Obesity Facts最新文献

{"title":"Laparoscopic Sleeve Gastrectomy under Regional Anesthesia: First Case Reported in Italy.","authors":"Chiara Mazzone, Maria Sofia, Giorgia Litrico, Enrico Vaccarisi, Luisa Gallo, Gaetano La Greca, Saverio Latteri","doi":"10.1159/000540800","DOIUrl":"10.1159/000540800","url":null,"abstract":"<p><strong>Introduction: </strong>This case report presents the first documented instance in Italy of successful sleeve gastrectomy performed under spinal anesthesia, marking a significant milestone in the field of bariatric surgery.</p><p><strong>Case presentation: </strong>Highlighting the innovative approach to anesthesia in the context of obesity treatment, this study explains the procedure and postoperative outcomes of a 46-year-old female patient with a BMI of 38 kg/m2, who had a history of moderate Obstructive Sleep Apnea Syndrome. Despite the complications associated with obese patients undergoing bariatric surgery, the use of regional anesthesia (RA) facilitated a favorable outcome, minimizing perioperative risks and enhancing postoperative recovery. The patient experienced no pain or respiratory complications, demonstrating the safety and feasibility of RA for sleeve gastrectomy, and underscoring its potential as a viable alternative to general anesthesia in bariatric surgery. In addition, the use of the Ramsey scale (score: 2) provided valuable insights into the patient's sedation level, contributing to the overall assessment of the anesthetic approach.</p><p><strong>Conclusion: </strong>This case contributes to the growing evidence supporting the use of RA in laparoscopic surgeries, offering significant advantages in terms of patient safety, satisfaction, and recovery outcomes.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-6"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention of Obesity among Adults: Evidence- and Consensus-Based Guideline.","authors":"Peter von Philipsborn, Melanie Bahlke, Christina Breidenassel, Christina Holzapfel, Christine Joisten, Sandra Plachta-Danielzik, Monika Nothacker, Diana Rubin, Marion Rung-Friebe, Martina de Zwaan, Hans Hauner","doi":"10.1159/000546415","DOIUrl":"10.1159/000546415","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of obesity is rising globally. Evidence-informed guidance on preventing obesity is needed, but most existing obesity guidelines are focussed on treatment.</p><p><strong>Methods: </strong>We developed an evidence- and consensus-based guideline on the prevention of obesity among adults. Following international best practice recommendations for guideline development, we systematically searched for relevant systematic reviews and conducted a structured consensus process involving 34 experts including 5 patient representatives. The guideline's target group is the adult population of Germany, but most recommendations are likely to be applicable internationally.</p><p><strong>Results: </strong>We developed 24 recommendations for the general public, health care professionals, and policy makers. The guideline recommends, among others, a healthy diet in line with existing food-based dietary guidelines, regular physical activity, as well as appropriate sleep and stress management. Smoking cessation is recommended even when associated with weight gain. Offering qualified advice and counselling on diet and physical activity to all individuals in primary care is suggested. Potential effects of medication on body weight should be considered in prescription decisions. Implementation of evidence-informed policies for promoting healthy food and physical activity environments is recommended.</p><p><strong>Conclusions: </strong>Evidence-based approaches for preventing obesity on the individual and societal levels exist and should be implemented more widely.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-19"},"PeriodicalIF":3.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ten Top Tips for the Management of GLP-1 Receptor Agonists in Adults within Primary Care.","authors":"Laurence J Dobbie, Helen M Parretti, Ellen Fallows, Sarah Le Brocq, Stephanie De Giorgio, Barbara McGowan, Dipesh Patel","doi":"10.1159/000546472","DOIUrl":"10.1159/000546472","url":null,"abstract":"","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-6"},"PeriodicalIF":3.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12194299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"32nd European Congress on Obesity (ECO 2025).","authors":"Tuba Avcilar","doi":"10.1159/000545547","DOIUrl":"https://doi.org/10.1159/000545547","url":null,"abstract":"<p><p>Book.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association between Obesity and Wet Overactive Bladder: Results from 2005 to 2020 National Health and Nutrition Examination Survey.","authors":"Jiahao Zhang, Wanru Chen, Zhicheng Tang, Xuqing Lin, Xitong Wan, Shuqiang Huang, Hongcheng Luo, Yuxin Qian, Zhaohui He, Fucai Tang","doi":"10.1159/000546104","DOIUrl":"10.1159/000546104","url":null,"abstract":"<p><strong>Introduction: </strong>The association between obesity and wet overactive bladder (wet OAB) was few and was also inconsistent and controversial in sex differences. This study aimed to ascertain the specific association between obesity and wet OAB for females and males using five obesity measures.</p><p><strong>Methods: </strong>This cross-sectional study included 29,041 participants from the 2005-2020 National Health and Nutrition Examination Survey database. The outcome was the risk of wet OAB. Five obesity measures were exposure using quintile, including body mass index (BMI), waist-to-stature ratio (WSR), body fat percentage (BFP), fat mass, and lean mass. The associations were elucidated using weighted logistic regression models and restricted cubic spline (RCS) analysis.</p><p><strong>Results: </strong>The elevated BMI, WSR, BFP, and fat mass were positively associated with the risk of wet OAB in both sexes, which was evident in females. Interestingly, lean mass was adversely associated with the risk of wet OAB in both sexes. In RCS analysis about BMI, WSR, BFP, and fat mass, monotonically increasing nonlinear associations were found in males, while positive linear associations were found in females. Besides, negative linear and nonlinear relationships were shown between lean mass and the risk of wet OAB in females and males, respectively.</p><p><strong>Conclusions: </strong>Obesity was positively associated with the risk of wet OAB in both sexes. Controlling BMI, WSR, BFP, fat mass, and strengthening lean mass may help prevent the development of wet OAB.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-14"},"PeriodicalIF":3.9,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Childhood to Adolescence: Long-Term Trends in Severe Obesity in German Youth (2002-2023).","authors":"Albana Berisha, Wieland Kiess, Ruth Gausche, Christoph Beger, Antje Körner, Ulrike Spielau, Roland Pfäffle, Robert Stein, Anika Kaspar, Mandy Vogel","doi":"10.1159/000546217","DOIUrl":"10.1159/000546217","url":null,"abstract":"<p><strong>Introduction: </strong>Research on severe obesity (SO) is scarce and often contradictory. As higher weight status persists into adulthood, we aimed to analyze long-term trends in the prevalence of SO in children and adolescents in Germany using a large real-world data set. Furthermore, we analyzed subgroup differences and assessed how the COVID-19 pandemic affected weight status.</p><p><strong>Methods: </strong>We analyzed data from the CrescNet auxological network, including 1,495,401 clinical visits by 4- to 16-year-old children (2002-2023). Weight trends were examined with a focus on SO using logistic regression, stratified by sex and age. Effects are reported as odds ratio per 5 years (OR5) pre-pandemic and as OR for consecutive years during the pandemic. Quantile regression assessed trends of the 50th, 90th, 97th, and 99th percentiles of excess weight.</p><p><strong>Results: </strong>Pre-pandemic, SO remained stable or declined in children under 12 until 2010: OR5: 0.8-1, p < 0.001) but rose significantly afterward (OR5: 1.1-1.2, p < 0.001). Children between 12 and 16 years of age showed a continuous increase, especially boys (boys12-16: OR5: 1.3, girls12-16: OR5: 1.1, p < 0.001). During the pandemic, SO peaked in 2021 across all groups (OR21 vs. 19: 1.3-1.7, p < 0.001). By 2023, younger children had returned to pre-pandemic levels, while older children, particularly 8- to 16-year-old girls, remained at higher weights (OR23 vs. 19: 1.2-1.5, p < 0.001-0.002). Weight gain was most prominent in SO groups but could also be seen in pre-pandemic and pandemic overweight and obesity subgroups, generally decreasing toward the end of the pandemic.</p><p><strong>Conclusion: </strong>SO has increased over the last 2 decades, with the COVID-19 pandemic accelerating this trend, particularly in adolescents. While younger children recovered by 2023, excess weight in older children, especially girls, continues to escalate.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-11"},"PeriodicalIF":3.9,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Professionals' Attitudes about Parturients Living with Obesity and Overweight: A Quantitative Study.","authors":"Salwa M Al Obeisat, Tahani Abdel-Nabi, Karimeh Alnuaimi, Salam Bani Hani, Lina Mrayan, Issa Hweidi, Abdulqadir Nashwan","doi":"10.1159/000546113","DOIUrl":"10.1159/000546113","url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of obesity and overweight has risen to an epidemic level globally, posing significant challenges to healthcare systems. Studies revealed that individuals with obesity and overweight frequently face negative societal perceptions and are often blamed for their weight. Healthcare personnel are not exempt from biases associated with obesity, which can affect their interaction with patients. As frontline providers of care, healthcare professionals play a critical role in managing obesity and related health conditions. However, their attitudes toward individuals with obesity and overweight can influence the quality of care provided, patient satisfaction, and health outcomes. The current study assesses healthcare professionals' attitudes about parturients living with overweight and obesity in northern Jordan, as well as the sociodemographic factors associated with their attitudes.</p><p><strong>Methods: </strong>Using a cross-sectional, descriptive design, this study recruited a convenience sample consisting of 62 obstetricians, 30 registered nurses, and 95 certified midwives from labor units. Participants completed a questionnaire concerning their sociodemographic characteristics, and Arabic versions of the Fat Phobia Scale (FPS) and Nurses' Attitudes toward Obesity and Obese Patients Scale (NATOOPS).</p><p><strong>Results: </strong>The overall mean scores of the sample on both scales indicated negative attitudes. Most of the sample was female, married, and aged 29 years. Midwives held more positive attitudes than did obstetricians and nurses. Most participants perceived parturients living with overweight and obesity as overate people, shapeless, slow, and unattractive. Younger participants with long years of experience held less negative attitudes than the rest of the sample. The ANOVA test results showed significant differences in attitudes toward parturients living with overweight and obesity based on age and educational level. Participants with PHD in medicine and a BS in midwifery held positive attitudes. Post hoc Tukey HSD test indicated that the mean (FPS) of the PhD holders and the bachelor's midwifery holders was significantly lower than that of the diploma in midwifery holders (p = 0.012 and p < 0.001, respectively).</p><p><strong>Conclusions: </strong>It is necessary to treat maternal obesity more adequately in both beginning education courses and continuing professional education seminars for working professionals.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-15"},"PeriodicalIF":3.9,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12187162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectivity and Safety of Naltrexone/Bupropion in Patients Suffering from Overweight and Obesity in a Real-World Setting.","authors":"Marijn T F Jense, Lars Knibbeler, Roel P L M Hoogma, Inge H Palm-Meinders, Jan Willem M Greve, Evert-Jan G Boerma","doi":"10.1159/000545967","DOIUrl":"10.1159/000545967","url":null,"abstract":"<p><strong>Introduction: </strong>Bariatric and metabolic surgery carries risks of complications and may affect food tolerance. For patients who are overweight or do not meet surgical criteria, alternative weight loss strategies must be explored. One such option is naltrexone/bupropion (NB) treatment. This study evaluates the impact of NB treatment combined with lifestyle intervention on weight loss over 12 months in a real-world setting.</p><p><strong>Methods: </strong>A retrospective cohort study included all patients initiating NB treatment at the Dutch Obesity Clinic from February 2021 to October 2022.</p><p><strong>Results: </strong>Among 98 patients (17.5% male; median age 49 [43-53]; median BMI 35.4 [33.0-39.1]), mean percentage total weight loss (SD) was 7.9% (4.2) at 3 months, 10.3% (6.5) at 6 months, and 11.5% (8.3) at 12 months. During the buildup phase, 23.5% of patients experienced nausea/vomiting, 19.4% reported headaches, and 28.6% had constipation. At optimal dosage, 39.8% experienced side effects, with 33% reporting multiple symptoms. Treatment discontinuation within 12 months occurred in 52.7% of patients.</p><p><strong>Conclusion: </strong>NB treatment combined with lifestyle intervention results in significant weight loss after 6 and 12 months. Despite high discontinuation rates due to multiple reasons including side effects, NB treatment in combination with lifestyle intervention may be of interest for a specific population.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-8"},"PeriodicalIF":3.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12148336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Status and Patients' Satisfaction on the Long Term after Metabolic/Bariatric Surgery.","authors":"Lucia Lehner, Moritz Zawodsky, Jakob Eichelter, Gerhard Prager, Daniel Moritz Felsenreich, Paul Fellinger, Alexandra Kautzky-Willer, Peter Wolf, Michael Krebs, Hannes Beiglböck","doi":"10.1159/000545730","DOIUrl":"10.1159/000545730","url":null,"abstract":"<p><strong>Introduction: </strong>Bone fractures and vitamin deficiencies are potential long-term risks after metabolic/bariatric surgery (MBS). This study aimed to evaluate the health status of patients with an average follow-up of 15 years after MBS, focusing on vitamin deficiencies, patients' satisfaction, and bone fractures.</p><p><strong>Methods: </strong>A questionnaire-based cross-sectional study was performed. In total, 844 patients, with a history of MBS before March 2010, were eligible and contacted by mail. Overall, 263 patients returned the questionnaire.</p><p><strong>Results: </strong>Roux-en-Y gastric bypass (RYGB) was the most common bariatric procedure (69%), followed by adjustable gastric banding (AGB) in 23% and sleeve gastrectomy (SG) in 8%, respectively. A total of 14% reported bone fractures after MBS. However, the prevalence of bone fractures was similar after RYGB and after restrictive procedures (RYGB: 17% vs. AGB+SG: 11%; p > 0.05). Moreover, no association between the occurrence of bone fractures and the follow-up time was found. Patients with mixed (RYGB) procedures had more vitamin deficiencies compared to patients with dominantly restrictive (AGB+SG) procedures (RYGB: 76% vs. AGB+SG: 54%; p < 0.05). The self-reported health status (RYGB: 64% good-excellent, 36% fair-poor vs. AGB+SG: 53% good-excellent, 46% fair-poor; p > 0.05) was not different between the procedures. However, more patients after RYGB answered that \"they would undergo the procedure again\" compared to patients after SG or AGB (RYGB: 84% vs. AGB+SG: 61%; p < 0.001).</p><p><strong>Conclusion: </strong>Even though a higher prevalence of vitamin deficiencies following RYGB was found, the number of patients who were satisfied with the decision made at the time of the initial operation was higher among patients with RYGB compared to SG and AGB.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-9"},"PeriodicalIF":3.9,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12105855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obesity Representations: An Analysis of Italian Newspapers' Coverage before and after COVID-19 and the Influence of Political Orientation.","authors":"Matteo Reho, Virginia Campedelli, Giorgio Veneziani, Federica Luciani, Alfonso Langella, Carlo Lai","doi":"10.1159/000542544","DOIUrl":"https://doi.org/10.1159/000542544","url":null,"abstract":"<p><strong>Introduction: </strong>A large body of literature has shown that media representations of obesity influence people's attitudes and contribute to weight stigma and discriminatory behaviors. The present study aimed to identify the representations of obesity in nine main Italian national newspapers and analyze how these representations varied before and after the COVID-19 lockdown (2016-2023), also in relation to the political orientation of the newspapers.</p><p><strong>Methods: </strong>The Automated Co-occurrence Analysis for Semantic Mapping procedure (ACASM) was used to identify the themes. A t test and time series analysis were conducted to test the hypotheses.</p><p><strong>Results: </strong>Findings showed that the selected Italian newspapers represented obesity according to five different themes labeled Wellness, Problem, Health, Nutrition, and Disease. It was found that the articles related to obesity increased after the lockdown. The Wellness and Health themes were found to be the more prevalent after the end of the emergency period. This result differed according to the newspapers' political orientation.</p><p><strong>Conclusion: </strong>The findings suggest considering the representations that specific newspapers convey according to their political orientation in order to promote different narratives that could have a relevant impact on obesity.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-16"},"PeriodicalIF":3.9,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12068882/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}