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Low-energy diets before metabolic bariatric surgery: A systematic review of the effect on total body weight, liver volume, glycemia and side effects. 代谢减肥手术前的低能量饮食:对总体重、肝体积、血糖和副作用影响的系统回顾
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-12-03 DOI: 10.1111/obr.13876
Inger Nilsen, Agneta Andersson, Anna Laurenius, Johanna Österberg
{"title":"Low-energy diets before metabolic bariatric surgery: A systematic review of the effect on total body weight, liver volume, glycemia and side effects.","authors":"Inger Nilsen, Agneta Andersson, Anna Laurenius, Johanna Österberg","doi":"10.1111/obr.13876","DOIUrl":"https://doi.org/10.1111/obr.13876","url":null,"abstract":"<p><p>There is no consensus regarding energy content or duration of hypocaloric diets used for preoperative optimization of patients before metabolic bariatric surgery. In this systematic review, we aimed to compare the effect of different hypocaloric diets on reductions in total body weight, liver volume, glucose and insulin concentrations, and side effects. Six databases were searched for articles including adults with BMI ≥35 kg/m<sup>2</sup> treated with hypocaloric diets before metabolic bariatric surgery. Hypocaloric diets were categorized as (1) low-energy diet containing 800-1200 kcal/day for 2-4 weeks, (2) very low-energy diet containing 450-<800 kcal/day for 2-4 weeks, and (3) low-energy diet containing 800-1200 kcal/day for >4 weeks. Thirty-three articles (1868 patients) were included, and if data were sufficient, synthesis without meta-analysis was conducted. A low-energy diet and very low-energy diet for 2-4 weeks resulted in similar reductions in total body weight, but longer treatment correlated to a more pronounced weight reduction. In addition, a low-energy diet for 2-4 weeks led to decreased liver volume, which might facilitate the surgical procedure. Insulin resistance was generally reduced after a low-energy diet for 2-4 weeks. However, most studies were within-group control, and since more than 60% of the studies lacked variance measures for our outcomes, we did not perform a meta-analysis. Accordingly, our results should be interpreted carefully. The protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO) with registration number: CRD42022295757; available at: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=295757.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13876"},"PeriodicalIF":8.0,"publicationDate":"2024-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association between pain intensity and body composition in adults with chronic non-specific low back pain: A systematic review and meta-analysis. 成人慢性非特异性腰痛患者疼痛强度与身体成分的关系:一项系统综述和荟萃分析
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-12-02 DOI: 10.1111/obr.13875
Melanie Liechti, Massimo Menegon, Alexander Philipp Schurz, Jan Taeymans, Heiner Baur, Ron Clijsen, Anneleen Malfliet, Nathanael Lutz
{"title":"Association between pain intensity and body composition in adults with chronic non-specific low back pain: A systematic review and meta-analysis.","authors":"Melanie Liechti, Massimo Menegon, Alexander Philipp Schurz, Jan Taeymans, Heiner Baur, Ron Clijsen, Anneleen Malfliet, Nathanael Lutz","doi":"10.1111/obr.13875","DOIUrl":"https://doi.org/10.1111/obr.13875","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review and meta-analysis evaluated the association between pain intensity and different body composition measures in adults suffering from chronic non-specific low back pain (CNLBP).</p><p><strong>Methods: </strong>A systematic literature search across five databases-PubMed, Embase, CINAHL, Web of Science, and the Cochrane Library-was conducted. It identified observational studies published until January 2024. A meta-analysis was conducted incorporating a random-effects approach with Fisher's Z transformation. A critical appraisal of the included studies' quality was conducted.</p><p><strong>Results: </strong>Twenty-two studies were included. Of those, 20 were meta-analyzed, revealing positive, very weak correlations between pain intensity and body mass index (r = 0.11; 95% CI: 0.04 to 0.18), waist-hip ratio (r = 0.10; 95% CI: -0.14 to 0.34) and waist circumference (r = 0.09; 95% CI: -0.28 to 0.44). Not pooled study findings (e.g., hip circumference and body fat percentage) were narratively summarized, revealing 13 positive and four negative associations between pain intensity and body composition measures. Studies showed a substantial risk of bias due to unadjusted confounding factors and limited transferability of findings.</p><p><strong>Conclusion: </strong>This systematic review and meta-analysis provided very low-quality evidence for a positive, very weak association between pain intensity and body composition measures in adults with overweight and obesity suffering from CNLBP. The included studies had a substantial risk of bias due to their observational and cross-sectional study designs, which prevents recommendations for clinical practice. Randomized controlled trials are needed to investigate the causal effect of interventions on body composition measures and pain intensity.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13875"},"PeriodicalIF":8.0,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neutrophils as indicators of obesity-associated inflammation: A systematic review and meta-analysis 中性粒细胞作为肥胖相关炎症的指标:系统回顾和荟萃分析。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-29 DOI: 10.1111/obr.13868
Gema Gomez-Casado, Andres Jimenez-Gonzalez, Alba Rodriguez-Muñoz, Francisco J. Tinahones, Ernesto González-Mesa, Mora Murri, Almudena Ortega-Gomez
{"title":"Neutrophils as indicators of obesity-associated inflammation: A systematic review and meta-analysis","authors":"Gema Gomez-Casado,&nbsp;Andres Jimenez-Gonzalez,&nbsp;Alba Rodriguez-Muñoz,&nbsp;Francisco J. Tinahones,&nbsp;Ernesto González-Mesa,&nbsp;Mora Murri,&nbsp;Almudena Ortega-Gomez","doi":"10.1111/obr.13868","DOIUrl":"10.1111/obr.13868","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The aim of this study is to evaluate and compare the suitability of routine blood neutrophil values as indicators of obesity-associated inflammation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this systematic review and meta-analysis, we assess absolute neutrophil counts (ANCs) and neutrophil-to-lymphocyte ratio (NLR) values in subjects with and without obesity and analyze the weight of both parameters on the disease. Additionally, correlation studies between ANC and NLR with BMI, a parameter internationally accepted to define obesity are performed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Quantitative data from 12 (ANC) and 11 (NLR) studies were included, with a total of 4475 participants. The meta-analysis shows that while both parameters are increased in the obesity group, ANC values present higher differences with the control and less heterogeneity among studies. Additionally, unlike NLR, ANC demonstrates a positive and significant correlation with BMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Overall, this meta-analysis demonstrates that ANC is a more reliable and stable parameter than NLR for the assessment of obesity-related inflammation, which offers clinicians a novel tool to assist in preventing complications related to obesity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"26 3","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13868","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142749508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systematic review: The gut microbiota as a link between colorectal cancer and obesity. 系统综述:肠道微生物群是结直肠癌和肥胖之间的联系。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-29 DOI: 10.1111/obr.13872
Antonio Jesús Ruiz-Malagón, María Jesús Rodríguez-Sojo, Eduardo Redondo, María Elena Rodríguez-Cabezas, Julio Gálvez, Alba Rodríguez-Nogales
{"title":"Systematic review: The gut microbiota as a link between colorectal cancer and obesity.","authors":"Antonio Jesús Ruiz-Malagón, María Jesús Rodríguez-Sojo, Eduardo Redondo, María Elena Rodríguez-Cabezas, Julio Gálvez, Alba Rodríguez-Nogales","doi":"10.1111/obr.13872","DOIUrl":"https://doi.org/10.1111/obr.13872","url":null,"abstract":"<p><p>Microbiome modulation is one of the novel strategies in medicine with the greatest future to improve the health of individuals and reduce the risk of different conditions, including metabolic, immune, inflammatory, and degenerative diseases, as well as cancer. Regarding the latter, many studies have reported the role of the gut microbiome in carcinogenesis, formation and progression of colorectal cancer (CRC), as well as its response to different systemic therapies. Likewise, obesity, one of the most important risk factors for CRC, is also well known for its association with gut dysbiosis. Moreover, obesity and CRC display, apart from microbial dysbiosis, chronic inflammation, which participates in their pathogenesis. Although human and murine studies demonstrate the significant impact of the microbiome in regulating energy metabolism and CRC development, little is understood about the contribution of the microbiome to the development of obesity-associated CRC. Therefore, this systematic review explores the evidence for microbiome changes associated with these conditions and hypothesizes that this may contribute to the pathogenesis of obesity-related CRC. Two databases were searched, and different studies on the relationship among obesity, intestinal microbiota and CRC in clinical and preclinical models were selected. Data extraction was carried out by two reviewers independently, and 101 studies were finally considered. Findings indicate the existence of a risk association between obesity and CRC derived from metabolic, immune, and microbial disorders.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13872"},"PeriodicalIF":8.0,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Umbrella review of systematic reviews to inform the development and translation of community-based childhood obesity prevention interventions 系统综述,为社区儿童肥胖预防干预措施的开发和转化提供信息。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-23 DOI: 10.1111/obr.13864
Jane Jacobs, Luke Wolfenden, Kristy A. Bolton, Vicki Brown, Marufa Sultana, Kathryn Backholer, Steven Allender, Rachel Novotny, Anna Peeters, Melanie Nichols
{"title":"Umbrella review of systematic reviews to inform the development and translation of community-based childhood obesity prevention interventions","authors":"Jane Jacobs,&nbsp;Luke Wolfenden,&nbsp;Kristy A. Bolton,&nbsp;Vicki Brown,&nbsp;Marufa Sultana,&nbsp;Kathryn Backholer,&nbsp;Steven Allender,&nbsp;Rachel Novotny,&nbsp;Anna Peeters,&nbsp;Melanie Nichols","doi":"10.1111/obr.13864","DOIUrl":"10.1111/obr.13864","url":null,"abstract":"<p>Community-based interventions (CBIs) can be effective and feasible for the prevention of childhood obesity. The aim of this umbrella review is to determine if systematic reviews report sufficient information to guide replication or adaptation of CBIs to a variety of contexts and aid in further development of childhood obesity prevention CBIs. Six databases were searched for systematic reviews including obesity prevention CBIs involving 0–18 year olds and reporting weight-related outcomes. Two researchers screened results. Evidence-to-decision frameworks guided which details may be required for decision-makers to design and carry-out a CBI, including information on intervention characteristics, outcome reporting and translation factors. From 3935 search results, 40 studies were included. The most frequently reported relevant pieces of information were behaviors targeted (100% of systematic reviews), intervention duration (90%) and settings involved (97.5%). Less frequently reported factors included specific actions implemented (48%), intervention intensity (30%) and organizations, or contributors involved (40%). There was a low level of reporting of equity considerations (27.5%), adverse events (20%), and costs/cost-effectiveness (17.5%). Multilevel interventions for child obesity prevention have demonstrated effectiveness, yet additional documentation of successful intervention processes is needed.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"26 3","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13864","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142694934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The impact of behavioral weight management interventions on eating behavior traits in adults with overweight or obesity: A systematic review and meta-analysis. 行为体重管理干预对超重或肥胖成人饮食行为特征的影响:系统回顾与荟萃分析。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-21 DOI: 10.1111/obr.13871
Laura Kudlek, Patricia Eustachio Colombo, Amy Ahern, Struan Tait, Natasha Reid, Milindu Wickramarachchi, Aiswarya Lakshmi, Stephen J Sharp, Marie Spreckley, Julia Mueller, Rebecca A Jones
{"title":"The impact of behavioral weight management interventions on eating behavior traits in adults with overweight or obesity: A systematic review and meta-analysis.","authors":"Laura Kudlek, Patricia Eustachio Colombo, Amy Ahern, Struan Tait, Natasha Reid, Milindu Wickramarachchi, Aiswarya Lakshmi, Stephen J Sharp, Marie Spreckley, Julia Mueller, Rebecca A Jones","doi":"10.1111/obr.13871","DOIUrl":"https://doi.org/10.1111/obr.13871","url":null,"abstract":"<p><p>Eating behavior traits (EBTs), defined as personal tendencies determining food intake, can be useful targets for behavioral weight management interventions. Previous reviews have examined the impact of specific intervention types on EBTs, not reflecting the breadth of interventions used in practice. This systematic review and meta-analysis synthesized evidence on the impact of all types of behavioral weight management interventions on EBTs. We searched seven databases and included randomized controlled trials reporting EBT outcomes following behavioral weight management interventions delivered to adults with overweight or obesity. Using random-effects meta-analyses, we synthesized findings from 27 trials at the end of intervention and 12 months (±3 months) post intervention. We found evidence to suggest that interventions improved uncontrolled eating, external eating, susceptibility to hunger, restraint and intuitive eating at intervention end when compared with waitlist, minimal or usual care control. We found no evidence of effects on emotional eating, disinhibition, and hedonic hunger. At follow-up, effects on restraint remained, but we found no evidence of an effect on emotional eating, hedonic hunger and uncontrolled eating. Findings were limited by low numbers of contributing trials. More high-quality trials reporting EBTs are needed to better understand the impact of adult behavioral weight management interventions on EBTs. PROSPERO registration number: CRD42022367505.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":" ","pages":"e13871"},"PeriodicalIF":8.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142685388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association of childhood obesity with pubertal development in boys: A systematic review and meta-analysis 儿童肥胖与男孩青春期发育的关系:系统回顾和荟萃分析。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-20 DOI: 10.1111/obr.13869
Jia-Shuan Huang, Chang Gao, Wan-Qing Xiao, Xuan-Yu Zhang, Xiao-Wen Zhong, Yi-Qi Qin, Min-Shan Lu, Cheng-Hao Zhang, Kun Yang, Jia-Min Liang, Chi Chiu Wang, Ronald Ching Wan Ma, Jian-Rong He, Xiu Qiu
{"title":"Association of childhood obesity with pubertal development in boys: A systematic review and meta-analysis","authors":"Jia-Shuan Huang,&nbsp;Chang Gao,&nbsp;Wan-Qing Xiao,&nbsp;Xuan-Yu Zhang,&nbsp;Xiao-Wen Zhong,&nbsp;Yi-Qi Qin,&nbsp;Min-Shan Lu,&nbsp;Cheng-Hao Zhang,&nbsp;Kun Yang,&nbsp;Jia-Min Liang,&nbsp;Chi Chiu Wang,&nbsp;Ronald Ching Wan Ma,&nbsp;Jian-Rong He,&nbsp;Xiu Qiu","doi":"10.1111/obr.13869","DOIUrl":"10.1111/obr.13869","url":null,"abstract":"<div>\u0000 \u0000 <p>Childhood obesity leads to early puberty development in girls, but its effect in boys remains unclear. We conducted a systematic review and meta-analysis to study the association between childhood obesity and puberty development in boys. We included 14 cohort studies with 114,822 boys. Meta-analysis showed that childhood overweight (RR, 1.44; 95%CI, 1.08–1.93; the number of studies [<i>N</i>] = 4) and obesity (RR, 1.35; 95%CI, 1.11–1.64; <i>N</i> = 5) were associated with the earlier occurrence of testicular volume ≥4 mL (Tanner stage 2). Age reaching Tanner stage 2 in overweight boys was earlier than normal-weight boys (mean difference: −0.23 years, 95% CI: −0.37 to −0.08; <i>N</i> = 2); a similar trend was observed in obese boys, but the effect estimate did not reach significance level (mean difference: −0.27 years, 95% CI: −0.59 to 0.05; <i>N</i> = 3). Similarly, the age at pubarche in boys with overweight/obesity was earlier than those with normal weight. Qualitative analysis shows first nocturnal emission; change in voice and peak height velocity in boys with overweight/obesity appeared to develop earlier than those with normal weight. These findings suggest overweight/obesity is associated with earlier pubertal development in boys. Due to the limited number of studies identified in this review, further studies are warranted to confirm these associations.</p>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"26 3","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trends in adherence to physical activity guidelines from 1997 to 2018 among adults with obesity: An analysis from the US National Health Interview Survey 1997 年至 2018 年肥胖成人遵守体育锻炼指南的趋势:美国全国健康访谈调查分析。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-19 DOI: 10.1111/obr.13866
José Francisco López-Gil, Joaquín Calatayud, Rubén López-Bueno
{"title":"Trends in adherence to physical activity guidelines from 1997 to 2018 among adults with obesity: An analysis from the US National Health Interview Survey","authors":"José Francisco López-Gil,&nbsp;Joaquín Calatayud,&nbsp;Rubén López-Bueno","doi":"10.1111/obr.13866","DOIUrl":"10.1111/obr.13866","url":null,"abstract":"<p>The aim of this study was to estimate the temporal trends in adherence rates to the physical activity (PA) guidelines for aerobic and muscle-strengthening activities (MSA) among United States (US) adults with obesity. We retrieved data from 22 consecutive rounds of the National Health Interview Survey (NHIS) conducted between 1997 and 2018. Meeting with the PA guidelines recommended by the World Health Organization was determined as follows: individuals achieving ≥150 weekly minutes of moderate physical activity (MPA), ≥75 weekly minutes of vigorous physical activity (VPA), and ≥2 weekly MSA training sessions. The prevalence of meeting PA guidelines increased from 9.4% in 1997 to 15.0% in 2018, although less than 2 in 10 adults with obesity met the guidelines throughout the study period. Overall, compared to females, males with obesity were more likely to adhere to PA recommendations (odds ratio (OR) = 2.03 [95% confidence interval (CI), 1.94 to 2.12]). Also, each age year significantly reduced the odds of adhering to PA recommendations overall (OR = 0.97 [95% CI, 0.97 to 0.98]). Compared with their White counterparts, Black and other races people with obesity have higher significant odds of adhering to PA recommendations with, respectively, OR = 1.18 (95% CI, 1.12 to 1.24) and OR = 1.30 (95% CI, 1.18 to 1.43). In representative samples of adults with obesity from the US, there was an increasing trend for meeting PA guidelines, although only less than 2 in 10 met them.</p>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"26 3","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13866","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142674445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Efficacy and safety of laparoscopic bariatric surgery in patients of 70 years and older: A systematic review and meta-analysis 腹腔镜减肥手术对 70 岁及以上患者的疗效和安全性:系统回顾和荟萃分析。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-17 DOI: 10.1111/obr.13867
Jan Kapała, Tomasz Maroszczuk, Natalia Dowgiałło-Gornowicz
{"title":"Efficacy and safety of laparoscopic bariatric surgery in patients of 70 years and older: A systematic review and meta-analysis","authors":"Jan Kapała,&nbsp;Tomasz Maroszczuk,&nbsp;Natalia Dowgiałło-Gornowicz","doi":"10.1111/obr.13867","DOIUrl":"10.1111/obr.13867","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Aging population and growing obesity prevalence are two major public health issues. Bariatric surgery has been shown to be both safe and effective, but its role in the treatment of the elderly remains controversial.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate the efficacy and safety of laparoscopic bariatric surgery in patients over 70 years of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic review and assessment of the literature was performed in November–December 2023. Inclusion criteria gathered studies of elderly (age ≥70 years old) who underwent laparoscopic bariatric surgery. The data extraction focused on weight loss, obesity-related diseases, and complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fourteen retrospective studies were included, involving 3923 septuagenarians (female, 69.70%). One year after the surgery, the mean excess weight loss was 54.66%. At last follow-up, the improvement in obesity-related diseases was regarded as 50% diagnosed with diabetes, 36% with hypertension, 50% with reflux, 36% with sleep apnea, and 25% with hyperlipidemia. The overall postoperative major morbidity and mortality were about 2% and 1%, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This systematic review suggests that laparoscopic bariatric surgery is an effective and safe treatment for patients over 70 years of age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":216,"journal":{"name":"Obesity Reviews","volume":"26 3","pages":""},"PeriodicalIF":8.0,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/obr.13867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Valuing behavioral interventions for obesity reduction: A scoping review of economic models 评估减少肥胖的行为干预措施:经济模型范围综述。
IF 8 2区 医学
Obesity Reviews Pub Date : 2024-11-17 DOI: 10.1111/obr.13865
Joanna McLaughlin, Carlos Sillero-Rejon, Theresa H. M. Moore, Hugh McLeod
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