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High-intensity lifestyle treatment beneficial for obesity in underserved communities
Source:
Medical Xpress

For an underserved primary care population, a high-intensity lifestyle-based treatment program for obesity results in significant weight loss at 24 months, according to a study published in the Sept. 3 issue of the New England Journal of Medicine.

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Even light alcohol consumption linked to higher risk of obesity and metabolic syndrome in study of 27 million adults
Source:
Medical Xpress

Consuming more than half a standard alcoholic drink a day (equivalent to 7g of pure alcohol) is associated with an increased risk of obesity and metabolic syndrome in both men and women, and the risk rises in proportion with alcohol intake, according to a nationwide study involving nearly 27 million adults (aged 20 years and older) from South Korea, being presented at The European and International Congress on Obesity (ECOICO), held online this year.

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Maternal obesity may alter fetal brain development
Source:
Medical Xpress

Obesity in pregnant women may impact the development of their offspring's brains, according to a study published online Aug. 10 in the Journal of Child Psychology and Psychiatry.

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Rising Obesity Levels Put Americans at Risk During Pandemic: CDC
Source:
HealthDay

Adult obesity in the United States continues to rise, and being obese increases the risk of severe illness in people with COVID-19, the U.S. Centers for Disease Control and Prevention warns.

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Probiotics may help manage childhood obesity
Source:
Medical Xpress

Probiotics may help children and adolescents with obesity lose weight when taken alongside a calorie-controlled diet, according to a study being presented at e-ECE 2020. The study found that obese children who were put on a calorie-restricted diet and given probiotics Bifidobacterium breve BR03 and Bifidobacterium breve B632, lost more weight and had improved insulin sensitivity compared with children on a diet only.

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Weight stigma predicts emotional distress and binge eating during COVID-19
Source:
Medical Xpress

Links between obesity and complications of COVID-19 have received increasing attention throughout the ongoing pandemic. But a different aspect of body weight—the social stigma that people face because of their weight—may also have harmful implications for people's health during the pandemic.

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Study: COVID-19 lockdowns worsen childhood obesity
Source:
Medical Xpress

Lockdowns implemented across the world due to the COVID-19 pandemic have negatively impacted diet, sleep and physical activity among children with obesity, according to University at Buffalo research.

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Coronavirus linked to greater risk of life-threatening infection in people with obesity
Source:
Medical Xpress

As worldwide coronavirus-related deaths tip a quarter of a million, a concerning trend is surfacing in the medical literature: high rates of obesity in groups of patients with severe or life-threatening COVID-19.

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Mental, physical health of people with obesity affected during COVID-19 pandemic
Source:
Medical Xpress

The COVID-19 pandemic is having a significant impact on people with obesity as they struggle to manage their weight and mental health during shelter-in-place orders, according to research led by The University of Texas Health Science Center at Houston (UTHealth) and UT Southwestern.

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Obesity not related to how close you live to fast food or gyms, new study says
Source:
Medical Xpress

A new study from Lund University in Sweden has shown no correlation between obesity and how close you live to fast food restaurants or gyms. Studies from other countries have previously indicated that these factors may be important in adult obesity.

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Childhood obesity linked to smoking, air pollution and other environmental factors
Source:
Medical Xpress

Childhood obesity is a health threat that is becoming more and more common worldwide. It increases risk later on for a variety of life-threatening challenges, including type 2 diabetes, cancer, heart disease and even mental health problems.

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Facts and myths about obesity, emerging as a key factor in COVID-19 hospitalization
Source:
Medical Xpress

With so much misinformation surrounding obesity, Dr. Catherine Varney is careful with her words. First of all, she clarifies that her patients are not obese, but rather have obesity, which is a disease and not a lack of willpower.

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Telehealth may help rural Americans keep the weight off
Source:
Medical Xpress

Although many people can lose weight, few maintain the loss. Could individual telephone support be the key to keeping extra pounds at bay?

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Research finds new genes contributing to severe childhood obesity
Source:
Medical Xpress

In the largest study of the genetics of childhood obesity, researchers have looked at why some children gain weight very easily.

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CHADD Support Group

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CHADD Support Group

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Doctors As Seen On TV Show Wake Up Call

Doctors As Seen On TV Show Wake Up Call


Dr. Shillingford will be speaking at Northwest Medical Center’s Let’s Talk Health Lecture Series

When: Wednesday, January 25, 2017 7:30-8:30 am
Where: Northwest Medical Center

Visit www.northwestmed.com/calendar for more information and to register for this free event.

pdf iconNWMC Bariatric Mailer Lecture Feb 2016


Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 3-Year Outcomes
Source:
New England Journal of Medicine

In short-term randomized trials (duration, 1 to 2 years), bariatric surgery has been associated with improvement in type 2 diabetes mellitus.

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Diabetes May Be Worse for Women
Source:
CNN Health

Between men and women, diabetes doesn’t always play fair. Both sexes are just as likely to develop the disease. But science shows that women may fare worse once they have it, particularly in terms of heart health.

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Media

Media

Dr. Shillingford has given multiple talks on general surgery and weight loss surgery to the community and physician groups. Recently, Dr. Shillingford was the guest speaker on the topic ‘Hernias: Symptoms and Current Treatments’, at a lecture series held at the West Boca Medical Center.

India to Cover Weight-Loss Surgery for MPs
Source:
The Wall Street Journal

As Indian waistlines expand, the Ministry of Health has decided to tackle the problem from the top and pay for some or all of the cost for weight-loss surgery for high-ranking government officials.

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In patients with acute cholecystitis, surgery should be performed immediately
Source:
Medical Xpress

There are no advantages to delaying surgery until antibiotic therapy has been administered for several weeks. After undergoing surgery performed within 24 hours of diagnosis, the patients have fewer complications, are back on their feet earlier, and can leave the hospital more quickly.

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GERD prevalence raised even in mild–moderate COPD, bronchiectasis
Source:
News Medical

Researchers from Australia have found that the rate of gastroesophageal reflux disease (GERD) is twice as high in patients with chronic obstructive pulmonary disease (COPD) or bronchiectasis as in people without lung disease.

Furthermore, the researchers found evidence for pulmonary aspiration of gastric contents among these patients which, if confirmed in future studies, could support the hypothesis that this contributes to lung disease severity. The study participants were 27 patients with mild or moderate COPD and 27 with moderate or severe bronchiectasis as well as 17 controls.

Ambulatory 24-hour esophageal pH monitoring showed that 37% of COPD patients and 40% of bronchiectasis patients had reflux compared with 18% of controls. All controls with GERD had asymptomatic distal reflux, while eight COPD patients had distal reflux only and two had proximal and distal reflux. In bronchiectasis, seven patients had distal reflux only, three had proximal and distal reflux, and two had proximal reflux only.

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No Major Complications in Most Teens Undergoing Weight-Loss Bariatric Surgery, Study Suggests
Source:
Science Daily

Most severely obese teenagers who underwent bariatric weight-loss surgery (WLS) experienced no major complications, according to a study published by JAMA Pediatrics, a JAMA Network publication.

WLS is being used to treat severely obese adolescents but there are limited data about the surgical safety of these procedures. The volume of adolescent WLS in the United States tripled from the late 1990s to 2003 and shows no decline, according to the study background.

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Obesity may be caused by ‘hunger gene’
Source:
Medical News Today

Some people are able to tuck into chocolate every day and not gain weight, while others struggle to keep their weight down regardless of what they eat. Exactly why this is has been unclear, but now researchers point to a genetic mutation as the cause.

Researchers from the University of Cambridge in the UK say that mutation of a gene called KSR2 may cause continued hunger pangs in patients who are obese, as well as slow their metabolism – the rate at which the body burns calories.

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Ventral Hernia Repair: State of the Art, Current Challenges, and Future Directions
Source:
General Surgery News

In May 2013, LifeCell Corporation sponsored a summit to discuss the evolution of ventral herniorrhaphy since the publication of the Ventral Hernia Working Group’s recommendations on techniques for repair of ventral hernia and grading of risk for surgical site occurrences. This monograph presents key points identified by the summit’s panel of leading surgeons and reviews the challenges and salient questions in ventral hernia repair faced by surgeons today.

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Techniques for Using Biologic Mesh in Hernia Repair: Clinical Experience With VERITAS Collagen Matrix
Source:
General Surgery News

Despite some benefits over synthetic meshes, some biologic meshes possess features, such as a high elastin content or crosslinked rigidity, that make them a less optimal choice for specific procedures. VERITAS is a non-crosslinked biologic mesh comprised of bovine pericardium intended for use in reconstruction of the pelvic floor excluding transvaginal pelvic organ prolapse, the repair of rectal prolapse excluding rectocele, and for use as an implant for the surgical repair of soft tissue deficiencies. VERITAS is designed to provide surgeons an additional option that aims to further reduce operative and postoperative complications related to biologic mesh use. This report describes the use of VERITAS in 3 overall procedure types: hiatal hernia repair; incisional and parastomal hernia repair, and abdominal wall and breast reconstruction including discussion on effective techniques in employing VERITAS mesh.

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Tackling abdominal obesity with exercise and nutrition
Source:
Medical News Today

Lifestyle programs focused on high-intensity interval training combined with nutritional counselling on the Mediterranean diet have shown dramatic results for improving the heart health of people with abdominal obesity, finds a study released at the Canadian Cardiovascular Congress.

"Each of these lifestyle interventions alone is known to have an impact, but no one has studied them together in a longer term," says Dr. Mathieu Gayda, one of the study’s authors and an exercise physiologist at the Montreal Heart Institute. "Our results show that the combination of the two interventions supersized the benefits to heart health."

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