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Effects of Bariatric Surgery in Early- and Adult-Onset Obesity in the Prospective Controlled Swedish Obese Subjects Study

OBJECTIVE

Bariatric surgery is an effective treatment for obesity, but it is unknown if outcomes differ between adults with early- versus adult-onset obesity. We investigated how obesity status at 20 years of age affects outcomes after bariatric surgery later in life.

RESEARCH DESIGN AND METHODS

The Swedish Obese Subjects study is a prospective matched study performed at 25 surgical departments and 480 primary health care centers. Participants aged 37–60 years with BMI ≥34 kg/m2 (men) or ≥38 kg/m2 (women) were recruited between 1987 and 2001; 2,007 participants received bariatric surgery and 2,040 usual care. Self-reported body weight at 20 years of age was used to stratify patients into subgroups with normal BMI (<25 kg/m2), overweight (BMI 25–29.9 kg/m2), or obesity (BMI ≥30 kg/m2). Body weight, energy intake, and type 2 diabetes status were examined over 10 years, and incidence of cardiovascular and microvascular disease was determined over up to 26 years using data from health registers.

RESULTS

There were small but statistically significant differences in reduction of body weight among the subgroups after bariatric surgery (interaction P = 0.032), with the largest reductions among those with obesity aged 20 years. Bariatric surgery increased type 2 diabetes remission (odds ratios 4.51, 4.90, and 5.58 in subgroups with normal BMI, overweight, or obesity at 20 years of age, respectively; interaction P = 0.951), reduced type 2 diabetes incidence (odds ratios 0.15, 0.13, and 0.15, respectively; interaction P = 0.972), and reduced microvascular complications independent of obesity status at 20 years of age (interaction P = 0.650). The association between bariatric surgery and cardiovascular disease was similar in the subgroups (interaction P = 0.674). Surgical complications were similar in the subgroups.

CONCLUSIONS

The treatment benefits of bariatric surgery in adults are similar regardless of obesity status at 20 years of age.




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Turning the Tide: Addressing the Long-Term Challenges of EU Mobility for Sending Countries

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Young Refugee Children: Their Schooling Experiences in the United States and in Countries of First Asylum

In this webinar, the authors of three papers on the experiences of refugee children present their findings, with a focus on how such experiences affect their mental health and education.




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The Nutritional Health of Young Refugee Children Resettling in Washington State

Refugee children are vulnerable to health and nutrition risks that can have long-term consequences for their development and well-being. This report examines the prevalence of malnutrition—from stunting and wasting to overweight and obesity—among refugee children from birth to age 10, using data from an overseas medical screening exam before they were resettled in Washington State between 2012 and 2014.




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Medical Nutrition Therapy: A Key to Diabetes Management and Prevention

Sara F. Morris
Dec 1, 2010; 28:12-18
Feature Articles




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Diabetes Self-management Education and Support in Type 2 Diabetes: A Joint Position Statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics

Margaret A. Powers
Apr 1, 2016; 34:70-80
Position Statements





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Deval Patrick, Obama Education Ally, Announces Presidential Run

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West Virginia Teachers Are Going on Strike Again

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Will Child-Care Services Help Recruit Teachers? Oklahoma District Aims to Find Out

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Washoe County School District names new superintendent




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Vermont school district eliminates 36 teaching assistants




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No race balance, but desegregation ends for Georgia district




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Clark County School District postpones graduation ceremonies




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Coronavirus concerns may delay school shooting trial




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Will Colorado Teachers Go on Strike? Lawmakers Are Worried

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Denver Teachers to Strike Over Merit-Pay System

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Virus Outbreaks Lead to Closure of Two Colorado School Districts

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Washoe County School District names new superintendent




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District Hard-Hit by COVID-19 Begins 'Tough Work' of Getting On

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Vermont school district eliminates 36 teaching assistants




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No race balance, but desegregation ends for Georgia district




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How Principals and District Leaders Are Trying to Boost Lagging Teacher Morale During COVID-19

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Open Enrollment Has Drained One District. It's Looking to Dissolve

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Most Wisconsin schools, districts meet expectations




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Verdict Looms on Whether Insolvent Wisconsin District Can Dissolve

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Panel Rejects Wisconsin District's Request to Dissolve

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Christie Asks N.J. High Court to Revoke Teacher Tenure in Struggling Districts

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Pennsylvania Supreme Court Orders School Funding Trial

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Trial Set for 2020 in Long-Running Pennsylvania School Funding Lawsuit

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Black Parents Force District to End Academic Tracking

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Four Tips for District Leaders Dealing With Social Media Impersonators

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Small Arkansas School District Installs Safe Rooms in All Classrooms

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