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Nov. 17, 2008 – Medicare will draw the line at a body-mass index (BMI) of 35 to determine if a senior citizen is morbidly obese and qualified to receive coverage for bariatric surgery as a treatment for beneficiaries with type 2 (or non-insulin-dependent) diabetes, according to an announcement today by the Centers for Medicare & Medicaid Services (CMS).
TUESDAY, Nov. 18 (HealthDay News) -- Women who get pregnant after having weight-loss surgery have a lower risk of maternal and newborn complications than pregnant women who are obese, according to U.S. researchers who analyzed 75 studies.
Washington, November 18 : Increased physical activity after bariatric surgery helps patients drop more weight and improve their quality of life, reveals a new study.
A new study by researchers from The Miriam Hospital's Centers for Behavioral and Preventive Medicine suggests increased physical activity after bariatric surgery can yield better postoperative outcomes.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the Nov. 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
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Myth: Gastric Bypass Patients Can Never Be Nutritionally Healthy
Author:
Kaye Bailey
A common claim from gastric bypass detractors is that after surgery patients can never be nutritionally healthy and they must take daily vitamin supplements just to survive.
It is a mistaken notion that weight loss surgery patients cannot lead a nutritionally sound life. The assumption is due to the restrictive and malabsorptive nature of the surgery it is impossible to eat a nutritionally sound diet. However, when healthy food choices are combined with a solid vitamin and mineral supplement program bariatric patients do enjoy sound nutritional health. In fact, after surgery, most weight loss patients are more nutritionally healthy than before surgery.
Furthermore, evidence suggests most Americans should take vitamin and mineral supplements to ensure nutritional wellness. In the 2005 Dietary Guidelines published jointly by the Department of Agriculture and Department of Health & Human Services the government concedes that dietary supplements are a useful source of nutrients when nutritional needs are not being met through diet.
Here’s the quote: “A basic premise of the Dietary Guidelines is that nutrient needs should be met primarily through consuming foods. . . In certain cases, fortified foods and dietary supplements may be useful sources of one or more nutrients that otherwise might be consumed in less than recommended amounts.”
In most cases Americans, even those criticizing gastric bypass, don’t meet their RDI of vitamins. Furthermore, most Americans do not know the specific guidelines are for vitamin and mineral intake. Even more alarming, because Americans do not consistently have annual check-ups and blood work, many do not know the state of their nutritional health.
WLS patients who return annually to their bariatric centers undergo blood tests to screen for nutritional health. Most patients meet with a nutritionist to assess vitamin and mineral needs and make adjustments for better health. Gastric bypass patients are on top of the nutritional game when they follow the program.
Bariatric patients who desire optimum health and nutrition will take dietary supplements daily. Combined with wise healthful food choices they can meet their body’s nutritional needs.
The Food and Drug Administration considers vitamins, minerals, herbals and botanicals, animal extracts, amino acids, proteins, concentrates, and teas dietary supplements. The FDA governs the labeling and intake recommendations for dietary supplements. The following are FDA terms for describing dietary and nutritional needs:
DVs: Daily Values – Daily values are two sets of references: DRV’s and RDIs.
DRVs: Daily Reference Values - a set of dietary references that applies to fat, saturated fat, cholesterol, carbohydrate, protein, fiber, sodium, and potassium
RDIs: Reference Daily Intakes - a set of dietary references based on the Recommended Dietary Allowances for essential vitamins and minerals and, in selected groups, protein. RDI’s are essential to our health.
RDAs: Recommended Dietary Allowances – a set of estimated nutrient allowances required daily to maintain good health - established by the National Academy of Sciences. It is updated periodically to reflect current scientific knowledge. RDA’s set the minimum intakes of vitamins and minerals and protein needed for the average person to stay healthy.
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Gastric Bypass surgery is becoming increasingly more popular for the morbid obese. In order to qualify for the surgery, you must have a body mass index of more than 40, which usually translates to being 100 or more pounds overweight. Gastric Bypass surgery is a procedure in which the surgeon will create a pouch out of your stomach, divide the stomach and then connect the pouch directly to the intestine, basically “bypassing” the lower stomach. The whole idea is to limit the amount food that the patient can consume and to shorten up the digestive track so that fewer calories can be absorbed by the patients body. Since the person cannot consume as much food, they are not going to consume as many calories and thus force the body to use stored fat. As with any surgery, there are certain risks associated with the gastric bypass procedure and they include the following: bleeding, infections, further surgeries to correct complications, gallstones from such a...
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A review of previously published studies suggests that rates of adverse outcomes for mothers or pregnant women and newborn babies, such as gestational diabetes and low birth weight, may be lower after bariatric surgery compared with pregnant women who are obese, according to an article in the November 19 issue of JAMA.
Dr. Mary Mason wants to hear from you. She's answers your health questions every Wednesday on News 4 at Noon. This week, she's answering questions on bariatric surgery.
Women who get pregnant after weight-loss surgery tend to be healthier and less likely to deliver a baby born with complications compared to obese women, researchers said on Tuesday.
Women who undergo weight-loss surgery, known as bariatric surgery, and later become pregnant after losing weight may be at lower risk for pregnancy-related diabetes and high blood pressure - complications that can seriously affect the mother or her baby - than pregnant women who are obese, according to new findings from the Agency for Healthcare Research and Quality that are published in the ...
( Wiley-Blackwell ) Severely obese patents who underwent gastric bypass surgery had lost up to 31 percent of their BMI after four years. Blood pressure problems fells by 76 percent and diabetes by 90 percent. But 27 of the 50 patients experienced complications and ten patients had to be operated on again. The study, published in the British Journal of Surgery, was carried out to see if a longer ...
Undergoing gastric bypass surgery can improve pregnancy outcomes for obese women. Researchers at the Rand Corporation analyzed data from 75 studies that looked at various health issues among women who had bypass surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to an article in the British Journal of Surgery.
Severely obese patients who underwent two different gastric bypass techniques had lost up to 31 per cent of their Body Mass Index (BMI) after four years, with no deaths reported among the 50 study subjects, according to the November issue of the British Journal of Surgery.
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