How Much Exercise Is Enough?

According to data from the Behavioral Risk Factor Surveillance System in 2005, less than 50 percent of the United States population participates in “recommended” levels of physical activity. You may be wondering what exactly the “recommended” levels of physical activity are. The recommended levels of physical activity (including both the amount and intensity) differ per person’s individual needs and their exercise goals. In other words, is the goal weight loss or maintenance, increasing one’s energy levels, controlling blood pressure, or blood sugar, etc.?  Activity is not a one-size-fits-all prescription.

            There is a common misconception that if you are thin then you are fit. That is false. Regular activity is what defines fitness, not thinness. The benefits of exercise can only be achieved by engaging in REGULAR activity on a consistent basis. Current exercise recommendations from the United States Department of Health And Human Services for adults aged 18 and older are 150 minutes of moderate-intensity cardiovascular activity (brisk walking) per week, or 75 minutes of vigorous activity (jogging) per week plus 2 or more nonconsecutive days of muscle strengthening activity. A person can achieve the same benefits from exercising 30 minutes a day, regardless of how they incorporate that 30-minute exercise routine into their schedule. For example, a study by Jakicic et al. showed that splitting long exercise bouts into small bouts of at least 10 minutes over the day, improved patient adherence to regular activity and was just as effective in achieving weight loss, compared to a patient who engaged in a long exercise bout at one time.

            The National Weight Control Registry has routinely showed that over 60 minutes of activity per day is critical for long-term weight loss success and maintenance. It is believed by many that variety is the key for not only improving strength and fitness from working different muscles in multiple ways, but also for keeping patients engaged and motivated.

            There are currently limited studies looking at the impact of activity in post-bariatric surgery patients. A study done by Bond et al. discovered that patients, who were inactive pre-operatively but became active post-operatively, not only lost an additional 13 pounds, but also had greater improvements in quality-of-life scores in relation to mental health, general health, and vitality. Regardless of the limited research for post-bariatric surgery patients, it is still recommended that for long term health, fitness, and weight management benefits, these patients need to be active.

            In conclusion, every person, whether obese or thin, healthy or unhealthy, needs to engage in regular activity on a daily basis, since there are many long-term risks from inactivity.

Peraino, A.M., M.D. Physical Activity for Health and Weight Loss: How Much is Enough? Bariatric Times. 2011; 8(2):13-15

Decreased Migraines with Bariatric Surgery

A small observational study out of Rhode Island showed that weight loss was associated with less frequency and intensity of migraine headaches in obese subjects.

24 severely obese women, who suffered from migraines, were assessed before and 6 months after undergoing bariatric surgery. Their mean body mass index (BMI) before and 6 months after surgery was 46.6 and 34.6, respectively.

Nearly half (46%) of the subjects experienced at least a 50% reduction in their headache frequency, this was despite the fact that nearly 70% of these subjects were still considered obese. This finding was also regardless of the type of weight loss surgery the patient had; 58% of the patients had the LapBand.

Weight loss has yet to be proven to improve migraines, but they think it definitively has an effect.

Their findings were published March 29 in Neurology.

Low Testosterone in Men Reversed with Bariatric Surgery

 Low testosterone and sexual dysfunction is common in morbidly obese males. A new study out of the University of Louvain in Brussels showed that these problems may be reversed with weight loss after bariatric surgery.

 They found low testosterone in 27 out of 75 obese men in an obesity clinic. Signs of androgen, or male hormone, deficiency included low libido and erectile dysfunction were reported in 72% of subjects. They also measured body fat and body mass index (BMI) and found the higher the BMI and body fat the lower the testosterone levels.

 Between 2007 and 2010, 17 men underwent bariatric surgery and were assessed 12 months later. They had lost an average of 90.2 pounds. They had no complaints of sexual dysfunction after their weight loss surgery and their testosterone levels had increased to the normal range.

 Article URL: http://www.medicalnewstoday.com/releases/227519.php

Bariatric Surgeons Can Eliminate GERD

Bariatric surgery is utilized for weight loss in people suffering from Morbid Obesity, but now Bariatric surgeons can also cure a common disease in obese patients…GERD (Gastroesophageal Reflux Disease)!

Transoral Incisionless Fundoplication (TIF) is a long-term incision-less procedure performed with an innovative FDA-approved EsophyX surgical device that corrects the deficiency at the gastroesophageal junction (also referred to as the “Z-line”), which causes heartburn and/or acid reflux, which are both common symptoms of GERD.

The procedure helps eliminate GERD by reconstructing a strong anti-reflux valve and tightening the Lower Esophageal Sphincter (LES), therefore reestablishing a barrier to reflux and restoring the competency of the gastroesophageal junction.

TIF is performed with the patient under general anesthesia, the procedure takes less than an hour and most patients go home the next day. The EsophyX device is inserted through the mouth and gently advanced into the esophagus under direct visualization of a video camera that is inserted down the central shaft of the device. The EsophyX device is then used to create and fasten several tissue folds, to create a strong anti-reflux valve at the gastroesophageal junction.

In the weeks following surgery, a natural healing process fuses and cements the tissue folds to create a robust anti-reflux barrier.

Recent studies conclude ALL patients discontinued their Proton Pump Inhibitors (PPIs) medication after the TIF procedure, and 79% remained completely off their daily medication two years after the procedure. Overall, patients reported 80% improvement in quality of life, with reduction/elimination of heartburn symptoms. Also, roughly 80% of patients experienced a reduction in their Hiatal Hernia, which is a defect in the diaphragm that allows the esophagus and top portion of the stomach to move from the abdominal cavity up into the chest cavity.

Overall, benefits of the TIF procedure performed with the EsophyX device allow for earlier and more effective intervention of GERD, thus minimizing the chances of developing malignant changes to the esophagus that may occur with long-standing GERD.

A Non-Surgical Procedure to Control Obesity and Diabetes Mellitus, Type II

Are you having difficulty controlling your Diabetes Mellitus, Type II and lose weight? Now there is a revolutionary treatment for both that doesn’t require surgery or medication. It’s called the EndoBarrier Gastointestinal Liner.

The EndoBarrier is a flexible, thin, tube-shaped liner that fits inside a section of your intestine. It creates a barrier between your intestinal wall and the food you eat. The liner prevents food from coming into contact with the intestinal wall and delays digestion until farther down the intestine, both of which is believed to alter the activation of hormonal signals that originate in the intestine. Therefore, it changes the way your body responds to food and can drastically lower your glucose level, while also helping you lose weight.

The Endobarrier is inserted by a tube thru your mouth with no need for a surgical incision. A camera and x-ray equipment is used to best position the EndoBarrier. The EndoBarrier is secured just below your stomach (called the duodenal bulb) and extends approximately 60cm through portions of your intestine called the duodenum and the proximal jejunum. Once in place, the EndoBarrier starts to go to work immediately, by preventing the food you eat from coming into contact with normal digestive enzymes.

Placement of the EndoBarrier is performed in an outpatient setting, and when the time comes for removal, it can be retrieved via an endoscopic procedure without any permanent surgical consequences to your body.

Safe, Gentle, and Effective Treatment for Weight Loss

Medical research has shown that those who are currently obese with a body mass index (BMI) of 30-40 will likely remain so without intervention.

Obesity, the second leading cause of preventable death in the United States has been shown to have a correlation to life-threatening conditions such as heart disease, diabetes mellitus Type II, and high blood pressure; therefore, it should also be treated as a medical condition.

Now the FDA has approved the LAP-BAND procedure, the only device for bariatric surgery for patients with a BMI of 30-35 with one or more obesity-related co-morbid conditions like hypertension, diabetes, heart disease or sleep apnea.

True Results Medical Director, Dr. Paul O’Brien, is pleased “to see obesity acknowledged as a disease” that requires medical treatment and “nearly 26 million more Americans can now benefit from this safe, gentle and effective treatment to reach and maintain a healthy weight.”

The LAP-Band procedure has been shown to be 10 times safer than the gastric bypass and gastric sleeve procedures with proven long-term effectiveness for weight loss and maintenance.

The LAP-Band is a restrictive device that requires no cutting, stapling, or removal of any of the stomach and is adjustable and reversible. Lifestyle changes must be implemented for long-term weight loss and LAP-BAND can be used as a tool to achieve it.

Bariatric Surgeons Can Eliminate GERD

Bariatric surgery is utilized for weightloss in people suffering from Morbid Obesity, but now Bariatric Surgeons can also cure a common disease in obese patients…GERD (Gastroesophageal Reflux Disease)!

Transoral Incisionless Fundoplication (TIF) is a long-term incision-less procedure performed with an innovative FDA-approved EsophyX surgical device that corrects the deficiency at the gastroesophageal junction (also referred to as the “Z-line”), which causes heartburn and/or acid reflux, which are both common symptoms of GERD.

The procedure helps eliminate GERD by reconstructing a strong anti-reflux valve and tightening the Lower Esophageal Sphincter (LES), therefore reestablishing a barrier to reflux and restoring the competency of the gastroesophageal junction.

TIF is performed with the patient under general anesthesia, the procedure takes less than an hour and most patients go home the next day. The EsophyX device is inserted through the mouth and gently advanced into the esophagus under direct visualization of a video camera that is inserted down the central shaft of the device. The EsophyX device is then used to create and fasten several tissue folds, to create a strong anti-reflux valve at the gastroesophageal junction.

In the weeks following surgery, a natural healing process fuses and cements the tissue folds to create a robust anti-reflux barrier.

Recent studies conclude ALL patients discontinued their Proton Pump Inhibitors (PPIs) medication after the TIF procedure, and 79% remained completely off their daily medication two years after the procedure. Overall, patients reported 80% improvement in quality of life, with reduction/elimination of heartburn symptoms. Also, roughly 80% of patients experienced a reduction in their Hiatal Hernia, which is a defect in the diaphragm that allows the esophagus and top portion of the stomach to move from the abdominal cavity up into the chest cavity.

Overall, benefits of the TIF procedure performed with the EsophyX device allow for earlier and more effective intervention of GERD, thus minimizing the chances of developing malignant changes to the esophagus that may occur with long-standing GERD.