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Weight Loss Surgery Education Empowers Patients Before Procedure
DALLAS, TX--(Marketwire -05/30/12)- At the Live Life Again Center for Bariatric Surgery, Dr. David Kim is participating in the development of a pre-bariatric surgery program designed to educate patients ahead of their weight loss surgery procedure. He says he is in support of nurse or physician patient extenders to facilitate a multi-disciplinary program for his patients' overall health. David Kellenberger, PA is the clinic's registered dietitian who applied for the grant, and his passion for metabolic research and patient education has helped get this program started. By giving healthcare providers the educational and clinical tools to address both lifestyle and nutritional issues that commonly affect obese patients, Dr. Kim says he believes the Bari-Equipped program will help increase the success rate of bariatric procedures and ultimately address a growing epidemic in the U. S.
According to the Centers for Disease Control, more than one third of U. S. adults are obese, and no state has met the "Healthy People 2010" government initiative to lower obesity rates to 15%. While these obesity statistics are alarming, Dr. Kim says the more important issue to focus on is the fact that many with obesity are often malnourished and metabolically dysfunctional. As obese patients struggle with related conditions such as heart disease, hypertension, and type 2 diabetes among others, the Dallas weight loss surgeon stresses that an intervention such as the Bari-Equipped program is essential: "Motivation is not enough. Though patients' desires to change are important, metabolic change brought about by bariatric surgery is the tool that millions may benefit from. Education with regards to this physical bodily change brought on by surgery is at the center of permanently healthy lives."
The application for the Physician Assistant Foundation Prevention Ambassador Award outlines the objectives and goals of the Bari-Equipped program. The target population is men and women age 18 to 65 with stage 2 obesity and co-morbidity issues, or stage 3 obesity with or without co-morbidities. Of the 24 patients currently participating, 24 had the vertical gastric sleeve procedure, and 1 had the RNY gastric bypass. The six objectives highlighted in the application aim to confront not only the social and cultural issues associated with obesity, but the behavioral, nutritional, and biological issues as well. The objectives are broken into two categories: clinical and educational.
Educational Objectives
Clinical Objectives
With the first stage of the study complete, Dr. Kim says the outlook is promising as it shows that the Bari-Equipped program helps address the needs of people diagnosed with obesity and provides a sustainable option for long-term surgical success. While he believes this approach may be adopted to enhance the effectiveness of other programs and patients in need of similar educational and clinical support, he says he looks forward to realizing the full potential of this program as he strives to improve the lives of those affected by obesity.
About David Kim, MD
After receiving his medical degree from the Northeastern Ohio University College of Medicine, Dr. David Kim completed his general surgery residency at Case Western Reserve University, and his peripheral vascular surgery fellowship at Ohio State University. He has also completed fellowships in advanced laparoscopic bariatric surgery at the Medical College of Virginia and Washington University in St. Louis. Dr. Kim has been named a Surgeon of Excellence by the American Society for Bariatric Surgery, is certified by the American College of Surgeons, and is a member of the American Society of Metabolic and Bariatric Surgery.
The Live Life Again Center for Bariatric Surgery is located at 35 Veranda Lane Ste. 100, Colleyville, TX 76034, and can be reached at (817) 717-7447 for Ft. Worth patients, or (214) 614-7036 for Dallas patients. Dr. Kim and his team can also be found online at http://www.drdkim.net, or their Dallas Weight Loss Surgery Facebook page.
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Weight Loss Surgery Education Empowers Patients Before Procedure
Body Monitors Deliver Better Weight Loss Results at Half the Cost: Study to Be Presented at ACSM Meeting
SAN FRANCISCO, May 30, 2012 /PRNewswire/ -- The use of an armband-based body monitoring system proved to be the most cost-effective of four approaches to weight loss examined by researchers in an analysis that will be presented at the American College of Sports Medicine's 59th Annual Meeting and 3rd World Congress on Exercise is Medicine this week in San Francisco. The study, "An Economic Analysis of Traditional and Technology-Based Approaches to Weight Loss: LEAN Study Cost-Effectiveness," calculated the cost of all four approaches in terms of the ratio of weight loss to staff time and materials. The cost for armband users was $51 per participant per kilogram lost less than half of the $129 associated with group weight loss education.
The principal investigator of the study was Steven N. Blair, Professor, Department of Exercise Science and Department of Epidemiology and Biostatistics, Arnold School of Health, at the University of South Carolina. Detailed results will be presented in an upcoming issue of the American Journal of Preventive Medicine.
The analysis was based on the same team's earlier randomized controlled trial of 197 sedentary, overweight and obese adults comparing the use of standard care, group weight loss education, a multi-sensor armband, and the use of an armband in conjunction with group weight loss education. In that study, known as the Lifestyle Education for Activity and Nutrition (LEAN) study, groups using an armband were equipped with the BodyMedia armband body monitoring system from BodyMedia, Inc.
The LEAN study showed that participants using BodyMedia's wearable body monitoring technology either with a group weight loss program or as part of their own self-directed program lost three times more weight than individuals who attempted to battle the bulge solo. The cost analysis of the same data that will be presented at the ACSM conference revealed that:
The BodyMedia armband, designed to be worn around the clock, utilizes proprietary sensors and algorithms that capture and analyze data on the wearer's calorie burn, physical activity, steps taken and sleep efficiency. Companion software and mobile apps allow users to input their body parameters, set their personal goals, and track their activity and calorie intake.
"This analysis has important implications for medical practitioners and weight loss counselors trying to plan intervention strategies to help their patients and clients bring their weight under control," Dr. Blair said. "It shows that technology-based interventions hold significant promise in both reducing cost and improving weight loss outcomes."
The findings of the new analysis will be presented at the ASCM meeting from 3:15 to 5:15 pm this Friday, June 1. The meeting agenda can be viewed at http://www.acsmannualmeeting.org.
In addition, nine other papers and abstracts to be presented at the ACSM meeting utilized BodyMedia armbands to study topics ranging from energy expenditure on loaded versus unloaded treadmill exercise to measurement validity in children and during pregnancy, racial variations in weight loss, the effects of different physical activity levels on weight loss, and the relationship of physical activity intensity to long-term weight loss maintenance.
The full meeting agenda can be viewed at http://www.acsmannualmeeting.org
About BodyMedia, Inc.When your body talks, BodyMedia listens. BodyMedia has been unlocking and deciphering secrets of the body since 1999. Headquartered in Pittsburgh, PA, BodyMedia is the pioneer in developing and marketing wearable body monitors that equip consumers with information they can use to make sweeping changes to their own health and wellness beginning with weight management and soon to include management of other conditions affected by lifestyle choices. The BodyMedia platform is the only system of its kind that is registered with the FDA as a Class II medical device and that has been clinically proven to enhance users' weight loss by up to three times (vs behavioral support alone, data on file). For more information, visit http://www.bodymedia.com.
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Body Monitors Deliver Better Weight Loss Results at Half the Cost: Study to Be Presented at ACSM Meeting
Robin Thicke Weight Loss 2012 Robin Thicke Diet Programs
Robin Thicke Weight Loss 2012 Robin Thicke Diet Programs - Isn't amazing how all of the celebrities you see have a celebrity diet plan for weight loss to maintain their weight. Some of them are shapely and healthy looking, and look good on camera. Others look like they haven't eaten in weeks, like they just got back from the famine in Ethiopia for a few weeks. Like they had been starving themselves to lose weight, and that is probably what they have been doing. You see it in all the tabloids, this person lost 100 pounds again, this one gained 100 pounds, and then lost 150 pounds. Some are not as dramatic; this one lost 40 pounds and is a television spokesperson, because the previous celebrity diet spokesperson gained the weight back. The fact is they may be starving themselves to lose weight, fasting like they are going through a famine.
Celebrities make dieting look so easy, don't they? One month they're on the cover of US Weekly for gaining too much weight and the next they're headlining the "sexiest beach bods" story. It is true that seriously overweight people can lose large amounts of fat in a quick amount of time, because of the large fat content in their cells. But those that are only a few pounds overweight, losing 40 pounds in a month, is not only starvation, it is malnutrition and can have serious side effects. Our body weight can fluctuate day to day and the best diets take the weight off gradually, the way it came on.
Researches indicate that individuals who indulge in a weight loss program by taking prepared meals end up losing an additional 31% weight as against those who cook their own meals. With help, losing weight is made easier and at times much faster as against doing it on your own.Diet delivery is gaining popularity in a big way as it is fairly affordable by even the common man, roughly around $20 a day with an increasing variety to choose from. A few of which include: Zone-compliant meal, low carbs plan, veggie meals, and gourmet too.
"Click Here to Watch Weird VIDEO About The 7 Foods that KILL Abdominal Fat!"
With the rapidly increasing epidemic of obesity and increasing BMI levels, there is an array of products and diet plan to aid in combating obesity. Celebrity slim diet, the basic idea is to educate people and not to depict food as an enemy. Like a lot of famous diets in Hollywood, if your body thinks you are starving, it is going to hold on to every calorie you take in to keep you from starving to death instead of burning them for energy. When you follow a properly balanced weight loss diet, your metabolism will hardly notice the decrease in calories and continue to burn fat it doesn't need to store. This is a more long-term weight loss strategy.
Celebrities do not have secrets about dieting. They are normal people like the rest of us but, unlike most of us, they have people working for them such as diet advisors and personal trainers. Celebrity diets involve a level of commitment and dedication which we struggle with. The best celebrity diets involve eating sensibly and limiting our calorie intake. Having these factors in mind will allow you to have safe and easy weight loss that will provide you with short term and long term consistent results.
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Robin Thicke Weight Loss 2012 Robin Thicke Diet Programs
Zoey Ripple Weight Loss 2012 Zoey Ripple Diet Programs
Zoey Ripple Weight Loss 2012 Zoey Ripple Diet Programs - Isn't amazing how all of the celebrities you see have a celebrity diet plan for weight loss to maintain their weight. Some of them are shapely and healthy looking, and look good on camera. Others look like they haven't eaten in weeks, like they just got back from the famine in Ethiopia for a few weeks. Like they had been starving themselves to lose weight, and that is probably what they have been doing. You see it in all the tabloids, this person lost 100 pounds again, this one gained 100 pounds, and then lost 150 pounds. Some are not as dramatic; this one lost 40 pounds and is a television spokesperson, because the previous celebrity diet spokesperson gained the weight back. The fact is they may be starving themselves to lose weight, fasting like they are going through a famine.
Celebrities make dieting look so easy, don't they? One month they're on the cover of US Weekly for gaining too much weight and the next they're headlining the "sexiest beach bods" story. It is true that seriously overweight people can lose large amounts of fat in a quick amount of time, because of the large fat content in their cells. But those that are only a few pounds overweight, losing 40 pounds in a month, is not only starvation, it is malnutrition and can have serious side effects. Our body weight can fluctuate day to day and the best diets take the weight off gradually, the way it came on.
Researches indicate that individuals who indulge in a weight loss program by taking prepared meals end up losing an additional 31% weight as against those who cook their own meals. With help, losing weight is made easier and at times much faster as against doing it on your own.Diet delivery is gaining popularity in a big way as it is fairly affordable by even the common man, roughly around $20 a day with an increasing variety to choose from. A few of which include: Zone-compliant meal, low carbs plan, veggie meals, and gourmet too.
"Click Here to Watch Weird VIDEO About The 7 Foods that KILL Abdominal Fat!"
With the rapidly increasing epidemic of obesity and increasing BMI levels, there is an array of products and diet plan to aid in combating obesity. Celebrity slim diet, the basic idea is to educate people and not to depict food as an enemy. Like a lot of famous diets in Hollywood, if your body thinks you are starving, it is going to hold on to every calorie you take in to keep you from starving to death instead of burning them for energy. When you follow a properly balanced weight loss diet, your metabolism will hardly notice the decrease in calories and continue to burn fat it doesn't need to store. This is a more long-term weight loss strategy.
Celebrities do not have secrets about dieting. They are normal people like the rest of us but, unlike most of us, they have people working for them such as diet advisors and personal trainers. Celebrity diets involve a level of commitment and dedication which we struggle with. The best celebrity diets involve eating sensibly and limiting our calorie intake. Having these factors in mind will allow you to have safe and easy weight loss that will provide you with short term and long term consistent results.
More Information: (Click to open in New Window)
Read the rest here:
Zoey Ripple Weight Loss 2012 Zoey Ripple Diet Programs
Keira Knightley Weight Loss 2012 Keira Knightley Diet Programs
Keira Knightley Weight Loss 2012 Keira Knightley Diet Programs - Isn't amazing how all of the celebrities you see have a celebrity diet plan for weight loss to maintain their weight. Some of them are shapely and healthy looking, and look good on camera. Others look like they haven't eaten in weeks, like they just got back from the famine in Ethiopia for a few weeks. Like they had been starving themselves to lose weight, and that is probably what they have been doing. You see it in all the tabloids, this person lost 100 pounds again, this one gained 100 pounds, and then lost 150 pounds. Some are not as dramatic; this one lost 40 pounds and is a television spokesperson, because the previous celebrity diet spokesperson gained the weight back. The fact is they may be starving themselves to lose weight, fasting like they are going through a famine.
Celebrities make dieting look so easy, don't they? One month they're on the cover of US Weekly for gaining too much weight and the next they're headlining the "sexiest beach bods" story. It is true that seriously overweight people can lose large amounts of fat in a quick amount of time, because of the large fat content in their cells. But those that are only a few pounds overweight, losing 40 pounds in a month, is not only starvation, it is malnutrition and can have serious side effects. Our body weight can fluctuate day to day and the best diets take the weight off gradually, the way it came on.
Researches indicate that individuals who indulge in a weight loss program by taking prepared meals end up losing an additional 31% weight as against those who cook their own meals. With help, losing weight is made easier and at times much faster as against doing it on your own.Diet delivery is gaining popularity in a big way as it is fairly affordable by even the common man, roughly around $20 a day with an increasing variety to choose from. A few of which include: Zone-compliant meal, low carbs plan, veggie meals, and gourmet too.
"Click Here to Watch Weird VIDEO About The 7 Foods that KILL Abdominal Fat!"
With the rapidly increasing epidemic of obesity and increasing BMI levels, there is an array of products and diet plan to aid in combating obesity. Celebrity slim diet, the basic idea is to educate people and not to depict food as an enemy. Like a lot of famous diets in Hollywood, if your body thinks you are starving, it is going to hold on to every calorie you take in to keep you from starving to death instead of burning them for energy. When you follow a properly balanced weight loss diet, your metabolism will hardly notice the decrease in calories and continue to burn fat it doesn't need to store. This is a more long-term weight loss strategy.
Celebrities do not have secrets about dieting. They are normal people like the rest of us but, unlike most of us, they have people working for them such as diet advisors and personal trainers. Celebrity diets involve a level of commitment and dedication which we struggle with. The best celebrity diets involve eating sensibly and limiting our calorie intake. Having these factors in mind will allow you to have safe and easy weight loss that will provide you with short term and long term consistent results.
More Information: (Click to open in New Window)
Go here to read the rest:
Keira Knightley Weight Loss 2012 Keira Knightley Diet Programs
Will Smith Weight Loss 2012 Will Smith Diet Programs
Will Smith Weight Loss 2012 Will Smith Diet Programs - Isn't amazing how all of the celebrities you see have a celebrity diet plan for weight loss to maintain their weight. Some of them are shapely and healthy looking, and look good on camera. Others look like they haven't eaten in weeks, like they just got back from the famine in Ethiopia for a few weeks. Like they had been starving themselves to lose weight, and that is probably what they have been doing. You see it in all the tabloids, this person lost 100 pounds again, this one gained 100 pounds, and then lost 150 pounds. Some are not as dramatic; this one lost 40 pounds and is a television spokesperson, because the previous celebrity diet spokesperson gained the weight back. The fact is they may be starving themselves to lose weight, fasting like they are going through a famine.
Celebrities make dieting look so easy, don't they? One month they're on the cover of US Weekly for gaining too much weight and the next they're headlining the "sexiest beach bods" story. It is true that seriously overweight people can lose large amounts of fat in a quick amount of time, because of the large fat content in their cells. But those that are only a few pounds overweight, losing 40 pounds in a month, is not only starvation, it is malnutrition and can have serious side effects. Our body weight can fluctuate day to day and the best diets take the weight off gradually, the way it came on.
Researches indicate that individuals who indulge in a weight loss program by taking prepared meals end up losing an additional 31% weight as against those who cook their own meals. With help, losing weight is made easier and at times much faster as against doing it on your own.Diet delivery is gaining popularity in a big way as it is fairly affordable by even the common man, roughly around $20 a day with an increasing variety to choose from. A few of which include: Zone-compliant meal, low carbs plan, veggie meals, and gourmet too.
"Click Here to Watch Weird VIDEO About The 7 Foods that KILL Abdominal Fat!"
With the rapidly increasing epidemic of obesity and increasing BMI levels, there is an array of products and diet plan to aid in combating obesity. Celebrity slim diet, the basic idea is to educate people and not to depict food as an enemy. Like a lot of famous diets in Hollywood, if your body thinks you are starving, it is going to hold on to every calorie you take in to keep you from starving to death instead of burning them for energy. When you follow a properly balanced weight loss diet, your metabolism will hardly notice the decrease in calories and continue to burn fat it doesn't need to store. This is a more long-term weight loss strategy.
Celebrities do not have secrets about dieting. They are normal people like the rest of us but, unlike most of us, they have people working for them such as diet advisors and personal trainers. Celebrity diets involve a level of commitment and dedication which we struggle with. The best celebrity diets involve eating sensibly and limiting our calorie intake. Having these factors in mind will allow you to have safe and easy weight loss that will provide you with short term and long term consistent results.
More Information: (Click to open in New Window)
See the article here:
Will Smith Weight Loss 2012 Will Smith Diet Programs
Lolo Jones Weight Loss 2012 Lolo Jones Diet Programs
Lolo Jones Weight Loss 2012 Lolo Jones Diet Programs - Isn't amazing how all of the celebrities you see have a celebrity diet plan for weight loss to maintain their weight. Some of them are shapely and healthy looking, and look good on camera. Others look like they haven't eaten in weeks, like they just got back from the famine in Ethiopia for a few weeks. Like they had been starving themselves to lose weight, and that is probably what they have been doing. You see it in all the tabloids, this person lost 100 pounds again, this one gained 100 pounds, and then lost 150 pounds. Some are not as dramatic; this one lost 40 pounds and is a television spokesperson, because the previous celebrity diet spokesperson gained the weight back. The fact is they may be starving themselves to lose weight, fasting like they are going through a famine.
Celebrities make dieting look so easy, don't they? One month they're on the cover of US Weekly for gaining too much weight and the next they're headlining the "sexiest beach bods" story. It is true that seriously overweight people can lose large amounts of fat in a quick amount of time, because of the large fat content in their cells. But those that are only a few pounds overweight, losing 40 pounds in a month, is not only starvation, it is malnutrition and can have serious side effects. Our body weight can fluctuate day to day and the best diets take the weight off gradually, the way it came on.
Researches indicate that individuals who indulge in a weight loss program by taking prepared meals end up losing an additional 31% weight as against those who cook their own meals. With help, losing weight is made easier and at times much faster as against doing it on your own.Diet delivery is gaining popularity in a big way as it is fairly affordable by even the common man, roughly around $20 a day with an increasing variety to choose from. A few of which include: Zone-compliant meal, low carbs plan, veggie meals, and gourmet too.
"Click Here to Watch Weird VIDEO About The 7 Foods that KILL Abdominal Fat!"
With the rapidly increasing epidemic of obesity and increasing BMI levels, there is an array of products and diet plan to aid in combating obesity. Celebrity slim diet, the basic idea is to educate people and not to depict food as an enemy. Like a lot of famous diets in Hollywood, if your body thinks you are starving, it is going to hold on to every calorie you take in to keep you from starving to death instead of burning them for energy. When you follow a properly balanced weight loss diet, your metabolism will hardly notice the decrease in calories and continue to burn fat it doesn't need to store. This is a more long-term weight loss strategy.
Celebrities do not have secrets about dieting. They are normal people like the rest of us but, unlike most of us, they have people working for them such as diet advisors and personal trainers. Celebrity diets involve a level of commitment and dedication which we struggle with. The best celebrity diets involve eating sensibly and limiting our calorie intake. Having these factors in mind will allow you to have safe and easy weight loss that will provide you with short term and long term consistent results.
More Information: (Click to open in New Window)
Read the original here:
Lolo Jones Weight Loss 2012 Lolo Jones Diet Programs
Breast Cancer Risk Associated With Sex Hormones Reduced By Losing Weight
Editor's Choice Main Category: Breast Cancer Also Included In: Obesity / Weight Loss / Fitness Article Date: 26 May 2012 - 0:00 PDT
Current ratings for: 'Breast Cancer Risk Associated With Sex Hormones Reduced By Losing Weight'
Anne McTiernan, M.D., Ph.D., and her team from the Fred Hutchinson Cancer Research Center conducted the first randomized, controlled clinical trial to assess what impact weight loss may have on sex hormones in those with an elevated risk of breast cancer, i.e. overweight and obese postmenopausal women.
McTiernan, who is a director of the Hutchinson Center's Prevention Center and a member of its Public Health Sciences Division declared:
However, she warns that these results solely apply to women that are overweight or obese who do not take any hormone-replacement therapy.
Epidemiologists have known for quite some time about the association between obesity and a higher risk of postmenopausal breast cancer, and that the relationship between body fat and estrogen production may be a contributing factor.
For their study, the researchers randomized 439 overweight-to-obese, sedentary women from the Seattle area into four different groups. One group was assigned to exercise only, which consisted mainly of brisk walking, whilst the other group was assigned to only a diet. The third group was assigned to exercise plus diet, with the fourth group receiving no intervention. All women were aged between 50 to 75 years. The primary goal of the study was determined as an average weight loss of 10% of their starting weight. In comparison with the exercise only and the no intervention group, both the diet-only and diet-plus-exercise groups met the primary goal.
The researchers measured the impact of diet- and exercise-related weight loss on blood levels of various types of sex hormones, including:
The team discovered that a beneficial impact could be achieved on hormone levels by losing as little as 5% of one's total body weight. The effect was noted to increase with the amount of weight loss.
McTiernan explained: "The amount of weight lost was key to changes in hormone levels. The biggest effect was through diet plus exercise; exercise by itself didn't produce much of a change in weight or estrogen."
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Breast Cancer Risk Associated With Sex Hormones Reduced By Losing Weight
Bishop Auckland couple's weight loss surgery commended
A COUPLE who shed 15 stone between them following pioneering weight loss surgery have been hailed as shining examples by medical staff.
David and Debra Brassell, husband and wife from Bishop Auckland, County Durham, have struggled with weight issues for most of their lives.
After being referred to the bariatric service at County Durham and Darlington NHS Foundation Trust, they were both keen to undergo weight loss surgery and change their lives for the better.
Mother-of-one Debra, 47, who works for Asda, had always been overweight. She was just nine when she had her first GP appointment to discuss her weight.
Tipping the scales at 20 stone, it was a holiday to the Dominican Republic in May 2011 which made Debra start thinking about weight loss surgery.
She said: While on holiday we got talking to another holidaymaker who had recently had weight loss surgery and was very pleased with the results.
It set me off thinking about my weight and I decided that I would go on a diet when we got back home and try to lose weight before going to Florida in the September.
However, I was disappointed to discover that during our break in Florida I was actually heavier than when we had been away earlier that year. Id been thinking about weight loss surgery so when we got home I said to David that Id been considering looking into surgery and he actually said hed been thinking the same thing.
Husband David, 44, had gained weight gradually over the years and weighing in at 21 stone, decided that he also needed to discuss the options with his GP.
Debra continued: Around September last year, we both went to see our GPs and I was referred straight away to the bariatric service while David was advised to try a course of medication first.
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Bishop Auckland couple's weight loss surgery commended
Weight Loss Improves SDB and Metabolic Dysregulation
Oral presentation: Wednesday, May 23, 9:30 a.m. Mini-symposium: 8:15-10:45 a.m Location: Room 3020-3022 (West Building, Level 3), Moscone Center
Weight Loss Improves Sleep-Disordered Breathing and Metabolic Dysregulation in Obese Children
Newswise ATS 2012, SAN FRANCISCO Weight loss improved both metabolic parameters and sleep-disordered breathing (SDB) in obese children in a new study from researchers in Belgium, confirming links between metabolic dysregulation, SDB and obesity.
SDB is highly prevalent in childhood obesity, and may be a risk factor for the metabolic syndrome. In our population of 224 obese children and adolescents, 30% had SDB, which was significantly correlated with metabolic parameters, including aspartate aminotransferase (ASAT), alanine aminotransferase (ALAT) and HDL cholesterol at baseline, said Stijn Verhulst, MD, MSc, PhD, coordinator of the pediatric sleep lab at the Antwerp University Hospital, Belgium. After weight loss, all metabolic parameters improved, and just 24% of the study group had residual SDB.
The results will be presented at the ATS 2012 International Conference in San Francisco.
Median age of the children in the study was 15.5 years (range 10.1-18.0). Participants underwent baseline sleep screening and those with diagnosed SDB underwent additional sleep screening four-six months after weight loss treatment. A fasting blood assay was performed at baseline and at four-six months.
Mean BMI at baseline was 36.4 kg/m2. After a six-month weight loss program that incorporated diet, increased physical activity and psychological support, mean BMI was reduced to 29.2 kg/m2. ASAT improved after weight loss in parallel with an improvement in oxygen saturation during sleep, while HDL-cholesterol mainly improved with lowering BMI.
The association between SDB and metabolic parameters in children remains controversial, said Dr. Verhulst. This study confirmed the independent effect of nocturnal hypoxia on HDL-cholesterol and liver enzyme levels in morbidly obese teenagers with SDB at baseline. We also confirmed that weight loss has a high success percentage in the treatment of SDB in obese teenagers. Furthermore, both weight loss and the consequent improvement in SDB both drive improvements in metabolic dysregulation.
Because of the high dropout rate after six months and the relatively limited number of subjects with residual sleep apnea, these findings need to be confirmed in a larger study, Dr. Verhulst concluded. Furthermore, it remains important to study the mechanisms linking SDB with these metabolic parameters in obese teens and to study the long-term effects of SDB on future metabolic and cardiovascular morbidity.
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Weight Loss Improves SDB and Metabolic Dysregulation