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- Having bariatric surgery was associated with improved cardiometabolic health.
- Those who benefited the most were younger people, women, white people, or people who didn’t already have other health conditions.
- Bariatric surgery leads to reduction of visceral fat associated with cardiometabolic diseases.
- Reduces inflammation and improves hormonal balance.
- People who have not yet developed obesity-related health conditions seem to be helped the most by surgery.
A new study published in the Journal of the Endocrine Society found that bariatric surgery can significantly improve cardiometabolic health.
This is especially true for young people, women, white people, and people without other health conditions.
The study authors estimated that the 10-year risk of cardiovascular disease was reduced by 35% in the first year after surgery.
Additionally, 30% to 50% of people experienced remission of diabetes, high blood pressure, and abnormal blood lipids.
Common types of bariatric surgery include:
These surgeries aim to surgically alter either the stomach or intestines to limit the calories a person can ingest or absorb. When done alongside dietary and lifestyle changes, you can experience long-term weight loss.
Bariatric surgery is approved for adults with class III obesity. With a BMI of 40 or more, or a BMI of 35 at least he must meet the criteria of having one obesity-related health condition.
Researchers noted that obesity, especially severe obesity, is strongly associated with diabetes, high blood pressure, abnormal lipids, and cardiovascular disease. Bariatric surgery is currently the most effective way to treat obesity and their related health conditions.
However, they said there is a lack of information about what preoperative factors can predict these improvements, especially for Black patients. Their research sought to correct this.
The study included 7,800 people between the ages of 20 and 79 who underwent bariatric surgery at Vanderbilt University Medical Center in Nashville, Tennessee, between 1999 and 2022.
Most patients were female and white, but there were also a significant number of male and black patients.
Researchers assessed study participants’ blood pressure, cholesterol, and HbA1c (a test that shows average blood sugar levels over the past few months) to see if there was any improvement in these measurements after surgery.
They also looked at the number of people whose diabetes, high blood pressure and high cholesterol went into remission.
The researchers also estimated the patients’ 10-year risk of cardiovascular disease.
Older people, men, and black people had a smaller 10-year decline in disease risk and were less likely to have diabetes, high blood pressure, and abnormal cholesterol levels in remission than younger people, women, and white people.
People with a history of diabetes, high blood pressure, high cholesterol or cardiovascular disease had less improvement than those without.
Dr. Jessica Cutler, a bariatric surgeon at Mercy’s Maryland Obesity Center in Baltimore, Maryland, says the improvements seen after weight loss surgery may be related to a reduction in visceral fat, a type of fat buried deep within the body. He explained that it is highly sexual. The abdomen, which surrounds and blends with our organs.
“This type of fat has a very strong correlation with certain diseases such as diabetes, heart disease, and high blood pressure,” she said.
“It stands to reason that improvement in this measure after surgery would lead to improvement in these symptoms.”
But Cutler pointed out that the effects seen in the study didn’t seem to depend entirely on how much weight people lost or kept off.
“[I]”Improving inflammation and hormonal balance after bariatric surgery may lead to improved health outcomes beyond weight loss,” she said.
Neil Flock, M.D., a bariatric surgeon and director of bariatric surgery at Greenwich Hospital in Greenwich, Conn., says bariatric surgery is already known to increase blood levels of gut hormones such as GLP-1, GIP, and PYY. He said that it was This hormone has been a target of popular obesity and diabetes drugs such as Ozempic.
“Surgery increases metabolism, stimulates the availability of bile acids in the blood, and modulates the gut microbiome, helping to improve our overall health,” he added.
“Bariatric surgery is beneficial for patients with a BMI of 30 or higher, according to new guidelines from the ASMBS/ACS (American Society of Metabolic and Bariatric Surgery and American College of Surgeons) Standards of Practice for Bariatric Surgery,” Flock said.
However, Professor Cutler pointed out that the people in this study, who had not yet developed severe weight-related symptoms, actually showed the most improvement. For example, people who didn’t yet have diabetes had the most dramatic response in average blood sugar levels.
“This means that people who are struggling with their weight but have not yet developed a serious health condition may actually benefit the most from surgery in terms of preventing future health problems. “It suggests that,” she said.
“Physicians and other health care professionals considering the best time to offer a referral to a bariatric surgeon would do well to keep this in mind for their patients,” Cutler advised.
A new study finds that bariatric surgery can lead to significant improvements in cardiometabolic health.
The greatest improvements were seen in people who were younger, women, white, or who had not yet developed an obesity-related health condition.
Bariatric surgery leads to the reduction of visceral fat associated with cardiovascular disease and diabetes.
Reduces inflammation and improves hormonal balance.
Anyone with a BMI over 30 can benefit from bariatric surgery. However, those who have not yet developed obesity-related health conditions are likely to benefit most.
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