.


21 posted on 02/09/2010 8:20:51 PM PST by keats5 (Not all of us are hypnotized.)
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To: stig

Our priest had it done about 8 weeks ago, he hasn’t had to have insulin since day one.


22 posted on 02/09/2010 8:22:09 PM PST by tiki (True Christians will not deliberately slander or misrepresent others or their beliefs)
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To: carolina71
I think banding is a travesty.

My wife gained wait due to a series of injuries that limited her activity while she kept the same caloric intake.

She was banded and lost half of her body weight in one year. After the banding she measured everything she ate and turned into a "gym-rat."

Many people "beat the band" and can keep or gain weight. Some do it after gastric bypass. My wife was determined to lose weight. The band isn't the only reason she succeeded, but it helped, along with a lifestyle change!

By the way, I wouldn't let her get the gastric bypass due to the 10 percent fatality rate.

23 posted on 02/09/2010 8:26:20 PM PST by Grizzled Bear (Does not play well with others.)
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To: mnehring

Because the little tub-o-lards are lying cheating hedonists. And as such there’s no such thing as a self imposed rescission of gluttony and/or self gratification.


24 posted on 02/09/2010 8:26:21 PM PST by mamelukesabre (Si Vis Pacem Para Bellum (If you want peace prepare for war))
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To: Nik Naym
It seems like a pretty radical surgery just to tame your appetite. Is that all it does?

Years ago, (in the 1970's, I believe), my aunt had 'weight loss' surgery. They took out several feet of her intestines. She lost weight almost overnight, but my mom told me she had diarrhea a lot. I get that she could still eat all she wanted, she just didn't digest it.

It seems to me that if you are going to get major weight loss surgery, it should do something like let you absorb fewer calories or something more dramatic, not just reduce your appetite. Sometimes overweight people eat when they are not hungry.

25 posted on 02/09/2010 8:29:06 PM PST by sportutegrl (VETO PROOF MAJORITY IN 2010)
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To: NormsRevenge
Severely obese teens who had surgery to limit what they could eat lost more weight and enjoyed more health benefits than those who did an intensive lifestyle program, researchers said on Tuesday.

Of course they lost more weight. If you go from a stomach the size of a football to one that holds 3 ounces, your going to drop weight. That's like saying obese teens lost more weight when sent to Ethiopia than those sent to housing projects in Chicago.

26 posted on 02/09/2010 8:33:27 PM PST by Razz Barry (Round'em up, send'em home.)
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To: sportutegrl

Apparently you only read the parts I wrote that you wanted to read.

You don’t get it. You won’t get it because you just don’t understand that not everyone is like YOU.


27 posted on 02/09/2010 8:45:35 PM PST by Nik Naym (Hey Sarah, I luv ya, but stumping for McCain???)
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To: mamelukesabre

It works because surgery is easier than self-discipline.


28 posted on 02/09/2010 8:59:19 PM PST by achilles2000 (Shouting "fire" in a burning building is doing everyone a favor...whether they like it or not)
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To: achilles2000

Yeah, I think that’s what I said.


29 posted on 02/09/2010 9:01:27 PM PST by mamelukesabre (Si Vis Pacem Para Bellum (If you want peace prepare for war))
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To: achilles2000

“It works because surgery is easier than self-discipline.”

Of course. EVERY single individual who is the least bit overweight is just a lazy undisciplined slob who doesn’t have the brains to lose weight on his own.


30 posted on 02/09/2010 9:07:00 PM PST by Nik Naym (Hey Sarah, I luv ya, but stumping for McCain???)
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To: mamelukesabre

“Yeah, I think that’s what I said.”

I understand that. Now we can form the “insensitive” caucus on FR.

In any event, I could stand to lose 5-10 pounds, but then I’d have to work at it and....wait, wait...I’ve got a hormone problem! (that’s it!) And my metabolism isn’t like anyone else’s, and I’ve got a right to eat as much as anyone inspite of my metabolism...so I need you to pay for things for me or for my insurance carrier to pay...so I can enjoy my right to eat a lot and not exercise.

Now that I think about it, you really don’t understand my problems at all.


31 posted on 02/09/2010 9:09:51 PM PST by achilles2000 (Shouting "fire" in a burning building is doing everyone a favor...whether they like it or not)
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To: Nik Naym

Depends on what you think is overweight. Losing weight is not a matter of “brains” - anyone can figure it out.

But people ought to bear in mind that proper weights vary. If you are 6’, 160 is a good weight, but you could weigh 190-200 if you are somewhat muscular. A healthy weight depends on frame, composition of body mass etc.


32 posted on 02/09/2010 9:15:26 PM PST by achilles2000 (Shouting "fire" in a burning building is doing everyone a favor...whether they like it or not)
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To: achilles2000

I guess I should have used the /sarc tag.


33 posted on 02/09/2010 9:22:41 PM PST by Nik Naym (Hey Sarah, I luv ya, but stumping for McCain???)
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To: Nik Naym

I use the hunger pangs as positive reinforcement. Works for me.


34 posted on 02/09/2010 9:25:31 PM PST by MarkeyD (I support the Secret Service but not their mission.)
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To: achilles2000

“If you are 6’, 160 is a good weight”

Are you crazy? When I was in my early 20s I managed to keep my weight between 175 and 180 pounds and I looked like a freakin heroin addict. People kept asking me if I was sick.(I AM six feet tall BTW)

There is no way on God’s green earth I could, at nearly 50 years of age, weigh 160 pounds. Where do you people come up with this stuff?

I weigh 260. I look and feel perfectly fine at 220. (other than feeling as though I am starving all the time at that weight). As far as I am concerned I sure could stand to lose 40 Lbs. But a hundred? That is INSANE.


35 posted on 02/09/2010 9:31:48 PM PST by Nik Naym (Hey Sarah, I luv ya, but stumping for McCain???)
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To: Notasoccermom
Is this why we need government health care?

The "need" is the cause of our government. From the CDCP - Obesity Data Shows Blacks Have the Highest Rates of Obesity Blacks had 51 percent higher prevalence of obesity, and Hispanics had 21 percent higher obesity prevalence compared with whites.

Obese people have a higher rate of; Sleep Apnea, Heart Disease, Stroke, Diabetes. Diabetics are more likely to lose; eye sight, kidney function and limbs. People who lose kidney function, of course, require dialysis or transplant. Needless to say, most of the people with these health problems live on the backs of the taxpayer. Providing health care for those on the dole drives up the cost for the rest of us. Government health care is a way of forcing healthy people, those who already pay to provide health care for the lazy, to pay even more.

The government welfare system is killing people and should be ended.

36 posted on 02/09/2010 9:59:22 PM PST by Razz Barry (Round'em up, send'em home.)
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To: Razz Barry; NormsRevenge
If you go from a stomach the size of a football to one that holds 3 ounces, your going to drop weight.

I read somewhere that the average (surgically unaltered) human stomach is the size of one's fist. Maybe it stretches from habitual overeating and shrinks somewhat (naturally) if one over time reduce's one's food intake.

37 posted on 02/09/2010 10:56:32 PM PST by thecodont
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To: Grizzled Bear

I know there are people who find success with banding but very few do with gastric bypass.

There was one hospital in Georgia who did about 12 GBP’s and all 12 died. Supposedly they had done hundreds in the past. Why risk it.

Congratulations to your wife, she did it the right way. Few do, she’s special.


38 posted on 02/09/2010 11:02:56 PM PST by carolina71
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To: thecodont
I read somewhere that the average (surgically unaltered) human stomach is the size of one's fist. Maybe it stretches from habitual overeating and shrinks somewhat (naturally) if one over time reduce's one's food intake.

You're right. People who regain weight after bariatric surgery stretch their stomachs by over eating. Some peoples stomachs after surgery are the size of a thumb.

39 posted on 02/09/2010 11:05:31 PM PST by Razz Barry (Round'em up, send'em home.)
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To: Nik Naym

No, I’m not kidding. I also said 200 could be a good weight. I also believe that you could feel fine at 220 (depending on various factors, but unless someone is a serious bodybuilder, 220 at 6’ is too much).

The point was that there is a range of healthy weights depending on skeleton and body mass composition. The idea that there is a single ideal weight or a very narrow range is wrong. Nevertheless, at 260 you are putting your health at serious risk. BTW, I wasn’t saying you should lose 100 because I don’t know what your frame is or how easily you muscle up. The reason I mentioned 160 is that for some men that isn’t necessarily underweight any than being 200 is necessarily overweight.


40 posted on 02/10/2010 7:28:34 AM PST by achilles2000 (Shouting "fire" in a burning building is doing everyone a favor...whether they like it or not)
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To: NormsRevenge

Surgery might give you a big jump start but if you don’t change your diet you’ll bloat right back up. To KEEP weight off there MUST be a lifestyle change of eating less and doing more, so you might as well use that method to get rid if the weight, think of it as “practice”.


41 posted on 02/10/2010 7:32:07 AM PST by discostu (wanted: brick, must be thick and well kept)
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To: Nik Naym

I dropped weight the old fashioned way, and yes there was a point where I was viciously hungry every waking minute, until my stomach finally shrunk (about a week), then the “diet” became self sustaining because my appetite had shrunk to meet my intake.


42 posted on 02/10/2010 7:35:07 AM PST by discostu (wanted: brick, must be thick and well kept)
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