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BATRIATRICS: Is gastric bypass surgery effective?

The Roux-en-Y gastric bypass procedure was found to help obese patients lose and keep weight off 12 years after surgery compared to a group of similar patients who did not have surgery.  This study, out of Intermountain Healthcare and the University of Utah, found that patients who had the surgery lost weight and were able to keep it off compared with those who did not have surgery.  Additionally, half of the surgical patients who had type 2 diabetes at the time of surgery were in remission for diabetes 12 years later.

Source: Adams, T.D., and others. (2107, September 21). Weight and metabolic outcomes 12 years after gastric bypass. New England Journal of Medicine, 377(12), 1143-1155.  Click here for the publisher’s website: http://www.nejm.org/doi/full/10.1056/NEJMoa1700459  Posted by AHA Resource Center (312) 422-2050, rc@aha.org

Buyers’ guide for outfitting bariatric services

Healthcare Purchasing News has put together a buyers’ guide targeted to bariatric services that includes 36 product categories and the names and websites for 64 companies. 

Source: 2012 bariatric product vendors.  Healthcare Purchasing News.  36(2):16-17, February 2012.  Full text at http://www.hpnonline.com/inside/2012-02/1202-BariatricChart.pdf

The weight of the world: the obesity epidemic in OECD countries

The Organization for Economic Co-operation and Development (www.oecd.org) has released Obesity Update 2012, a policy brief updating an earlier study on the economic impact of obesity in the 34 OECD member countries, including the United States. 

  • Before 1980, fewer than 1 in 10 people were obese.
  • Today, the majority of the population are overweight or obese in 19 of the 34 OECD countries.
  • Some countries – Korea, Switzerland, Italy, Hungary, England – have stabilized the growth of the epidemic.
  • Korea and Japan have the lowest prevalence rates, at 3.8 and 3.9 percent of the population, respectively
  • The U.S. edges out Mexico as the most obese country: 33.8 percent of the total population is overweight or obese
  • Estimates allocate 1-3% of health expenditures to obesity-related problems; in the U.S., the estimate is 5-10%

The paper includes brief discussions on child obesity, the social disparities of obesity, and what governments can do to combat the problem, including a lengthy sidebar on “fat taxes” – special taxes on foods and beverages that are considered to be unhealthy.  Some countries that have imposed fat taxes include Denmark, Hungary, Finland and France.  The sidebar analysis includes brief descriptions of what food and/or beverage groups incur the additional tax.

Source: Sassi, Franco, and Devaux, Marion.  Obesity Update 2012.  Paris, France: Organization for Economic Co-operation and Development, February 2012.  http://www.oecd.org/document/55/0,3746,en_2649_37407_49715511_1_1_1_37407,00.html

Obesity and the Economics of Prevention: Fit Not Fat.  Paris, France: OECD, 2010.  This is the original 265-page report published in September 2010.  An executive summary, background notes, and additional ancillary material is available at http://www.oecd.org/document/31/0,3746,en_2649_37407_45999775_1_1_1_37407,00.html#Executive_Summary.  The entire report is for sale through the OECD online bookstore.

Obesogenic: shaping America?

The American culture has been described as one that promotes increased food intake, nonhealthful foods, and physical inactivity. In a word: obesogenic. Obesity is recognized as a national public health threat that affects 26.7 percent of the adult population. The medical costs for obesity have been estimated at $147 billion per year. As hospitals prepare for an increasing number of obese patients, they are challenged to develop the bariatric services, acquire the bariatric equipment, and implement staff training to meet the needs of these patients.

For more on this topic, see the following sources:

Akridge, J. Super-sizing nation puts pounding pressure on hospitals. Healthcare Purchasing News. 35(1):14-15, 16, 18, Jan. 2011. http://www.hpnonline.com/inside/2011-01/January2011.html

Finkelstein, E. A., and others. Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Affairs. 28(5):w822-31, Sept.-Oct. 2009. http://content.healthaffairs.org/content/28/5/w822.abstract

Goldstein, K. Bariatric Supplies Survey. Irving, TX: Novation, June 2010. http://www.novationco.com/pressroom/industry_info/bariatric_supplies_survey_2010.pdf

Obesity at a Glance 2009. Atlanta: Centers for Disease Control and Prevention, National Center for Chronic Disease, Prevention and Health Promotion, Feb. 2009. http://www.cdc.gov/chronicdisease/resources/publications/AAG/pdf/obesity.pdf

The Surgeon General’s Vision for a Healthy and Fit Nation 2010. Rockville, MD: U.S. Department of Health and Human Services, Office of the Surgeon General, Jan. 2010. http://www.surgeongeneral.gov/library/obesityvision/obesityvision2010.pdf

Vital signs: state-specific obesity prevalence among adults–United States, 2009. MMWR. 59(30):951-5, Aug. 6, 2010.  http://www.cdc.gov/mmwr/preview/mmwrhtml/mm59e0803a1.htm?s_cid=mm59e0803a1_e%0D%0A