Bariatric Times

SEP 2017

A peer-reviewed, evidence-based journal that promotes clinical development and metabolic insights in total bariatric patient care for the healthcare professional

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24 News and Trends Bariatric Times • September 2017 FIRST STUDY OF ITS SIZE SHOWS EARLY WEIGHT GAIN IN PREGNANCY CORRELATES WITH CHILDHOOD OBESITY 16,000 participants showed early weight gain had the largest effect on infants' b irth weight SILVER SPRING, Maryland—Weight gain in early pregnancy has the greatest impact on infant size at birth, according to a new study published in Obesity. The study is the largest ever analysis of the effect that weight gain in early pregnancy has on infant size. The study examined 16,218 pregnant mothers throughout the first, second and third trimesters in Tianjin, China to determine the risk of infants' size at birth. Results found weight gain early in pregnancy, before 24 weeks— regardless of the weight gain later—had the greatest impact on infant size. Infants born to women with weight gain that exceeds the 2009 Institute of Medicine guidelines for weight gain during pregnancy, prior to 24 weeks, were 2.5 times more likely to be born large. Maternal obesity and weight gain in pregnancy have been strongly linked to the development of overweight and obesity in children, although few studies have examined in-depth gestational weight gain with infant birth weight and childhood obesity. "Obstetrician gynecologists need to begin to educate patients who are pregnant or planning to become pregnant on the implications of weight gain in pregnancy on infant outcomes and the development of childhood obesity," said Leanne M. Redman, PhD, FTOS, who led the study and serves as Associate Professor & Director of the Reproductive Endocrinology & Women's Health Lab at LSU' Pennington Biomedical Research Center. Overall, women who are pregnant or planning to become pregnant should understand the impact that weight gain has on both short and long-term health risks for their child. Since this period of early pregnancy could have the strongest influence on the development of increased adiposity in the child, it is the opportune time to initiate lifestyle interventions in pregnant women. "International clinicians, clinical r esearchers and pediatricians should care about this research as findings suggest attention to healthy weight gain early in gestation may be warranted," said TOS spokesperson Suzanne P helan, PhD, Professor of Kinesiology, Cal Poly, San Luis Obispo. In an accompanying editorial published in Obesity, Cheryce L. Harrison, PhD discusses gestational weight gain and its association with infant birth weight, agreeing with the recent Obesity study. "These results validate previous literature in smaller cohorts while notably advancing this field of research in one of the largest, most well-defined mother-infant cohorts," said Dr. Harrison. About The Obesity Society. The Obesity Society (TOS) is the leading professional society dedicated to better understanding, preventing and treating obesity. Through research, education and advocacy, TOS is committed to improving the lives of those affected by the disease of obesity. ETHICON LAUNCHES PROXISURE ™ SUTURING DEVICE DESIGNED TO IMPROVE PRECISION IN MINIMALLY-INVASIVE SURGERY Advanced laparoscopic suturing device features Ethicon's innovative endomechanical, suture and curved needle technologies SOMERVILLE, New Jersey— Ethicon*, part of the Johnson & Johnson Medical Devices Companies**, announced the Unite States launch of the ProxiSure ™ Suturing Device, an advanced laparoscopic suturing device featuring Ethicon endomechanical, suture and curved needle technologies. Ethicon has been a steadfast champion of minimally-invasive surgery, delivering innovative solutions and support services that promote greater procedural expertise, improved hospital outcomes, and better patient care. The addition of ProxiSure builds upon Ethicon's expansive portfolio of suturing technologies while establishing a new standard of excellence in laparoscopic suturing. ProxiSure Suturing Device features wrist-like maneuverability and curved needle in an advanced suturing device that improves suturing precision in t ight spaces. 1 T he suturing precision is deployed by enabling surgeons to reach the desired angle, control bites, and secure knots, as well as to have maximum control of the needle during s uturing and knot tying, which may reduce the risk of needle loss. 1 "With the patient's health at the forefront of our thinking, we aimed to introduce a suturing device that will help reduce the margin of error in minimally-invasive surgery," said Dr. Niels-Derrek Schmitz, Franchise Medical Director for Ethicon. "Surgeons will now be able to have the same confidence in laparoscopic suturing that they have always had with traditional procedures using Ethicon products." With a highly intuitive tissue repair experience, ProxiSure is designed to enable precise suturing in tight spaces and is well suited for bariatric, general, colorectal, and gynecology procedures. The device's curved needle improves a surgeon's ability to suture a variety of tissue layers, including flat surfaces. 1 "Versatility is the key," said Dr. Schmitz. "ProxiSure enables surgeons to do a wide range of tasks in the OR while maintaining an immensely user- friendly configuration." Ethicon is the market leader in suture technology, consistently bringing cutting-edge products designed to enhance the surgeon's experience, accelerate healing time and improve patient outcomes. As the latest surgical innovation, ProxiSure will deliver new value for customers. For more information about ProxiSure, visit\PROXISURE About Ethicon*. From creating the first sutures, to revolutionizing surgery with minimally invasive procedures, Ethicon, part of the Johnson & Johnson Medical Devices Companies, has made significant contributions to surgery for more than 60 years. Our continuing dedication to Shape the Future of Surgery is built on our commitment to help address the world's most pressing health care issues, and improve and save more lives. Through Ethicon's surgical technologies and solutions including sutures, staplers, energy devices, trocars and hemostats and our commitment to treat serious medical c onditions like obesity and cancer worldwide, we deliver innovation to make a life-changing impact. Learn more at * Ethicon represents the products and services of Ethicon, Inc., Ethicon Endo- Surgery, LLC and certain of their affiliates. Ethicon, Inc. is the legal manufacturer of the ProxiSure™ Suturing Device. **The Johnson & Johnson Medical Devices Companies comprise the surgery, orthopedics, and cardiovascular businesses within Johnson & Johnson's Medical Devices segment. 1 Data on file. Ethicon, Inc. ProxiSure IFU NEWS FROM THE OBESITY ACTION COALITION Obesity Action Coalition (OAC) Encourages Misguided "Real Time" Host Bill Maher to Recognize Shaming People with Obesity is not Acceptable and Does Not Help Those Affected Address Their Weight and Health TAMPA, Florida—The Obesity Action Coalition (OAC), a 58,000 member-strong non-profit organization, is cautioning comedian Bill Maher to recognize that obesity is a serious health issue and not leverage weight bias, in any situation, as a tactic to encourage healthy behaviors. During the August 18th episode of "Real Time with Bill Maher" on HBO, Mr. Maher used obesity as a focal point for his show's ending monologue "New Rules." In the course of discussing the health issue, he repeatedly made weight biased comments regarding the disease such as, "Obesity is the main reason people wear sweatpants in public" and "Among the shaming police, your body is perfect just the way it is – prone, on a gurney." "Mr. Maher's comments only further perpetuate the weight bias and stigma all too often associated with obesity. While we recognize that Mr. Maher was attempting to have a serious discussion about obesity, he also needs to recognize that it's a very complicated problem with no easy solution," said Joe Nadglowski, OAC President and CEO. Obesity is a serious disease and News and Trends SEPTEMBER 2017

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