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

Princeton RCMP out in full force this weekend

Princeton RCMP are determined everyone will have a safe and lawful Victoria… Continue reading

Penticton Indian Band councillor trying for federal seat

Joan Phillip acclaimed as NDP candidate for Central Okanagan-Similkameen-Nicola

Okanagan-Shuswap Weather: Most long-weekend rain has already fallen

A mix of sun and cloud is expected for the last two days of the the Victoria Day weekend.

Update: Mother dead, youth in critical condition after carbon monoxide poisoning at Sandy Point Campground

The woman was found unresponsive insider her tent and the youth was taken via air ambulance to hospital

Three RDOS members named to SILGA board

Executives appointed at convention in Penticton earlier this month

Video: Boating season launches at Penticton’s Skaha Marina

Skaha Marina has new owners, a new plan, and a new attitude

Crews responding to car crash in West Kelowna

A collision has been reported at the intersection of Carrington Road and Butt Road.

Court decision prompts regional district to throw flood mitigation back at province

Public safety minister maintains Newsome Creek concerns in hands of local government

Woodworth purchased Summerland rink, created butcher operation

Giant’s Head Rink had been one of three facilities in Summerland

Canadian killed in Honduras plane crash

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

Get those flowers competition ready

Gardeners will come together June 29, for the 22nd Juried Flower Show

B.C. ferry stops to let black bear swim past near Nanaimo

Queen of Oak Bay brakes for wildlife in Nanaimo’s Departure Bay

Some South Okanagan students are $1,000 richer

Million Dollar Bursary Program offers bursaries each year to Interior Savings’ young members

Okanagan adventurer continues motorcycle trip around the world

Vernon local James Leigh recently completed the third of five legs of the journey, travelling through China and Kazakhstan

Most Read