Tag Archives: bariatric surgery

Big Weight Loss Linked to Relationship Changes

Weight-loss surgery may bring problems to your love life, new study says.

Weight Loss Couple

Weight loss surgery may bring big relationship changes, study. Photo by 10thousandcouples

A new Swedish study showed that major weight loss after bariatric surgery was linked to more divorces. The other study found that singles were more likely to form new relationships or marry after a weight-loss operation.

“Those of us who take care of bariatric surgery patients notice that many patients experience a pretty profound change in their lives,” said Dr. Luke Funk, an assistant professor of surgery at the University of Wisconsin in Madison.

“Their significant weight loss and improvements in other health problems — like high blood pressure and diabetes — cause changes in both their physical and mental well-being,” added Funk, co-author of an editorial published with the study.

“They often take up new hobbies, become much more physically active, and feel much more confident about themselves. They also tend to have an improved self-image. I think this leads many to re-examine their relationships with others,” said Funk.

I think that since people who are overweight tend to have low self-esteem, they stay in relationships to find comfort and believe that they cannot do any better. Then when they lose weight, they look and feel better so he or she gains confidence in beginning a new relationship.

Researchers say the effects of behavior go from improved quality of life on one hand to increased risk of substance abuse on the other. This means that some will be happy and continue living a healthy life while others will become depressed and result to drug use.

One study analyzed the relationship background of 2,000 obese Swedes who had weight-loss surgery over 10 years. They were compared to about 2,000 patients who did not have an operation.

The other study looked at data of nearly 30,000 patients who had gastric bypass surgery and compared them to 280,000 people in the general public.

The researchers found that bariatric surgery was linked to increased odds for separation or divorce for those in a prior relationship, especially for the ones who lost the most weight.

Among those who had been unattached, significant weight loss was linked with higher odds for a new relationship or marriage.

I understand there are several factors why a relationship might not work but I would have never thought weight loss would be one of them.

Study author Per-Arne Svensson said, “In solid partner relationships, weight loss after bariatric surgery is probably not an issue, and in many cases the relationships can even be strengthened.

“However, in partner relationships that are somewhat unstable or nonfunctional, weight loss may increase the risk of partner separation,” he noted.

I would think that relationships would strengthen after weight loss but maybe the partners do not seem connected as they once were. Patients probably see a new outlook on life and want to begin a new relationship. This study only gives limited insight as to why couples separate after bariatric surgery but Funk noted that many patients have told him bariatric surgery was the best thing they have ever done.

Although a person may experience relationship changes after weight loss, at least they are much healthier and can have a new outlook on life.

This study was published online March 28 in JAMA Surgery.

Source: Per-Arne Svensson, Ph.D., associate professor, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Luke M. Funk, M.D., MPH, assistant professor, surgery, University of Wisconsin, School of Medicine and Public Health, Madison; March 28, 2018,JAMA Surgery, online

Leeman Taylor
B.S. Criminal Justice

Weight Loss Surgery Will Fight Type 2 Diabetes

Research has showed that weight loss surgery may eliminate type-2 diabetes in patients, and a new study discovers that the surgery may be long term. According to the diabetes, bariatric surgery is more effective than standard treatment for the short-term control of type-2 diabetes.

Gastric Bypass Weight Loss Surgery

Weight loss surgery is better than medications for fighting type-2 diabetes, according to study. Photo by Healthy Hippie

“This is a very important study because it’s the first randomized trial comparing diabetes to medical treatment of diabetes with five years of follow-up,” said Dr. Philip Schauer, who directs the Bariatric and Metabolic Institute at the Cleveland Clinic.

The study led by Dr. Francesco Rubino of King’s College London tracked 5-year outcomes of 60 obese patients who had type 2 diabetes. The patients were chosen at random to undergo either one of two weight loss surgery, or continue with traditional drug therapy to help manage their diabetes.

The results discovered that 50% of the 38 weight-loss surgery patients kept diabetes from reoccurring, compared to none of the 15 patients who were in the drug treatment group. It seems that bariatric surgery is a much better choice for fat loss and disease control than treatment programs in this case.

The researchers added that patients who had surgery also had lower blood sugar levels than those treated with drugs, despite of whether their diabetes went into full remission. “What really is causing the remission of diabetes after surgery remains unknown,” Dr. Rubino said. What is known, he added, is that the intestines produce a host of hormones involved in regulating metabolism. Reconstructing the gastrointestinal tract so that food bypasses the stomach and small intestine may help restore normal metabolic control, he explained.

Gastric bypass or biliopancreatic diversion was the only methods of weight loss surgery that was used during the trial and they both had their weaknesses. Patients who got gastric bypass had lesser nutritional side effects with a better quality of life overall while more people witnessed their diabetes go into remission with biliopancreatic diversion. With that being said, gastric bypass is probably the better choice for fighting type-2 diabetes.

Although this was a small trial, it seems that surgery is quite stable in the long run, at least for five years. The procedure seems to be safe with fairly low complication rates. The downside is that any weight loss surgery can be expensive and comes with risks. Insurance companies do not seem to favor covering costs for weight loss surgery and rather save money with medications. With this study, I believe insurance companies may reconsider and pay for more patients to have weight loss surgery to fight type-2 diabetes.

Leeman Taylor
Bachelor Degree in Criminal Justice
Real Estate Investor & Internet Marketer

Source: Mingrone, Geltrude et al.” Bariatric–metabolic surgery versus conventional medical treatment in obese patients with type 2 diabetes: 5 year follow-up of an open-label, single-centre, randomised controlled trial” The Lancet, Volume 386 , Issue 9997 , 964 – 973 August 2015

Weight Loss Surgery Can Reduce Death 5-10 Years After Procedure

Weight loss surgery has always been suggested to improve survival among severely obese patients. According to new research published in the Journal of American Medical Association (JAMA), bariatric surgery reduced mortality 5 to 10 years after Veterans had surgery (Afterburn et al. 2015).

Gastric Bypass for Weight Loss

Bariatric or weight loss surgery has been shown to help Veterans live longer after 5 to 10 years. Clipart Photo

In the study, 2,500 patients underwent bariatric surgery in Veterans Affairs (VA) bariatric centers from 2000-2011 and matched them to 7,462 control patients using sequential stratification. The average age for the patients was 52 with a body mass index (BMI) of 47. The patients either had gastric bypass (74%), gastric banding (10%), sleeve gastrectomy (1%) or another procedure that included 1 percent of patients (Afterburn et al. 2015).

Gastric bypass is the most common of the three procedures in which the stomach is divided into a small upper section and larger bottom section. The small intestine is then rerouted to the small upper area, assuming the patient will eat less food. Gastric banding deals with the placement of an inflatable band around the top portion of the stomach, creating a much smaller stomach, while sleeve gastrectomy involves the removal of around 80 percent of the stomach (Whiteman 2015).

When the 14-year study ended, there were 263 deaths in the surgical group (average follow-up, 6.9 years) and 1,277 deaths in the matched control group (average follow-up, 6.6 years). The deaths rates estimated by Kaplan-Meier were 2.4% after 1 year, 6.4% at 5 years, and 13.8% after 10 years for patients who underwent surgery; for match control individuals, 1.7% after 1 year, 10.4% for 5 years, and 23.9 percent at 10 years (Afterburn et al. 2015). As you can see, patients who underwent weight loss surgery between 5 to 10 years had significantly lower mortality rates.

I truly understand how difficult it is for morbidly obese individuals to lose weight and having weight loss surgery is an option to consider with you doctor. Diet and exercise is important for any healthy lifestyle change and a recent study shows that diet pills or weight loss supplements rarely work. The results from this study show the beneficial relation between surgery and survival that has been demonstrated in younger, female populations.

Leeman Taylor
Senior Criminal Justice Major at Florida A&M University
Real Estate Investor & Internet Marketer

Source: Afterburn DE, Olsen MK, Smith VA, et al. “Association Between Bariatric Surgery and Long-term Survival” 6 January 2015. JAMA 2015