January 2014—News and Trends

| January 22, 2014

MEN DO NOT SEEK OBESITY SURGERY AS SOON AS THEY SHOULD
SACRAMENTO, California—Even though obesity affects women and men equally, a UC Davis study shows that women with obesity are four times more likely than men with obesity to seek weight-loss surgery. When they do see a bariatric surgeon, male patients tend to be older, more obese, and sicker than women.
“It is important for men to realize that obesity poses a serious threat to their health and lifespans,” said Mohamed Ali, senior author of the study and chief of bariatric surgery at UC Davis, Sacramenta, California. “A patient who is 100 pounds or more above his ideal body weight poses a therapeutic dilemma and should be referred to a surgeon.”

For the study, published in the December 2013 issue of Surgical Endoscopy, Ali et al collected information from 1,368 patients who were evaluated for bariatric surgery at UC Davis between 2002 and 2006. A vast majority of them—nearly 82 percent—were women.

Both men and women in the study were likely to be affected by weight-related conditions, such as hypertension, diabetes, obstructive sleep apnea (OSA), elevated cholesterol and fat levels in the blood, gastroesophageal reflux disease (GERD), musculoskeletal peripheral disease, back pain, depression, and metabolic syndrome, a combination of conditions that increases the risk of cardiovascular disease.
There were some distinctions, however, between men and women in the study. The authors observed the following in the male participants:
•    Had more weight-related health conditions as well as more serious forms of those conditions (an average of 4.54 conditions and 3.7 serious conditions for men, compared to an average of 4.15 conditions and 3.08 serious conditions for women)
•    Were more likely to have hypertension (68.8 percent versus 55.3 percent), diabetes (36.4 percent versus 28.9 percent), obstructive sleep apnea (71.9 percent versus 45.7 percent), and metabolic syndrome (20.9 percent versus 15.2 percent)
•    Had higher body mass index (BMI) measures (an average of 48.7kg/m2 BMI for males compared to 46.6kg/m2 BMI for females) and were more likely to have class IV obesity, which is a BMI between 50 and 59kg/m2
•    Were about two years older than the women and more likely to be over 50 years of age

Even though the weight, health, quality of life, psychosocial function and lifespan of a man with obesity could be dramatically improved by surgical weight loss, Ali said that he and other bariatric surgeons must balance these potential benefits against the patient’s risk for post-surgical complications.
“This risk would be significantly lessened if obese males were referred to bariatric surgeons before they develop serious disease complications,” said Ali, whose study is believed to be the first in the US to investigate gender-specific health disparities in patients seeking weight-loss surgery.
At the time of Ali’s analysis, 930 patients (70 percent) included in the study had undergone bariatric surgery, but only 14.4 percent of them were men.

A copy of “A Call to Arms: Obese Men with More Severe Comorbid Disease and Underutilization of Bariatric Operations,” is available at http://link.springer.com/article/10.1007%2Fs00464-013-3122-1. Contact contact Karen Finney at karen.finney@ucdmc.ucdavis.edu for more informaiton.
For more information on UC Davis, visit healthsystem.ucdavis.edu.

OBESITY ACTION COALITION (OAC) WELCOMES TED KYLE, RPH, MBA, AS CHAIRMAN OF THE COALITION AND ANNOUNCES NEW BOARD MEMBERS FOR 2014
Tampa, Florida—The OAC is pleased to welcome Ted Kyle, RPh, MBA, as Chairman of the Coalition. As a longtime OAC member, recipient of the 2012 OAC “Member of the Year” award and frequent Your Weight Matters Magazine author, Ted has consistently provided the OAC with dedication, knowledge and obesity-focused expertise.

“The OAC is unlike any other obesity-focused non-profit. The OAC truly represents those affected by this disease and fights on a daily basis to ensure those affected are respectfully represented in all areas, such as advocacy, combating weight bias and discrimination, treatment and much more. I hope my service can complement the passion and determination of all our members,” said Ted Kyle, RPh, MBA, OAC Chairman. Ted has served on the OAC National Board of Directors since 2010 and was named vice-chairman of the Coalition in early 2013.

The OAC also welcomes Tammy Beaumont, BSN, RN, CBN; Walter Medlin, MD, FACS; and Melinda J. Watman, BSN, MSN, CNM, MBA; to the 2014 OAC National Board of Directors.
Tammy joined the OAC in 2005 and is the director of a bariatric program in Dallas, a certified bariatric nurse and a bariatric surgery patient. Tammy serves on various OAC committees, such as the Convention planning committee, the Convention Program Agenda Subcommittee, the Revenue Generation Committee, and more.

Dr. Medlin was recently honored with the OAC’s “Member of the Year” award and is a frequent author in Your Weight Matters Magazine. He is the director of the Metabolic Surgery program at Billings Clinic in Montana and has struggled with his weight since first grade.

Melinda, recipient of the OAC’s “Bias Buster of the Year” award, has testified with courage and passion to a panel of legislators about her personal experiences with weight bias and obesity, the importance of respecting people of all sizes and shapes and protecting them from discrimination.

The remaining OAC National Board of Directors are as follows: Pam Davis, RN, BSN, CBN, Immediate-Past Chairman; Georgeann Mallory, RD, Treasurer; Jacqueline Jacques, ND, Secretary; Jim Fivecoat, MBA; Amber Huett-Garcia, BS, MPA; Robert Kushner, MD; Holly F. Lofton, MD; Tracy Martinez, RN, BSN, CBN; Lloyd Stegemann, MD, FASMBS; and Michelle Vicari.

The 2014 Board of Directors’ slate was presented to the membership in the November 2013 OAC Members Make a Difference e-newsletter. We invited our members to review the slate and submit their own candidate, if desired. The OAC received full support of the slate and we now welcome Tammy, Dr. Medlin and Melinda to the Board.

For more information on the OAC National Board of Directors, please visit the OAC website at www.ObesityAction.org.

The Obesity Action Coalition (OAC), a nearly 50,000 member-strong National non-profit organization, is dedicated to improving the lives of individuals affected by the disease of obesity through education, advocacy and support.

News from the American Board of Obesity Medicine
American Board of Obesity Medicine announces an early application deadline for the 2014 certification examination. Certification examination for obesity medicine physician candidates will now have the opportunity to submit applications for an early deadline at a reduced application fee.
•    Early Application Deadline:
July 21, 2014
Fee: $1,500
•    Application Deadline:
September 15, 2014
Fee: $1,750

Visit http://abom.org/how-to-apply/policies-procedures/ to download the examination policies and procedures.

ABOM announces plans to launch an online application portal. The ABOM will launch its online application portal in January 2014. The application submission process will be greatly simplified. Steps are as follows:
Step 1. Click on the signup button.
Step 2. Once you complete the signup process, you will receive an e-mail to confirm your registration. Make sure to check your spam box just in case. Please add us to your safe sender list so that you can continue to receive messages from us.
Step 3. Upload all application material on the site as per the instructions shown at log in. Please have all of your supporting documents in PDF format for ease in uploading.

The ABOM welcomes the Canadian Obesity Network Réseau canadien en obésité as its newest partnering organization. The ABOM aims to unify the field of obesity medicine under one certification process and to attract the support of as many meaningful partnering organizations as possible.“The ABOM is pleased to receive the support of the Canadian Obesity Network Réseau canadien en obésité (CON-RCO) as a partnering organization. CON-RCO has been influential in improving the care of overweight and obese patients throughout Canada.

“By offering ABOM certification, we are raising the competency standards of physicians who wish to become distinguished in the field of obesity medicine,” said Dr. Robert Kushner, Chair of the ABOM and Professor of Medicine at Northwestern University Feinberg School of Medicine.
The ABOM has seen a 33-percent increase in the number of Canadian physician candidates from 2012 to 2013. Over one in four Canadian adults are obese, according to measured height and weight data from 2007 to 2009. Between 1981 and 2007 to 2009, measured obesity roughly doubled among both men and women in most age groups in the Canadian adult and youth categories.

“The Canadian Obesity Network is particularly excited about this partnership with the American Board of Obesity Medicine, which offers US and Canadian physicians a certification that ensures a level of expertise in the management of this complex and multifactorial disease,” said Dr. Arya M. Sharma, CON-RCO Scientific Director, Professor of Medicine and Chair for Obesity Research and Management at the University of Alberta.

The ABOM serves the public and the field of obesity medicine through the establishment and maintenance of criteria and procedures for examination and certification of candidate physicians who seek recognition of their accomplishments in obesity medicine. Physicians who complete the ABOM certification process in obesity medicine are designated Diplomates of the American Board of Obesity Medicine.

The CON-RCO is Canada’s largest professional obesity association dedicated to creating a credible community for change to reduce the mental, physical and economic burden of obesity on Canadians. Its mission is to act as a catalyst for addressing obesity in Canada and to foster knowledge translation, capacity building, and partnerships among stakeholders so that researchers, health professionals, policy makers, industry, and other stakeholders may develop effective solutions to prevent and treat obesity.

PREEMINENT MEDICAL ASSOCIATION REVEALS 2013 LIST OF MOST FREQUENTLY SEARCHED MEDICAL CONDITIONS
JACKSONVILLE, Florida—The American Association of Clinical Endocrinologists (AACE) released its first annual list of the most frequently searched endocrine medical conditions for 2013, as measured by visits to the organization’s patient education website, www.empoweryourhealth.org.
Mirroring Google’s most-searched medical symptoms of 2013, diabetes (#3 in the Google list) and thyroid (#5 in the Google list) were also in the AACE website’s top 10 searches, although the number of thyroid health searches within the empoweryourhealth.org website was double the number of diabetes searches.
The top 10 searched endocrine conditions on the AACE website are as follows:
1.    Thyroid
2.    Diabetes
3.    Women’s endocrine health
4.    Parathyroid disorders
5.    Low thyroid hormone levels (hypothyroidism)
6.    Men’s endocrine health
7.    Adrenal glands
8.    Nutrition
9.    The pituitary glands
10. Obesity

“Many people, while recognizing diseases like diabetes and hypothyroidism, don’t have an understanding that these are conditions of the endocrine system,” said Jeffrey I. Mechanick, MD, FACP, FACE., ECNU and 2013–2014 AACE President. “It’s interesting to see the full range of endocrine-related conditions being searched for, as that certainly suggests that people are not only making the effort to educate themselves, but also that the need exists for robust and comprehensive medical information about an area of medicine that is so highly specialized.”

AACE represents more than 6,500 endocrinologists in the United States and abroad. AACE is the largest association of clinical endocrinologists in the world. The majority of AACE members are certified in endocrinology, diabetes and metabolism and concentrate on the treatment of patients with endocrine and metabolic disorders including diabetes, thyroid disorders, osteoporosis, growth hormone deficiency, cholesterol disorders, hypertension and obesity. For additional information, visit www.aace.com.

DETECTO Bariatric Portable Wheelchair Scale Now Offers Optional Wi-Fi Connectivity
Detecto’s USA-made model BRW1000 portable digital wheelchair scale is designed specifically for bariatric-size wheelchair patients. The BRW1000 features a low-profile platform with two-way, easy-access integral ramps for efficient wheelchair loading. The digital scale’s spacious platform measures extra-large 40-inch wide by 30-inch deep dimensions (flat portion) to accommodate oversized bariatric wheelchairs. A non-skid rubber mat provides traction for patients standing barefoot or wheelchair tires to grip for assurance and stability.

The robust 1,000-lb/450-kilogram capacity and extra-large platform size allows the BRW1000 to be used with patients in manual or power wheelchairs, dialysis patients, or walk-ons. Integral dual wheels and two carrying handles combine with a relatively-lightweight, 75-lb frame and battery operation to allow the BRW1000 rolling mobility for versatile weighing use. The scale’s four USA-made stainless steel load cells feature self-aligning feet, so when the scale comes to rest from transport mode, it will find the most level surface for weighing.

The BRW1000 features Detecto’s USA-made MedVue digital weight indicator, which provides brilliant blue LCD readouts with 7/8-in-high weight digits and up to 14-digit patient IDs that may be entered via the indicator’s color-coded keypad. Weight, height, and body mass index patient measurement data may be output to EMR/EHR software through the indicator’s standard RS232 serial or USB ports, or through optional wired or Wi-Fi Ethernet connectivity.

The BRW1000 is part of Detecto’s Patriot line of USA-made clinical scales. From the stainless steel load cells to the MedVue digital weight indicator, the scale is completely manufactured in Webb City, Missouri at Detecto’s factory.

For more information about Detecto’s BRW1000 bariatric wheelchair scale, please visit http://www.detecto.com/cs_product/brw1000-portable, www.Detecto.com, or call us toll-free at (800) 641-2008.

SURGEON ANSWERS FREQUENTLY ASKED QUESTIONS FROM BARIATRIC PATIENTS IN BOOK
Woodland Hills, CALIFORNIA—Dr. Scott Cunneen, Director of Bariatric Surgery at Cedars-Sinai Medical Center, Los Angeles, California answers the most common questions people ask about all the weight loss surgeries offered today in the book titled, Weight Issues: Getting the Skinny on Weight Loss Surgery. The book contains descriptions of each procedure, and discusses the responsibility of the patient to adhere to the changes required to make these operations work.

“It’s (bariatric surgery) a huge, lifelong commitment as well as a complete change of lifestyle with regard to one’s relationship with food, a very power-ful relationship for most of us,” Cunneen says. The book itself is user-friendly, beginning with a discussion of surgical options in a section called “Generally Speaking.” Sections that follow are “Nuts & Bolts” and “Life Changes,” for everyone still in the decision-making process, plus chapters on laparoscopic adjustable gastric banding (LAGB), gastric bypass, and sleeve gastrectomy. The book also features a section titled, “Girl Talk,” which gives the perspective of a female bariatric surgeon, Dr. Mona Misra.

For more information on this book, visit http://www.weightyissuesbook.com..

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