Pub Date : 2018-11-21DOI: 10.4172/2165-7904-C10-083
pNadezhda BazhanYakovleva T Dubinina Abr, Makarova Ep
{"title":"Challenging physical impossibility: Finding your way to change using your body and spirit","authors":"pNadezhda BazhanYakovleva T Dubinina Abr, Makarova Ep","doi":"10.4172/2165-7904-C10-083","DOIUrl":"https://doi.org/10.4172/2165-7904-C10-083","url":null,"abstract":"","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132395162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-10-24DOI: 10.4172/2165-7904-C5-068
E. Abdi
{"title":"Updated prevalence rate of obesity in 2 to 19 years old children in the United States - preventative lessons learned: A systematic review","authors":"E. Abdi","doi":"10.4172/2165-7904-C5-068","DOIUrl":"https://doi.org/10.4172/2165-7904-C5-068","url":null,"abstract":"","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"82 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124003365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-09-10DOI: 10.4172/2165-7904-C6-071
pDeepa Iyengarp
{"title":"Obesity a global paradigm: Do ethnic variations have an impact?","authors":"pDeepa Iyengarp","doi":"10.4172/2165-7904-C6-071","DOIUrl":"https://doi.org/10.4172/2165-7904-C6-071","url":null,"abstract":"","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"303 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133796795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-31DOI: 10.4172/2165-7904-C4-065
F. Moy
{"title":"The associations of obesity with cardiometabolic risks and stress among multi-ethnic women in a developing country","authors":"F. Moy","doi":"10.4172/2165-7904-C4-065","DOIUrl":"https://doi.org/10.4172/2165-7904-C4-065","url":null,"abstract":"","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130838806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-25DOI: 10.4172/2165-7904.1000359
K. Sabry, A. Hamed, Hanna Habib, M. Helmy, Tarek Abouzeid
Introduction: Bariatric procedures are widely spreading nowadays, laparoscopic sleeve gastrectomy is one of the most commonly performed Bariatric operations, post-operative bleeding is being a serious and a common event of this operation. Materials and methods: A retrospective analysis was performed for 80 out of 1500 patients, who underwent laparoscopic sleeve gastrectomy (LSG) in the period between March 2015 and August 2017. The rate of hemorrhagic complications was 5.3%, the mean age was 38.5 (± 8.718349), and the mean BMI was 40 (± 3.780856) Results: Source of bleeding was mostly intra-abdominal of which 95% of 76 patients, while intra-luminal bleeding represented only 5% of 4 patients. While in the intra-abdominal bleeding, 54 were there which had bleeding from the staple line, in 8 cases the bleeding was from the omentum, while 4 bled from the gastro-pancreatic adhesions, 4 bled from short gastric vessels, and in 6 patients the bleeding was from the trocar entry site. Conclusion: Early re-laparoscopy after post-LSG bleeding is diagnostic and therapeutic, and decreases both morbidity and mortality of patients.
{"title":"Management of Acute Bleeding Post Laparoscopic Sleeve Gastrectomy","authors":"K. Sabry, A. Hamed, Hanna Habib, M. Helmy, Tarek Abouzeid","doi":"10.4172/2165-7904.1000359","DOIUrl":"https://doi.org/10.4172/2165-7904.1000359","url":null,"abstract":"Introduction: Bariatric procedures are widely spreading nowadays, laparoscopic sleeve gastrectomy is one of the most commonly performed Bariatric operations, post-operative bleeding is being a serious and a common event of this operation. Materials and methods: A retrospective analysis was performed for 80 out of 1500 patients, who underwent laparoscopic sleeve gastrectomy (LSG) in the period between March 2015 and August 2017. The rate of hemorrhagic complications was 5.3%, the mean age was 38.5 (± 8.718349), and the mean BMI was 40 (± 3.780856) Results: Source of bleeding was mostly intra-abdominal of which 95% of 76 patients, while intra-luminal bleeding represented only 5% of 4 patients. While in the intra-abdominal bleeding, 54 were there which had bleeding from the staple line, in 8 cases the bleeding was from the omentum, while 4 bled from the gastro-pancreatic adhesions, 4 bled from short gastric vessels, and in 6 patients the bleeding was from the trocar entry site. Conclusion: Early re-laparoscopy after post-LSG bleeding is diagnostic and therapeutic, and decreases both morbidity and mortality of patients.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132409192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-23DOI: 10.4172/2165-7904-C1-050
E. Laskowski
{"title":"Obesity prevention and control in the Middle East: Challenges and opportunities","authors":"E. Laskowski","doi":"10.4172/2165-7904-C1-050","DOIUrl":"https://doi.org/10.4172/2165-7904-C1-050","url":null,"abstract":"","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134083173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-13DOI: 10.4172/2165-7904.1000356
H. Hussan, Emmanuel E. Ugbarugba, S. Krishna, D. Conwell, David P. Bradley, C. Steven, B. Needleman
Roux-en-Y Gastric Bypass (RYGB), is an effective weight loss intervention for patients failing conventional nonsurgical methods. Despite its popularity, only a subset of patients undergo RYGB due to its cumbersome nature. Furthermore, patients may experience nutritional deficiencies or weight regain after RYGB. This review will delineate the less known impact of RYGB on neurohormonal and gastrointestinal physiology involved in weight loss. Understanding these alterations will contribute to the development of future novel investigations targeting viable weight loss strategies.
{"title":"Impact of Roux-En-Y Gastric Bypass Surgery on Neurohormonal and Gastrointestinal Physiology: Insights for Future Weight Loss Efforts","authors":"H. Hussan, Emmanuel E. Ugbarugba, S. Krishna, D. Conwell, David P. Bradley, C. Steven, B. Needleman","doi":"10.4172/2165-7904.1000356","DOIUrl":"https://doi.org/10.4172/2165-7904.1000356","url":null,"abstract":"Roux-en-Y Gastric Bypass (RYGB), is an effective weight loss intervention for patients failing conventional nonsurgical methods. Despite its popularity, only a subset of patients undergo RYGB due to its cumbersome nature. Furthermore, patients may experience nutritional deficiencies or weight regain after RYGB. This review will delineate the less known impact of RYGB on neurohormonal and gastrointestinal physiology involved in weight loss. Understanding these alterations will contribute to the development of future novel investigations targeting viable weight loss strategies.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125330483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-06DOI: 10.4172/2165-7904.1000355
J. Baptista, V. Praxedes, A. Andr, E. Rosa, C. Trindade, L. Cortez
Background: Success rate of laparoscopic sleeve gastrectomy (SG) depends on disease and patient characteristics that are yet to be fully established. Objectives: To evaluate which patient characteristics influence the success of SG. Setting: National bariatric reference centre at a Public Hospital. Methods: A retrospective study was performed based on prospectively collected data of patients who had bariatric surgery at our institution, during a 5 year period. Patients with 12 or more months of follow-up were included. We analyzed data from 133 SG. Seventy-nine percent of the patients were female with a median age of 46 years, a median baseline Body Mass Index (BMI) of 41 kg/m2 and a mean of 2.5 out of 7 comorbidities. Results: After the first year, the mean percentage Excess Weight Loss (%EWL) was 69.3%, the mean change in BMI was -11.8 kg/m2 and the mean % total body weight loss was 27.4%. Surgical success (%EWL ≥ 50%) was achieved in 82% of the patients, with significant improvement or resolution of comorbidities (follow-up rate 76%-88%). We found statistical significant differences with baseline BMI (p<0.0001), with OSA (p<0.0001), with age (p=0.04) and with the number of comorbidities (p=0.05). Higher baseline characteristics implicated less %EWL. The presence of HTN or arthropathy and being a volume eater or a sweet eater did not influence surgical success (χ2 ≤ 0.01). Conclusions: SG is an effective surgical treatment for obesity. After one year the majority of patients had surgical success and major comorbidities were mitigated or resolved. Success was influenced by specific patient and disease characteristics.
{"title":"Analysis for the Success Rate of Patients after Laparoscopic Sleeve Gastrectomy","authors":"J. Baptista, V. Praxedes, A. Andr, E. Rosa, C. Trindade, L. Cortez","doi":"10.4172/2165-7904.1000355","DOIUrl":"https://doi.org/10.4172/2165-7904.1000355","url":null,"abstract":"Background: Success rate of laparoscopic sleeve gastrectomy (SG) depends on disease and patient characteristics that are yet to be fully established. Objectives: To evaluate which patient characteristics influence the success of SG. Setting: National bariatric reference centre at a Public Hospital. Methods: A retrospective study was performed based on prospectively collected data of patients who had bariatric surgery at our institution, during a 5 year period. Patients with 12 or more months of follow-up were included. We analyzed data from 133 SG. Seventy-nine percent of the patients were female with a median age of 46 years, a median baseline Body Mass Index (BMI) of 41 kg/m2 and a mean of 2.5 out of 7 comorbidities. Results: After the first year, the mean percentage Excess Weight Loss (%EWL) was 69.3%, the mean change in BMI was -11.8 kg/m2 and the mean % total body weight loss was 27.4%. Surgical success (%EWL ≥ 50%) was achieved in 82% of the patients, with significant improvement or resolution of comorbidities (follow-up rate 76%-88%). We found statistical significant differences with baseline BMI (p<0.0001), with OSA (p<0.0001), with age (p=0.04) and with the number of comorbidities (p=0.05). Higher baseline characteristics implicated less %EWL. The presence of HTN or arthropathy and being a volume eater or a sweet eater did not influence surgical success (χ2 ≤ 0.01). Conclusions: SG is an effective surgical treatment for obesity. After one year the majority of patients had surgical success and major comorbidities were mitigated or resolved. Success was influenced by specific patient and disease characteristics.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127125310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-22DOI: 10.4172/2165-7904.1000349
Dayanne Alba Chiumento, Lima Dmr, G. Kurachi, L. Rotta, U. E. Sagae, Murad-Regadas Sm
Obesity is a modifiable risk factor to fecal incontinence (FI) and weight loss result in improvement in the frequency and severity of FI. Introduction: Fecal incontinence (FI) has a multifactorial etiology and is most common in women. The prevalence is variable, though generally underestimated due to embarrassment. Since the incidence of pelvic floor disorders is higher among obese individuals, obesity may be considered a modifiable risk factor for FI. Weight loss seems to result in improvement in the frequency and severity of FI episodes. However, little has been published on FI in obese subjects and on its impact on quality of life in this patient population. Objective: Perform functional evaluations of obese patients with FI using anorectal electromanometry and determine the incidence of anismus. Materials and methods: Retrospective study including 58 obese subjects with FI aged 18-60 years. The patients were diagnosed clinically, and then submitted to physical examination followed by ARM. Results: The sample included 58 obese patients with an average BMI of 35 kg/m² (range: 30-52). The female gender was predominant: n=44 (75.87%) vs. male n=14 (24.13%). The average age was 49 years (23-60), the average pressure at rest was 49 mmHg (8-94) and the average pressure during straining was 124 mmHg (34-263). Half the patients (50%) presented hypotonia at rest and/or during straining, and 45% had anismus. Conclusion: Obesity is a modifiable risk factor for fecal incontinence, the etiology can be varied and needs to be established. In our results show that functional evaluation is necessary to determine the etiology of FI in obese patients and choose the best therapeutic approach in each case.
{"title":"Functional Evaluation of Obese Patients with Symptoms of Fecal Incontinence Using Anorectal Electromanometry","authors":"Dayanne Alba Chiumento, Lima Dmr, G. Kurachi, L. Rotta, U. E. Sagae, Murad-Regadas Sm","doi":"10.4172/2165-7904.1000349","DOIUrl":"https://doi.org/10.4172/2165-7904.1000349","url":null,"abstract":"Obesity is a modifiable risk factor to fecal incontinence (FI) and weight loss result in improvement in the frequency and severity of FI. \u0000Introduction: Fecal incontinence (FI) has a multifactorial etiology and is most common in women. The prevalence is variable, though generally underestimated due to embarrassment. Since the incidence of pelvic floor disorders is higher among obese individuals, obesity may be considered a modifiable risk factor for FI. Weight loss seems to result in improvement in the frequency and severity of FI episodes. However, little has been published on FI in obese subjects and on its impact on quality of life in this patient population. \u0000Objective: Perform functional evaluations of obese patients with FI using anorectal electromanometry and determine the incidence of anismus. \u0000Materials and methods: Retrospective study including 58 obese subjects with FI aged 18-60 years. The patients were diagnosed clinically, and then submitted to physical examination followed by ARM. \u0000Results: The sample included 58 obese patients with an average BMI of 35 kg/m² (range: 30-52). The female gender was predominant: n=44 (75.87%) vs. male n=14 (24.13%). The average age was 49 years (23-60), the average pressure at rest was 49 mmHg (8-94) and the average pressure during straining was 124 mmHg (34-263). Half the patients (50%) presented hypotonia at rest and/or during straining, and 45% had anismus. \u0000Conclusion: Obesity is a modifiable risk factor for fecal incontinence, the etiology can be varied and needs to be established. In our results show that functional evaluation is necessary to determine the etiology of FI in obese patients and choose the best therapeutic approach in each case.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"299 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114577437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-21DOI: 10.4172/2165-7904.1000348
Buehler Ae, S. Flatt, H. Barkai, B. Pakiz, Dennis D. Heath, C. Rock
Background: Understanding how diet composition and personal characteristics relate to eating behaviors of individuals in weight loss programs could better inform the development and expectations of prescribed weight loss regimens. The purpose of this study was to examine whether diet composition has a significant effect on eating behaviors of individuals participating in a weight loss intervention and what characteristics significantly correlate with changes in such behaviors. Methods: The Eating Inventory questionnaire was used to assess eating behaviors of restraint, disinhibition and hunger at baseline and 6 months among individuals participating in a weight loss intervention who were prescribed a standard reduced-energy-density diet or a walnut-enriched reduced-energy diet as one component of a behavioral weight loss intervention. Results: After 6 months of intervention, there were significant improvements in both study arms on all scales and most subscales, with overall restraint increasing, disinhibition decreasing and hunger decreasing. Other correlations were that as restraint increased, weight loss increased; as hunger decreased, disinhibition decreased; and as physical activity increased, disinhibition decreased. Among personal characteristics, restraint was significantly associated with sex, age and education at baseline, with women reporting higher restraint than men, younger participants reporting lower restraint than older individuals, and college graduates reporting lower restraint than noncollege graduates. Over the course of the weight loss program, there were significant correlations between increased restraint and being male as well as decreased hunger and being a college graduate. Conclusion: Our results highlight the significance of restraint among the three eating behaviors as it was the only behavior significantly correlated with weight loss and was also correlated with several personal characteristics. Disinhibition and hunger showed other significant correlations with one another that do not directly correlate with weight loss but may be important in other aspects of weight control such as weight loss maintenance.
{"title":"Changes in Disinhibition, Restraint and Hunger and Associated Characteristics during a Weight Loss Intervention","authors":"Buehler Ae, S. Flatt, H. Barkai, B. Pakiz, Dennis D. Heath, C. Rock","doi":"10.4172/2165-7904.1000348","DOIUrl":"https://doi.org/10.4172/2165-7904.1000348","url":null,"abstract":"Background: Understanding how diet composition and personal characteristics relate to eating behaviors of individuals in weight loss programs could better inform the development and expectations of prescribed weight loss regimens. The purpose of this study was to examine whether diet composition has a significant effect on eating behaviors of individuals participating in a weight loss intervention and what characteristics significantly correlate with changes in such behaviors. \u0000Methods: The Eating Inventory questionnaire was used to assess eating behaviors of restraint, disinhibition and hunger at baseline and 6 months among individuals participating in a weight loss intervention who were prescribed a standard reduced-energy-density diet or a walnut-enriched reduced-energy diet as one component of a behavioral weight loss intervention. \u0000Results: After 6 months of intervention, there were significant improvements in both study arms on all scales and most subscales, with overall restraint increasing, disinhibition decreasing and hunger decreasing. Other correlations were that as restraint increased, weight loss increased; as hunger decreased, disinhibition decreased; and as physical activity increased, disinhibition decreased. Among personal characteristics, restraint was significantly associated with sex, age and education at baseline, with women reporting higher restraint than men, younger participants reporting lower restraint than older individuals, and college graduates reporting lower restraint than noncollege graduates. Over the course of the weight loss program, there were significant correlations between increased restraint and being male as well as decreased hunger and being a college graduate. \u0000Conclusion: Our results highlight the significance of restraint among the three eating behaviors as it was the only behavior significantly correlated with weight loss and was also correlated with several personal characteristics. Disinhibition and hunger showed other significant correlations with one another that do not directly correlate with weight loss but may be important in other aspects of weight control such as weight loss maintenance.","PeriodicalId":243288,"journal":{"name":"Journal of obesity and weight loss therapy","volume":"368 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125696075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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