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

“Does Kirby care?” Heiltsuk Nation using geo-targeted ads in Houston, Texas for justice

The Heiltsuk Tribal Council has called out Kirby Corporation for the Nathan E. Stewart oil spill

“No excuse” for killing of two young grizzly cubs

Reader hopeful someone will come forward with information

UPDATE: U.S. firm fined $2.9M for fuel spill that soiled B.C. First Nation territory

The Nathan E. Stewart spilled 110,000 litres of diesel and heavy oils in October 2016

UPDATED: Vehicle strike likely caused death of grizzly cubs

The cubs were discovered on June 30 on Thorsen Creek Road

Unsealed record suggests U.S. man convicted of murdering Vancouver Island couple left DNA on zip tie in 1987

William Talbott is set to be sentenced Wednesday in the murders of Jay Cook and Tanya Van Cuylenborg

Surrey court clerk files human rights complaint related to concussion

Deborah A. Ryane claims her employer discriminated against her on basis of mental disability

Food fight: Liberals, Tories trade shots as pre-campaign battles intensify

Health Canada released an overhauled document that did away with traditional food groups and portion sizes

Okanagan Air Cadet challenges gender-exclusive haircut policy

Haircut regulation inspires challenge around gender identity

VIDEO: Bystander training gains traction as tool to prevent sexual harassment, violence

Julia Gartley was sexually assaulted after an event, and no one stepped in to help

Two brands of ice cream sandwiches recalled due to presence of metal

The Canadian Food Inspection Agency issued a recall on Iceberg and Originale Augustin brands

Sexual assaults, extortion on the rise even as crime rates stay low: Stats Canada

Rates of police-reported sexual assault rose for the fourth year in a row

Vancouver Island teens missing after vehicle found ablaze near Dease Lake, BC

RCMP say a body discovered nearby not one of the missing teens

Most Read