November 6, 2017

Bariatric Surgery Leads to More Weight Loss Than Counselling Program for Severely Obese Adolescents

By Kerry Young

OXON HILL, Md -- November 6, 2017 -- Severely obese adolescents shed more weight after bariatric surgeries than they did through approach that relied on counselling, researchers reported here at Obesity Week 2017, the joint Annual Meeting of the American Society for Metabolic & Bariatric Surgery (ASMBS) and The Obesity Society (TOS).

Adolescents who underwent laparoscopic sleeve gastrectomy lost on average 25.7% of their initial body weight, while those that had the laparoscopic adjustable gastric banding lost 6.09%. However, for the group that participated in the Fit5 program, the average loss was only 1.29%. The Fit 5 program involves working with dietitians and psychologists.

These weight losses translated into a 12.77% reduction in the body-mass index for the sleeve group, while the band group had a 2.39% reduction. For the group that participated in counselling, the average body mass index (BMI) reduction was 0.64%.

“This may indicate that for adolescents with increased medical comorbidities that may be remedied by weight loss, surgical interventions should be considered and discussed with families,” reported Melissa Santos, PhD, Pediatric Obesity Center, Connecticut Children's Medical Center, Hartford, Connecticut, and colleagues.

She said the next step with the research should be to look at the sustainability of weight loss among this group of patients.

The surgical intervention group included 20 females and 7 males, with an average age of 17 years and a mean initial BMI of 46.18. The band surgery was the most common treatment in this group. The Fit5 group included 3 males and 3 females with a mean BMI of 42.97 and the sleeve group included 3 females and 1 male with an initial mean BMI of 48.94, making this the heaviest group at the start of the study.

[Presentation title: Surgical Versus Non-Surgical Treatment for Adolescents With Severe Obesity: Preliminary Results. Abstract A5015]

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