Experts say bariatric surgery has health benefits beyond weight loss. Guillermo Arias/AFP (via Getty Images) Researchers say bariatric surgery can significantly improve cardiometabolic functions such as blood pressure, cholesterol, glucose and HbA1c. They say that losing weight not only lowers your risk of developing type 2 diabetes, hypertension, and dyslipidemia; it also reduces your risk of developing type 2 diabetes, hypertension, and dyslipidemia. Researchers noted that 30% to 50% of people who underwent bariatric surgery experienced remission of diabetes, hypertension, and dyslipidemia.
Bariatric surgery may result in significant cardiometabolic improvements, especially in younger people, women, white people, and people without comorbidities, according to a new study published in the Journal of the Endocrine Society.
In the study, researchers evaluated more than 7,800 people between the ages of 20 and 79 who underwent bariatric surgery.
Although most participants were white and female, the researchers noted that there were also significant numbers of men and black people, who are typically underrepresented in bariatric surgery studies.
Scientists looked for cardiometabolic improvements such as:
They also measured remission rates for diabetes, hypertension, and dyslipidemia, and estimated 10-year cardiovascular disease risk.
Researchers found that older, male, black study participants had a slightly lower 10-year risk of heart disease and remission of diabetes, hypertension, and dyslipidemia compared to younger, female, and white participants. It was reported that the probability was low.
Participants with a history of these diseases also showed less cardiometabolic improvement than those without.
“I think the researchers had a small sample size of older black men. A larger sample size would be needed to make any firm conclusions,” said Roberts, medical director of Memorial Care Surgical Weight Loss Center in Orange and Obese. said surgeon Dr. Mir Ali. Coast Medical Center in California was not involved in the study. “That being said, I do believe that genetic factors can contribute to obesity, and black people have more genetic factors for obesity.”
“Despite this, I still recommend surgery for older black men,” Ali told Medical News Today. “Bariatric surgery remained the best way to lose weight, and there was an improvement in cardiometabolic health, but not as much as in the younger white group.”
The study authors stated:
Bariatric surgery can lead to significant weight loss and improve heart health, including lower blood pressure, lipids, and blood sugar levels. Bariatric surgery participants had an estimated 35% reduction in their 10-year cardiovascular risk one year after surgery. 30% to 50% of people who undergo bariatric surgery experience remission of diabetes, hypertension, and dyslipidemia. Younger, female, and Caucasian participants without a history of cardiometabolic disease had the most significant postoperative cardiometabolic improvements.
“Bariatric surgery is a tool that allows you to eat less, eat healthier, and be more active,” said Dr. Mitchell Roslin, director of bariatric surgery at Northwell Lenox Hill Hospital in New York. . He was not involved in this study. “It will still be influenced by socio-economic factors, the environment and the stresses people face.”
“Severe obesity is deadly,” Roslin told Medical News Today. “It causes a phase change. Therefore, a person's body becomes 10 to 20 years older than his chronological age. Heart disease is the number one cause of death. Bariatric surgery slows down the clock and brings a person closer to his chronological age. It helps.”
The term bariatric surgery includes many different types of bariatric treatments.
Sleeve gastrectomy – According to the National Institutes of Health, a sleeve gastrectomy removes about 80% of the stomach. This keeps you feeling full for several hours after eating a small meal. The average weight loss for 5 years after surgery is approximately 60% of the excess weight. Gastric Bypass – During this surgery, changes occur to the stomach and intestines. The stomach becomes smaller and the digestive process bypasses part of the small intestine. According to UCLA Health, this limits the calories and nutrients your body absorbs. As with gastric sleeves, people feel fuller with smaller meals, feel fuller longer, and feel less hungry. Studies have shown that even 20 years after surgery, most patients maintain 50% of their excess weight.
According to Yale Medicine, weight loss surgery changes the anatomy of the stomach, reducing the amount of food eaten and digested. It may also improve or even reverse obesity-related conditions such as diabetes, high cholesterol, high blood pressure, sleep apnea, and chronic pain, especially in the hips and knees.
“Bariatric surgery is a major surgery to help people lose weight, but it's more than just weight loss,” Ali said. “After surgery, metabolic changes occur, including hormonal changes that can contribute to obesity and heart health. Current research is investigating this, but there is much to understand more deeply. Research is still ongoing.”
“It's important that people understand that bariatric surgery and new weight loss drugs are tools to help people change,” he added. “Adjusting your diet and lifestyle is essential for long-term success.”
