Abstract:
BACKGROUND:Even though risks are higher and long-term results may be less favorable, the elderly obese can still benefit from bariatric surgery. Whether the higher surgical risk is worth the benefits is yet to be determined. MATERIALS AND METHODS:We reviewed our database and identified all patients aged 65 or older who underwent sleeve gastrectomy between May 2010 and November 2015. We documented patient demographics, obesity-related comorbidities, body mass index (BMI) before and after the procedure, percent excess weight loss, comorbidity improvement or resolution, length of follow-up, postoperative complications, re-operations, and length of hospital stay. We compared our study group to a control group of sleeve gastrectomy patients under the age of 65. RESULTS:Sixty-six patients (mean age 67.6 ± 2.6 years) underwent laparoscopic sleeve gastrectomy. Patients achieved an average of 53.5% excess BMI loss (EBMIL) after 21 months of follow-up. EBMIL was inferior to that achieved by the control group (EBMIL 77.3%, p < 0.0001). Elderly patients showed significant improvement or resolution in all obesity-related comorbidities. Complication and re-operation rates were similar between the 2 groups. CONCLUSION:In an elderly population, laparoscopic sleeve gastrectomy is safe and effective, yet weight loss outcomes are more modest when compared to a younger surgical population. Carefully selected elderly patients can benefit from bariatric surgery.
journal_name
Obes Factsjournal_title
Obesity factsauthors
Nevo N,Eldar SM,Lessing Y,Sabo E,Nachmany I,Hazzan Ddoi
10.1159/000502697subject
Has Abstractpub_date
2019-01-01 00:00:00pages
502-508issue
5eissn
1662-4025issn
1662-4033pii
000502697journal_volume
12pub_type
杂志文章相关文献
Obesity Facts文献大全abstract:BACKGROUND:As in many other countries around the world, the Netherlands has a high prevalence of overweight and obesity in children. About 1 in 7 of children aged 2-19 years has either overweight or obesity. SUMMARY:In this paper the national and local activities aimed at the prevention and management of obesity in ch...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000509588
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Considering the large economic consequences of severe childhood obesity for the society, we aimed to conduct an economic evaluation comparing two intensive 1-year lifestyle treatments with varying inpatient periods for severely obese children and adolescents with regard to standard deviation score BMI (SDS-B...
journal_title:Obesity facts
pub_type: 杂志文章,随机对照试验
doi:10.1159/000458759
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The success of treatment for pediatric obesity is variable and often unsatisfactory. This study elucidates the influence of inattention and hyperactivity/impulsivity on short- and long-term weight loss and maintenance after outpatient treatment. METHODS:We included 8- to 16-year-old overweight and obese part...
journal_title:Obesity facts
pub_type: 临床试验,杂志文章
doi:10.1159/000346138
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Obesity is closely related to thyroid hormones; however, the relationship between abdominal fat distribution and thyroid hormones has rarely been explored. OBJECTIVES:This study aimed to explore the relationship between abdominal fat distribution and free triiodothyronine (FT3) and FT3 to free thyroxine (FT...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000507709
更新日期:2020-01-01 00:00:00
abstract::Over the last 10 years the prevalence of obesity across the European continent has in general been rising. With the exception of a few countries where a levelling-off can be perceived, albeit at a high level, this upward trend seems likely to continue. However, considerable country to country variation is noticeable, ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000455952
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to evaluate the efficacy of a nutritional program, which is characterized by a different modulation of proteins, in adult patients with sarcopenic obesity. METHODS:We studied 18 obese women aged 41-74 years. Obesity was diagnosed as fat mass > 34.8% and sarcopenia was defined when l...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000468153
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The emergence of obesity as a distinct disease could have far reaching consequences for an organisation where optimum health and physical fitness are required for personnel to perform their occupational roles effectively. The objectives of this paper are to systematically review the literature concerning corr...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000329450
更新日期:2011-01-01 00:00:00
abstract:AIM:We tested the hypothesis that the obesity-associated FTO SNP rs9939609 would be associated with clinically significant weight gain (≥ 5% of initial body weight) in the first year of university; a time identified as high risk for weight gain. METHODS:We collected anthropometric data from university students (n = 1,...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000434733
更新日期:2015-01-01 00:00:00
abstract:AIMS:To determine whether baseline levels of self-reported sleep and sleep problems among obese adolescents referred to an outpatient multidisciplinary family-based weight management program predict reduction in BMI 3 months later. METHODS:A retrospective medical chart review was conducted for 83 obese adolescents. Th...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000351819
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Prevalence rates of cardiometabolic risk factors vary largely among overweight children. This study investigated the relationships between dietary habits and cardiometabolic health among obese children living in a city of Northern Italy. METHODS:Dietary habits were collected in 448 obese subjects aged 6-18 ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000381157
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:The choice between different bariatric procedures for each patient is an important question in bariatric surgery. In this article, we explain criteria for patient selection for laparoscopic Roux-en-Y gastric bypass at the Obesity Center Wuerzburg and compare the corresponding outcomes for these selection cri...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000198261
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND/AIMS:To examine whether body image mediates the association between overweight/obesity and chronic disease-related health practices (CDRHP), including lack of physical activity (PA), infrequent breakfast consumption (IBC), screen-based media use (SBM), and smoking. METHODS:The 2006 Health Behaviors in Schoo...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000357601
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To estimate the excess costs of obese compared to normal-weight persons in Germany based on self-reported resource utilisation and work absence. METHODS:Five cross sectional surveys of cohort studies in southern Germany were pooled resulting in 9,070 observations for 6,731 individuals (31-96 years). BMI was ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000452248
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Cystatin C, a protein coded by CST3 gene, is implicated in adipose tissue biology. Our hypothesis is that common variants in CST3 gene could play a role in the development of corpulence during lifetime. METHODS:Two tag SNPs were selected to capture all SNPs in the CST3 region. We first investigated the assoc...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000327797
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Abdominal obesity is considered an independent risk factor for cardiovascular disease (CVD). AIM:To compare the distance between the lower edge of xiphisternum and the center of the umbilicus (XUD) with other anthropometric measurements in predicting risk factors for CVD. METHODS:A random sample of 4,485 (m...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000315127
更新日期:2010-06-01 00:00:00
abstract:OBJECTIVE:This study assessed if lower than predicted serum leptin concentrations seen during weight loss persisted during weight regain, with possible implications for weight control. METHODS:115 children were investigated during a 12-week weight loss program. 90 children completed the program, and 68 children entere...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000226619
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVES:Obesity in children and adolescents is a worldwide dramatic health problem, for which treatment is mostly unsuccessful. Therefore, prevention is the most important measure to tackle this problem. The 'EDDY' study as an interventional cohort study with a 1-year lifestyle intervention aimed to affect the lifes...
journal_title:Obesity facts
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1159/000481140
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Weight control through lifestyle interventions represents a suitable strategy to avoid the metabolic, endocrine, and reproductive comorbidities associated with overweight and obesity. Reduced testosterone (T) levels are a worsening factor in overweight males. However, prognostic parameters of long-term weigh...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000502119
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Obesity increases cardiovascular risk through effects on blood pressure, lipoproteins, coagulation factors and inflammatory cytokines, but in women variation in fat distribution complicates these relationships. Central (male-type or visceral) obesity confers greater risk than the more generalised (female) ty...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000148778
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVE:The study aimed at investigating the lifetime prevalence of 22 self-harm behaviors in bariatric surgery candidates (pre-bariatric surgery group; PSG) compared to community controls with obesity (obese community group; OCG). METHODS:The Self-Harm Inventory (SHI) was administered to the PSG (n = 139, BMI ≥ 35 ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000486484
更新日期:2018-01-01 00:00:00
abstract:AIMS:Patients' perceptions about weight-related stigma and discrimination were assessed in 2 groups of patients, obese and laparoscopic adjustable gastric banding (LAGB). METHODS:Seven focus group sessions were held including a total of 32 women, 8 obese (body mass index 35+) and 24 who had lost 50% of excess weight f...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000273206
更新日期:2010-02-01 00:00:00
abstract:OBJECTIVE:The global obesity epidemic continues, new approaches are needed to understand the causes. We analyzed data from an evolutionary perspective, stressing developmental plasticity. METHODS:We present diachronical height, weight, and BMI data for 702,902 Swiss male conscripts aged 18-20 years, a representative, ...
journal_title:Obesity facts
pub_type: 历史文章,杂志文章
doi:10.1159/000446966
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:Despite the abundance of data addressing the influence of patient's age on surgery-related complications, its impact on cardiometabolic outcomes following bariatric surgery has been overlooked. METHODS:Retrospective unicentric study of 1,728 obese patients who underwent bariatric surgery between January 2...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000511737
更新日期:2020-12-15 00:00:00
abstract:BACKGROUND:Both group and individual modes of delivery are employed for obesity treatments. Commercial weight loss groups commonly employ group-based delivery, while many clinical based settings employ one-to-one delivery. We systematically reviewed randomised controlled trials of treatments for adult obesity to compar...
journal_title:Obesity facts
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000186144
更新日期:2009-01-01 00:00:00
abstract:OBJECTIVE:Obesity has been demonstrated to be associated with elevated leukocytes in adults and children. This study assessed the associations between peripheral total and differential leukocyte counts and obesity-related complications in young adults. METHODS:12 obese (median age 21.5 (range 19-28) years, median BMI ...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000373881
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Malposition or misplacement of gastric bands is a rare but recognised early complication of gastric band surgery. Malposition of the band would not normally result in significant weight loss after surgery. CASE REPORT:To our knowledge, we report the first case in the English literature of a malpositioned gas...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000342817
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVE:In order to quantify the preventive potential of body weight reduction in Germany, population-attributable risks (PARs) were estimated for 13 cancer types. METHODS:PARs were calculated using body weight prevalence from a nationwide survey from 1998, cancer incidence estimates for 2010 from cancer registry da...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000490150
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Bariatric surgery has a considerable effect on weight loss. A positive relation of exercise and weight loss has been described before. However, the mode of exercise and its timing pre- or postoperatively or a combination remains unclear. METHODS:A multi-database search was conducted. Identified articles wer...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000381201
更新日期:2015-01-01 00:00:00
abstract:AIMS:No long-term studies of renal function evolution in morbidly obese (MO) patients after weight loss are available. The aim of our work was to ascertain the long-term influence of drastic weight reduction on renal function in MO patients with obesity-related glomerular lesions. METHODS:92 MO patients with normal re...
journal_title:Obesity facts
pub_type: 杂志文章
doi:10.1159/000431027
更新日期:2015-01-01 00:00:00
abstract:OBJECTIVE:Our aim was to review the effectiveness of physical activity promotion interventions in the worksite setting in Europe in order to identify those studies that had measured obesity-related outcomes and to evaluate how external validity of the findings had been assessed. METHODS:We conducted a review of studie...
journal_title:Obesity facts
pub_type: 杂志文章,评审
doi:10.1159/000335255
更新日期:2011-01-01 00:00:00