Featured Gov Doc: Obesity Statistics

Too Fat to Fight, a recent publication from an organization of retired senior military officials, reported that “nine million 17- to 24-year-olds in the United States are too fat to serve in the military” and expressed concerns about the ramifications of this for national security. The organization is encouraging Congress to make modifications in the Child Nutrition Act so children are consuming less junk food.

Among the sources cited were the CDC’s obesity statistics. This information is available on the CDC’s U.S. Obesity Trends website.

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What to consider about weight loss surgery

Options include gastric bypass, banding or a gastric sleeve, with most surgeons reserving a more drastic step only for the most obese.

With record U.S. obesity rates and newly expanded Food and Drug Administration eligibility criteria for Lap-Band surgery, more and more Americans may be mulling the possibility of going beyond diet and exercise to tackle their weight and the medical problems that come with it.

Those deciding on the surgical route face the often-baffling choice of which procedure is for them. Although there are some broad guidelines, experts say, the final choice comes down to what both patient and doctor are comfortable with.

“It’s very hard to scientifically answer the question” of which procedure is right for a patient, said Dr. Mitchell Roslin, chief of bariatric surgery at Northern Westchester Hospital in Mt. Kisco, N.Y. “Every time you answer the question, you are getting somebody’s personal bias.”

Adds Dr. Theodore Khalili of the Khalili Center for Bariatric Care in Beverly Hills: “We don’t make the decision for the patient. We present the risks and benefits and let the patient decide.”

Here are some facts to consider in deciding whether to have weight-loss (bariatric) surgery — and then which procedure to pick. There are four main options:

• Roux-en-Y, or gastric bypass surgery: The surgeon creates a small pouch in the stomach to restrict food intake and bypasses part of the intestine to restrict food absorption, connecting the remainder to the pouch.

• Banding: An inflatable silicon band is attached to the upper part of the stomach, then inflated with silicon solution to restrict food intake. Two commercial products are available: the Lap-Band (Allergan Inc. of Irvine) and the Realize Band (Ethicon Endo-Surgery Inc. of Cincinnati).

• Gastric sleeve: The stomach is stapled to convert it into a long, narrow tube with about only 20% to 30% of its normal volume, to restrict food intake.

• Duodenal switch or biliopancreatic diversion: The intestines are rerouted to create a very short path for nutrient absorption. The patient takes in only about 20% of the calories and nutrients in food.

“There are arguments to be made for all of the procedures,” Roslin said; the choice depends on what the patient needs.

The gold-standard procedure against which others are measured is laparoscopic Roux-en-Y bypass. “It has the longest history and has tremendous impact with very low mortality and morbidity if done in a center of excellence,” said Dr. Namir Katkhouda, director of bariatric surgery at USC’s Keck School of Medicine.

More than half of the estimated annual 220,000 bariatric surgeries in the U.S. are gastric bypasses, mostly by laparoscopy. The surgical complication rate is about the same as for having a gallbladder removed, Katkhouda said.

Patients typically lose about 70% to 80% of their excess weight in the 12 to 18 months after surgery, a drop of about 20 points in body mass index (BMI), said Dr. Scott Cunneen, director of bariatric surgery at Cedars-Sinai Medical Center. About 85% have their Type 2 diabetes resolved and can stop taking most diabetes medications within days or weeks after surgery. Long-term complications can include intestinal blockage and malabsorption of vitamins and essential nutrients.

Banding accounts for about 40% of bariatric surgeries. Many patients prefer it because “they want less complications or they don’t want their ‘plumbing’ changed,” said Dr. Peter LePort, medical director of the MemorialCare Center for Obesity at Orange Coast Memorial Medical Center in Fountain Valley. Patients typically lose about 50% of excess weight over two to three years, about 10 BMI points. About 65% resolve their Type 2 diabetes, but only after substantial weight loss.

Though banding has fewer initial complications, it has more in the long run, making the complication rate about the same as for bypass. In about 5% to 10% of cases, the band moves out of position, causing an obstruction and necessitating a reoperation, Khalili said. It may erode through the stomach wall, requiring surgical repair. The band or the port used to refill it may break, which doesn’t cause injury but may necessitate a reoperation.

By some estimates, LePort said, as many as a quarter of patients who get the band have it removed within 10 years, due to problems or because they don’t like it.

Gastric sleeves were originally combined with the duodenal switch for use on extremely obese patients. But many felt they were losing enough weight with the sleeve alone and it became a stand-alone procedure that is very popular in Europe.

The chief problem is the long staple-line used to narrow the stomach, Khalili said. The smaller the stomach is made, the more effective the procedure — but the greater the pressure on the staples from eating. This raises the risk of leakage of stomach contents into the abdomen, which can cause severe infections, he said.

The gastric sleeve is generally viewed as midway between banding and gastric bypasses for both weight loss and resolving diabetes. It accounts for about 5% of bariatric procedures, but insurance companies began paying for the procedure at the end of 2010. Roslin predicts the proportion will grow to 30% in the next few years because the gastric sleeve has fewer complications than banding and doesn’t require surgery on the intestines.

Most surgeons reserve the duodenal switch (about 5% of bariatric surgeries) only for the most obese — and many prefer not to do it at all. It gives the greatest weight loss, at least 85% of excess weight, and a 90% to 95% resolution of diabetes.

But the surgery is complicated and time-consuming, and it also brings the highest risk of malnutrition. Patients frequently suffer from significant diarrhea and flatulence. “The advantage is not enough better to justify taking those risks,” Khalili said.

thomas.maugh@latimes.com

Copyright © 2011, Los Angeles Times

Click Here For Original Post. Please, leave your thoughts on this post about weight loss surgery below in the comments section.

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A few are simply scams. One program that is getting a lot of attention of late is called Fat Burning Furnace. Many people wonder about this program, Fat Burning Furnace – Is it a scam? 

This particular program uses a blend of eating specific foods that naturally increase the metabolism and activate the specific hormones in the body that target fat and cause it to be metabolized with short, intense exercise sessions that help one to increase the metabolism even further. The diet is not of the type that leaves a person feeling hungry right after consuming a meal.

The exercises are not remotely like what the majority of weight loss "experts" recommend. One fact that is pointed out with this program is that the diet and fitness industry can not really afford for people to lose all the extra weight they carry around.

This is because if the majority of the population were at their ideal weight and physically fit, it would be impossible to sell people on their products. The same can be said of the majority of gyms and exercise equipment manufacturers.

If all these machines that are being introduced on the late night infomercials actually worked, people would reach their ideal weight and no longer need the machines. The Fat Burning Furnace – Is it a scam?

The answer is most likely no. This program is very different from the normal run of diet and exercise advice one is likely to hear. This could actually prove to be a good point in favor of this program.

The foods recommended have been proven to be effective for aiding one in metabolizing excess fat and losing weight. The exercises, when performed as recommended, help to focus on the areas with the most excess fat and tone up the muscles.

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News from around the web about fat burning cardio workouts.

Amazing Fat Burning Cardio Workouts Dicussed

Are you currently looking for the best workouts to lose weight and burn belly fat ? Summer is fast approaching and we will want to pick up the pace on doing fat burning cardio workouts and exercises to melt away those that build up …

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Lose Belly Fat With These Cardio Workouts — Workout Exercises

If you don’t want to spend hours at the gym, you better do fat burning cardio workouts and not waste time on easy to do exercises. Belly fat burning cardio workouts include: Running – make sure to alternate speed to really push yourself …

Publish Date: 02/25/2011 4:28

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Fat burning cardio workouts – Articles Book

How to burn fatter during your cardio workout No, studying doesn’t seriously make you fat, but not less than I caught your awareness. If you’re considerable.

Publish Date: 01/29/2011 14:02

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Fat Burning Cardio Workouts with Heart Rate Monitors | Get Fit and …

by Bryan Ashbaugh When it comes to weight loss the first thing many people think about is that they have to do tons of cardio. Many people spend hour after.

Publish Date: 08/03/2006 8:00

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The Top Five Fat Burning Cardio Workouts

The Top Five Fat Burning Cardio Workouts. Leave a Comment. Anyone who has shortness of breathe just by walking up a flight of stairs, or someone who simply wants to feel and look better, can enjoy amazing results by adding cardio …

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It is a given that whenever one decides to lose weight, the goal is to lose excess fat. However, many workouts are not focused on the areas that have extra fat to lose.

Cardio workouts are designed to speed the metabolism and burn calories in general, but are not targeted at just burning fat. Resistance training is focused more on building muscle than on burning fat. So, the question becomes, “What is the best fat burning workout?”

While nobody has come forth with a single proven workout that targets only the excess fat in the body, there are several good workout programs available. Often, choosing the best is a matter of personal taste and motivation. However, there are a few key elements one should look for.

All of the best fat burning workouts make use of a blend of cardio and resistance workouts. Elevating the metabolism and burning more calories than one consumes are critical to getting rid of that spare tire around one’s waist.

At the same time, resistance training is needed to keep the muscle one has and/or to build more muscle in areas where it is needed. The length of an exercise session is also an important point to consider.

Surprisingly, the best fat burning workouts do not require a steady 30 minutes, or even 20 minutes, of straight exercising. In fact, the best workouts are very short, not over 10 or 15 minutes, but very intense.

These short workouts can be performed two or three times a day for maximum benefit. Of course, the rest phase between workouts is important as well.

It allows the body time to recharge because the workouts require a great deal of energy despite being short in duration. One thing that will not be seen as a part of the best fat burning workout is a lot of ab exercises such as crunches and sit ups.

It is important to tone the core muscles, including the abs, but these exercises are part of a separate regimen that has little to do with burning fat and more to do with body sculpting.

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There are literally hundreds, if not thousands of different programs available that promise to help one lose weight fast. One program stands out from the others.

This article will look at and offer the Fat Burning Furnace. The bulk of the diet and weight loss industry is geared toward selling products that the executives in the industry know are destined to fail.

After all, if everyone actually lost the extra weight, these companies would be out of business. The Fat Burning Furnace works by showing one certain foods that trigger the body's ability to burn fat while satisfying all one's cravings.

This approach works much better than trying to starve one's self. Starvation diets are always doomed to fail. Even if one manages to lose some weight, it is not guaranteed to be fat that is lost and the odds are very high that all of that weight will be gained back soon, plus some.

It also introduces a new type of workout that is geared to generate high energy and increase the metabolism without resorting to those boring cardio routines that really do not deliver as promised.

Clients are even taught how to get a tight, trim abdomen without having to do all those crunches, sit ups, or other ab exercises. The Fat Burning Furnace is not like any other diet or workout program one will likely find, on the internet or elsewhere.

It is not created by someone in the diet and weight loss industry. That is the first thing in its favor, as the creators have a vested interest in the success of clients rather than in hooking them on some supplement or machine that promises a lot but delivers little.

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