- Obesity is very complex and requires personalized treatment. If we do not put obese patients in a "one bag", then the treatments will bring better results, argue scientists from the Brown University of Providence (USA). In the medical journal en titled Obesity has been published in which researchers describe the 4 subtypes of obesity they identified and check which patients had the best results from bariatric surgery.
According to the World He alth Organization (WHO), obesity has already reached the proportions of a global epidemic. It is not only a disease in itself, but also the main risk factor for serious diseases such as type 2 diabetes, heart disease and cancer. Obesity, however, is not a uniform disease, so there is no single, effective treatment method for people suffering from it.
According to prof. Field, head of the epidemiology team at Brown University of Providence, the current definition of obesity is too broad. A five-year-old obese child is different from a person who gains weight gradually throughout his life and is obese by the age of 65. A detailed diagnosis of the causes and development of obesity in each patient individually will allow us to determine the best therapeutic method for him.
Scientists from Brown University analyzed the data of 2,458 obese patients who underwent bariatric surgery - surgical treatment of obesity in 2006-2009. The factors they assessed in patients were psychological variables, including eating pattern, as well as obesity history and biochemical parameters.
Four groups of patients emerged among the study participants. The first group includes people with lipid metabolism disorders and type 2 diabetes (as many as 98% of the group members). The second group consisted of people with disturbed eating habits, including 37%. people declared that they binge often, 61 percent. admitted that they do not control the amount of snacks between meals, and 91 percent. group members said they ate even when they weren't hungry. The scientists included in group III people with proper metabolism and a regulated diet, and in group IV there were people who had been obese since childhood. And it was the members of the latter group that had the highest BMI (body mass index) just before the operation - the highest parameter: 58, whileof people from the other groups, the highest BMI was 45.
After analyzing the patient data, it turned out that patients from groups II and III benefited most from bariatric surgery. Participants with disordered nutrition reduced their preoperative overweight on average: men by 28.5%. and women by 33.3 percent.
According to prof. Field, perhaps the reason we do not have better outcomes in obesity treatment is that we treat obese patients the same and mix them up rather than assigning them to more explicit, specific disease categories.
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