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Polycystic ovarian syndrome, metabolic syndrome, and obesity in pregnancy
Published in Nadia Barghouthi, Jessica Perini, Endocrine Diseases in Pregnancy and the Postpartum Period, 2021
To prevent deficiencies due to weight loss and malabsorption, vitamin supplementation is routinely prescribed after bariatric surgery. Pregnant women who have had bariatric surgery should continue the supplements they were taking prior to pregnancy except they should replace the multivitamin with a prenatal vitamin. Depending on the supplement, additional iron and folate may be required. Patients should not receive more than 5000 IUs of vitamin A to avoid retinoid embryopathy.
Childhood obesity
Published in Judy More, Infant, Child and Adolescent Nutrition, 2021
In pre-pubertal obese and overweight children, weight loss may not be required but weight gain can be slowed or stopped temporarily through lifestyle changes so that BMI declines as the child grows taller. Any weight loss should be limited to about 1kg/month. Older children who have already been through their pubertal growth spurt and very obese pre-pubertal children will require weight loss to reduce their BMI. Bariatric surgery is available in some areas for post-pubertal children who have unsuccessfully tried lifestyle change.
Bariatric surgery
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Lindel C.K. Dewberry, Thomas H. Inge
Bariatric surgery essentially results in surgically enforced very low-calorie, low-carbohydrate dietary intake, thus requiring attention to an adequate intake of important macro- and micronutrients postoperatively. Postoperative follow-up after RYGBP and SG in adolescents is intensive: 2 weeks postoperative visit, then at 6 weeks, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months, then yearly thereafter. Serum chemistries, complete blood count, urine specific gravity, prothrombin time (evidence of vitamin K adequacy) and representative B complex vitamin levels (e.g. B1, B12, folate) are obtained at 6 and 12 months postoperatively then yearly.
Low dose of liraglutide combined with metformin leads to a significant weight loss in Chinese Han women with polycystic ovary syndrome: a retrospective study
Published in Gynecological Endocrinology, 2023
Xuefeng Long, Hengwei Liu, Wenqian Xiong, Wenjin Li, Haitang He, Tian Fu, Xiaoou Li, Chunyan Chen, Ling Zhang, Yi Liu
Even a modest weight loss of 5–10% may improve reproductive and metabolic profile [5]. Nowadays, ways to lose weight include lifestyle interventions, medication, and bariatric surgery. Lifestyle interventions is the first line of treatments but is not sustainable in daily life as many women usually regain lost weight because of poor compliance [11,12]. Bariatric surgery is an effective way and usually reserved for patients with a body mass index (BMI) >40 kg/m2 or with BMI >35 kg/m2 and one or more significant comorbid conditions, when nonsurgical methods of weight loss have failed. But bariatric surgery may cause nutritional deficiencies and other postoperative complications [13]. As for pharmacological interventions, metformin is an established treatment for PCOS with good safety and toleration. As an insulin sensitizer, it can not only improve insulin resistance significantly, but also has effects on menstrual disorders, anovulation, metabolic, and cardiovascular abnormalities [14,15]. However, some meta-analysises show its effect on weight loss with lifestyle changes always unsatisfactory [16].
Physical activity with hindrances: a qualitative study of post bariatric patients’ experiences of physical activity in relation to excess skin
Published in Journal of Plastic Surgery and Hand Surgery, 2022
Monika Fagevik Olsén, Sabina Gren, Sofia Heydeck Sundberg, Christina Biörserud
All participants highlighted the importance of physical activity, both generally and especially after undergoing bariatric surgery. It was described as a prerequisite for feeling well, both physically and mentally, maintaining a desired weight and coping with one’s work. In addition, the participants felt that physical activity could kick-start them, make them more attractive, feel good about themselves and radiate more openness and joy. They described feeling good after being physically active and also a natural fatigue. The bariatric surgery was described as a tool for losing weight, and maintaining the weight loss and returning to, or receiving an active lifestyle, through proper exercise and good nutrition. This was something most participants strived for, to not regain weight.
Translation and validation of a Swedish version of the BODY-Q: a patient-reported outcome instrument for weight loss and body contouring surgery
Published in Journal of Plastic Surgery and Hand Surgery, 2022
Monika Fagevik Olsén, Christina Biörserud, Micheline Al Nouh, Trude Staalesen, Anna Elander
To evaluate the criterion validity, questionnaires from 30 subjects were required for applicable analyses. Subjects with known excess skin after massive weight loss were, therefore, identified from the waiting list after referral to the department of Plastic Surgery for abdominoplasty because of excess skin. A convenience sample of forty-nine were invited by mail and sent the two questionnaires, BODY-Q and SESQ. If there was no response, one reminder was posted. Thirty patients (61%) of them returned the questionnaires. They were an average age of 48.6 years (min 26 and max 67 years), had a current body mass index (BMI) of 33.6 kg/m2 (min 22.9 and max 44.3) and maximal BMI of 49.6 kg/m2 (min 38.2 and max 81.5). All but one had undergone bariatric surgery, the last one had lost weight through diet. The average time since bariatric surgery was 6.9 years (1–17 years).