Bariatric Times

MAY 2018

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

Issue link: https://bariatrictimes.epubxp.com/i/975129

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Event Spotlight 15 Bariatric Times • May 2018 Bluetooth and long-term evolution (LTE) technologies allow providers practicing telemedicine to employ wearable technology to track and download patient data to improve monitoring and follow-up. "I bought my first Bluetooth scale to weigh patients in 2013. That technology has allowed us to better track and incorporate patient data into our treatment software and employee health record files," McConnell said. McConnell's own experience adding telemedicine services to his obesity medicine practice supports his advice to other providers that they consider using this technology to reach more patients in a manner that is good for the patients and supports the provider's quality of life. To learn more about the OMA, upcoming educational opportunities, and tools for healthcare providers, visit www.obesitymedicine.org. FUNDING: No funding was provided for this article. DISCLOSURES: The author is the executive director of the Obesity Medicine Association. ADDRESS FOR CORRESPONDENCE: Claudia Randall; Email: info@obesitymedicine.org BT EARLY HOSPITAL DISCHARGE SAFE FOR SOME PATIENTS WHO HAVE HAD BARIATRIC SURGERY Research presented at the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2018 Annual Meeting found that enhanced recovery after surgery (ERAS) resulted in less time spent in the hospital for patients undergoing bariatric surgery. Early release, according to the data, is most effective in patients with no major comorbidities. * https://www.healio.com/ gastroenterology/stomach-duodenum/ news/online/%7Bc0f45c54-ee5c- 45a0-ad7c-e54c75da05dd%7D/early- hospital-discharge-safe-for-some- bariatric-surgery-patients ONLY 10% OF PEOPLE WITH OBESITY KNOW THEY ARE OVERWEIGHT According to a study published in BMJ Open, only about 10 percent of people with obesity admit they have a weight problem. The specific data showed these percentages broken down by sex—11 percent of women accept they have obesity, while it's only seven percent for men. Additionally, only 10 percent of people in the study even knew the threshold for obesity, as determined by body mass index. The authors note that this lack of awareness could be contributing to patients waiting too long to seek remedies for their weight issues, which causes other health issues. * http://www.businessinsider.com/ obese-people-in-uk-unaware-they-have- a-weight-problem-2018-4 IS THERE A SUCH THING AS HEALTHY OBESITY? A recent paper argued that the term "healthy obesity" should be eliminated because obesity is a disease and thus suggests that based on body mass index, the individual is unhealthy in some capacity. Dr. William Johnson, the main author involved in the research, said that society should view individuals with a "more nuanced look" based on other health factors that could result in comorbidities. * https://www.healthline.com/ health-news/is-there-such-a-thing-as- healthy-obesity ARTIFICIAL SWEETENERS LINKED TO OBESITY AND DIABETES IN NEW STUDY ON MICE A new study by researchers at the University of Wisconsin and Marquette University found that artificial sweeteners have links to obesity and diabetes. They postulate that the sweeteners can change how the body metabolizes fat. They're not sure if the sweeteners or sugar are worse for health, but they confirm that neither is good unless consumed in moderation. * http://www.newsweek.com/ artificial-sweeteners-obesity-diabetes- new-study-mice-896820 OBESITY LINKED WITH HIGHER CHANCE OF DEVELOPING RAPID, IRREGULAR HEART RATE Data from a study by researchers at the Penn State College of Medicine found that in an eight-year study, people with obesity were 40 percent more likely to develop atrial fibrillation compared to the control group. The researchers note that this can lead to other heart conditions as well. * https://www.sciencedaily.com/ releases/2018/04/180418141336.htm TYPE 2 DIABETES: LATE BREAKFAST COULD DRIVE OBESITY A new study published in the journal Diabetic Medicine found that patients with Type 2 diabetes who go to sleep later are at a higher risk for obesity because it often results in a later breakfast and the patient's biological clock being disturbed. People who preferred to eat meals later in general— not just breakfast—were likelier to have a higher body mass index. * https://www.medicalnewstoday. com/articles/321539.php HOW AMSTERDAM IS REDUCING CHILD OBESITY The city of Amsterdam is making strong efforts to curb childhood obesity and overweightness with free programs offered through schools. In the example given in the article, one child receives weekly health visits after school from a member of a volunteer network of people aiming to make people healthier. * http://www.bbc.com/news/ health-43113760 TAP BLOCK CUTS POSTOPERATIVE OPIOID NEED IN BARIATRIC SURGERY Recent research found that using a transverse abdominis plane (TAP) block in patients who had Roux-en-Y gastric bypass (RYGB) surgery was successful in reducing the quantity of opioids taken by patients after the surgery. In the case of RYGB, the median length of stay was half that in patients who received a TAP block compared to patients who didn't receive one. * https://www.medpagetoday.com/ meetingcoverage/sages/72335 SPORTS SPONSORSHIPS COULD BE CONTRIBUTING TO CHILDHOOD OBESITY, STUDY SAYS An analysis of sponsorships across the 10 most-viewed sports leagues in the United States found that the National Football League had the most food and non-alcoholic beverage sponsors with 10. In these leagues, sponsorship deals in these categories total almost 20 percent of all sponsorships. * https://www.wbir.com/article/ news/local/sports-sponsorships-may- be-contributing-to-childhood-obesity- study-says/51-544298967 TYPE 2 DIABETES: WHY BARIATRIC SURGERY IS SAFER OPTION Of the 252 patients included in the study, which followed patients 5 to 12 years after gastric bypass surgery, 44 percent had long-term glycemic control without insulin and 15 percent had remission in their diabetes. * https://health.clevelandclinic. org/type-2-diabetes-can-bariatric- surgery-control-it/ BT News and Trends continued from Page 12 Payers see telemedicine as a way to reduce healthcare costs for treating non-urgent conditions, and patients love it because it's fast and convenient.

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