Obesity surgery benefits may be bigger for teens than adults

Dr. Thomas Inge at the University of Colorado wanted to know when it’s best to have surgery

Teens who have obesity surgery lose as much weight as those who have the operation as adults and are more likely to have other health problems such as diabetes and high blood pressure go away, a study finds.

The results suggest there’s a benefit from not waiting to address obesity. Researchers say longer study is still needed to know lifetime effects of this radical surgery and that it’s a personal decision whether and when to try it.

The study was published Thursday by the New England Journal of Medicine and presented at the Combating Childhood Obesity conference in Houston. The National Institutes of Health paid for it, and some researchers consult for makers of obesity surgery tools.

The damaging effects of obesity accumulate, and the risk of developing other diseases and dying prematurely rises the longer someone goes. Surgery is usually reserved for people who can’t lose enough weight through other means — diet, exercise and sometimes medicines — and are severely obese.

Researchers led by Dr. Thomas Inge at the University of Colorado wanted to know whether it’s better or safer to have it in mid-life, the most common time now, or sooner before many of those other health problems appear or do much harm.

They compared results from two studies of gastric bypass surgery, which creates a much smaller stomach pouch, in 161 teens and 396 adults who had been obese since they were teens. Five years after their operations, both groups had lost 26% to 29% of their weight.

Diabetes went into remission in 86% of teens and 53% of adults who had that disease before their operations; high blood pressure did the same in 68% of teens and 41% of adults. Some side effects were more common in teens, and they were twice as likely to need a second operation.

One troubling finding: Although about 2 per cent of each group died, two of the teens did so from drug overdoses, suggesting substance abuse and self-harm may be a concern.

Overall, the results are consistent with an earlier study comparing teens and adults, Ted Adams of the University of Utah in Salt Lake City wrote in a commentary in the journal.

“Almost 6% of adolescents in the United States are severely obese, and bariatric surgery is now the only successful, long-term treatment option” for them, he wrote.

Most obese teens stay obese as adults, and adults who were obese as teens have worse health than people who started to weigh too much at an older age, but that doesn’t mean it’s the right choice to have surgery earlier than later, he warned.

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content.

Marilynn Marchione, The Associated Press

Like us on Facebook and follow us on Twitter.

Just Posted

Rimbey cop following in dad’s footsteps

RCMP officer born in Rimbey

Rimbey high school girls rugby team undefeated in league play

Rimbey Spartons girls rugby team defeats Drayton Valley

Volunteers needed for meals on wheels

Meals on wheels offers great option for shut ins

4-H show and sale winners

Rimbey, Bluffton and Winfield 4-H members compete at show and sale

Lions Club help out WE group

Funds for outdoor rink at Rimbey elementary school

UPDATE: B.C. pilot killed in Honduras plane crash

The crash happened in the Roatan Islands area, according to officials

Growing wildfire prompts warning for High Level to prepare for evacuation

Town of High Level announced Monday that residents should get personal items in order

Carbon tax, desk-thumping on agenda in upcoming Alberta legislature session

Jason Kenney has appointed a panel to come up with ways to reduce spending in the budget this fall

Facebook takes down anti-vaxxer page that used image of late Canadian girl

Facebook said that the social media company has disabled the anti-vaccination page

Authorities warn out-of-control wildfire could cut northern Alberta town’s electricity

Alberta Transportation has closed Highway 35 south of High Level due to the fire

‘Rope-a-dope’: Environmentalists say Alberta war room threat won’t distract them

Those against Alberta Premier Jason Kenney aren’t worried about promise to fight critics of energy industry

Almost $13 million to be paid to Grande Prairie hospital subcontractors, others

No reasons for the Court of Queen’s Bench order were released

Canada’s parole officers say correctional system has reached breaking point

About half of Canada’s federal parole officers work inside penitentiaries and correctional institutions

Speed, alcohol considered factors in deadly Calgary crash: police

Two female passengers in the Corolla, aged 31 and 65, died at the scene

Most Read