Bariatric surgery could help solve Ireland’s obesity crisis and save the country billions

Weight Loss surgery could help solve Ireland’s obesity crisis and save the country billions

A group of doctors say that, for many people, prevention methods are already too late and other interventions are needed.

lowest price for gastric sleeve surgery in FranceBLifestyle factors only get you so far. To prevent the children who are obese today from becoming adults who are obese in the next 10 years, you have to offer treatment. It’s the only way.

ACCORDING TO THE latest estimates, only one in every 10 Irish men will not be overweight or obese by 2030.

By 2025, we’re set to be one of the most overweight nations in Europe. Already, six in every 10 people in Ireland are overweight.

The HSE says that the cost of adult obesity in Ireland is estimated to be €1.3 billion per annum, €400 million of which is direct healthcare costs. That figure could rise even further in the future, as the population’s weight increases.

While a number of prevention strategies are essential, some doctors say that for people who are already obese, it is already too late.

As a result, a disparate group of health organisations, including Diabetes Ireland, the Irish Society for Clinical Nutrition and Metabolism and Irish Nutrition and Dietetic Institute, are calling on the government and HSE to introduce a variety of health interventions for overweight or obese people, with surgery one of the main options put forth.

They say that, from a public health and economic point of view, their case is compelling.

“No way of avoiding it”

Dr Grace O’Malley lectures at the Royal College of Surgeons in Ireland and also works at Temple Street Children’s University Hospital.

She told TheJournal.ie that there is a cost-effectiveness in providing surgery for obese people, particularly those with type-2 diabetes, that hasn’t yet been fully explored in Ireland.

O’Malley said that a coordinated approach of GP care, dietitians, chartered physios and clinical psychologists could all play a role, as could surgical interventions.

“The idea of willpower and individual responsibility works to a point, ” she said. “When a disease like obesity has ingrained itself in the body to an extreme level, reversing it through lifestyle approaches becomes harder and harder.

Look to the evidence, currently it suggests that bariatric procedures are effective at reducing morbidity and reducing mortality. It’s actually saving money in the long run because you’re not spending on medication.

So what is bariatric surgery? It can take several different forms. The gold standard surgery comes in two forms – a gastric bypass or gastresctomy – and both are minimally invasive. Within a year of treatment,  a patient’s excess body weight can be cut in half.

Helen Heneghan, bariatric surgeon at St Vincent’s Hospital and St Columcille’s Hospital in Dublin, told TheJournal.ie that the results for obese patients with type-2 diabetes can be drastic.

She said: “Within 24 hours of a gastric bypass for example, we routinely see patients achieve normal blood sugars by the following morning. At least 80% of patients can achieve that a year after surgery. We know five years after that a patient may need medication, but they don’t go back on insulin.

There’s a strong health and economic argument. If you can reduce the cost of treating a type-2 diabetic overnight, it’s quite clear what we need to do.

Huge savings

Up to now, these surgeries have been performed rarely in Ireland. We do just one of these surgeries per 100, 000 population here. It’s 20 times that in the UK. It’s around 80 times that in Sweden.

These doctors, in citing evidence to support their case, mainly draw on international examples but also say that research on the surgeries performed last year in Ireland support their case too.

Taking 15 patients, with hard-to-treat type-2 diabetes, who received bariatric surgery in 2016, a comparison was made between how much they spent on insulin before and how they spent after.

O’Malley said: “Beforehand, they were spending an estimated €8 per day for insulin. After the surgery they were, on average, spending 23 cent a day. And that’s an immediate reduction of 97%. That’s a huge amount.”

Both O’Malley and Heneghan said they wished they could provide more data but, despite hundreds of people on waiting lists, the number of bariatric procedures performed last year was extremely low.

Heneghan said that only being able to provide data from 15 patients was “dismal” while O’Malley said “it’s a shame but that’s all we’ve done”.

Heneghan went on: “No drug treatment can put diabetes into remission like that. It’s a chronic, relentless disease that often leads to damaging, and quite costly, complications.

Things like cardiovascular disease, stroke. It’s hugely costly to our health service.

Weight Loss Surgery Funding

The main barrier to more surgeries being done in Ireland at the moment is funding.

The HSE launched a 10-year plan last year to fight obesity in Ireland, and recently appointed the first national clinical lead in this area,  Professor Donal O’Shea.

“But the new clinical lead is going to need support, ” O’Malley said. “This condition has only really developed over the last 20 years. Financial support is needed to do what needs to be done.”

According to estimates based on figures from the World Health Organisation, the World Bank and an in-depth study of when the surgeries began to be routinely performed in Australia, it would cost about €400 million of investment into providing these surgeries on a wider level nationwide.

“There’s a lot of evidence to show investment will make a difference, ” O’Malley said.

Medication savings alone are a really good argument. And that’s not counting the savings from people not requiring treatment for obesity-related conditions. We’ve kicked our heels for too long. For a lot of people, it may already too late.

How many would benefit from bariatric Surgery?

According to figures provided by Diabetes Ireland, there are around 26, 000 people in the country with type-2 diabetes who are obese.

“The vast majority of these people would benefit from surgery in the near future, ” Heneghan said.

“We want to get to a point of 100 cases a year, ” she said. “But we could easily justify 400 cases a year in Ireland.”

Only two publicly-funded hospitals offer such surgeries – in Galway and Dublin – but of the relatively small number of people on the waiting list, some have been waiting a long time for treatment.

“There around 400 people on waiting lists for bariatric surgery in the country right now, ” Heneghan said. “And some of those would have been waiting for five or six years.”

“They Did it to themselves?”

If the most cost-effective treatment solution is so apparent, then why don’t we offer it routinely in Ireland?

According to the doctors, there are a number of reasons for this and it is partly related to the way society views people with obesity.

Routinely, according to scientific literature cited by the doctors, people who are overweight are told to simply change lifestyle factors and there may be a perception that they “did it to themselves”.

Not so, according to O’Malley. She said: “There are ingrained judgemental attitudes and negative stigma towards people of larger size.

For those of us working in the area, anyone who’s honest would say that when they began working in this field, they’d be quite judgemental too.

She said that it is important to treat obesity as a disease, and approach treatment options to it as such.

“Obesity is now linked with deprivation, ” O’Malley said. “Where there is lower socio-economic status, children are twice as likely to be obese. That can’t be ignored.

If we were talking about the management of cancer, or other chronic disease, thankfully we’ve got to a stage where depending on the stage of that cancer, we have different treatments to offer that person. We don’t – and shouldn’t – withhold treatment based on their disease.

Heneghan added that, for these surgical interventions to be the most effective, action must be taken now.

“There may be tens of thousands who could benefit, ” she said. “We know that if you delay surgery, not only do the costs of treating patients medically accumulate, the likely benefit of the surgery reduced.”

For its part, the HSE said it is committed to following through on its 10-year action plan.

Taking his new role as the HSE’s clinical lead in obesity, Professor O’Shea cited lifestyle factors as important but said that there was “no magic bullet” to fixing the problems.

He said: “Somehow we have to get this whole of government, whole of industry and whole of society approach to come alive – and take obesity on.”

Heneghan added that, with current trends only going upwards in terms of the number of people in Ireland who are overweight or obese, the time to act is now:

We have a window of opportunity over the next few years. We need to seize it before it’s too late. y Sean Murray Thursday 5 Oct 2017, 12:15 AM Oct 5th 2017

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Compare Gastric Band Surgery in France With Things You Practice For Weight Loss That Are Totally Wrong

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Things You Practice For Weight Loss That Are Totally Wrong

1. LOOKING FOR A QUICK FIX!

A fact about weight loss which catches most of the people unaware is that nearly 99% of diets are designed in a manner that they trick your body into losing weight.

In most cases, these diets are focused on cutting out a macronutrient group, such as proteins, carbs or fats altogether so as to limit calories.

But this sets one up for failure, always and without a fail! And that is because you can only trick your body in the short term. Over time, the body will rebel back, and you may even end up gaining some extra pounds!

What we sometimes fail to understand is that it is very important for an individual to be healthy to lose weight. And if weight loss is your priority, the best way to go about is putting in place a multifaceted approach to get healthy!

This way, you’d come to realize that weight loss is achieved naturally, and this would be weight loss which is sustainable, and successful!

2. OVER-EXERCISING WHILE CUTTING CALORIES When one gets too much exercise while one’s diet is poor or calorie count is low, it sends your body running for safety, and it makes up by slowing down the metabolism. With a chronic energy deficit, wherein you have fewer calories coming in than going out, the body over time starts believing that food is scarce. And as a result, the body begins to hold on to fat, simply as a way to safeguard itself. So the struggle for weight loss is made counter-productive.

 

3. A LOW PROTEIN DIET

A low protein diet is almost sure to slow down the process of weight loss. This is mainly because liver and detoxification processes are protein dependent.

So while a low protein diet does not augur well for weight loss, it does not augur well for long term health as well!

4. CUT OUT ALL THINGS CATEGORISED AS SUGAR

While cutting out some sugars like candies, sweetened sodas and fake sweeteners may be fine, you might have to take care that you hold on to the truly nourishing sugars that you get from fresh fruits, fresh fruit juices or even honey!

Glycogen is necessary to convert the inactive thyroid hormone into the active form and keep the metabolism working well. But if you cut out the sugars completely, this hinders the body’s natural ability to store glycogen!

In the same way, one needs to take care that one does not cut out too many potassium rich fruits, such as bananas and papaya because it affects the thyroid function even more.

 

5. DEPRIVING YOUR BODY

In actual practice, excessive weight might signify a nutritional deficit. So one must try and make sure that one doesn’t deprive one’s body of nutrients, and goes for a diet which is high on nutrition. This would make sure that your cravings reduce by themselves over time. So it’s all about listening to your body.

6. FAT FREE DIETS

One has to try and make sure that one balances his diet instead of cutting out all fat from the diet!

Cutting out fat completely from your diet would rob you of fat soluble vitamins A, D, E and K, because these nutrients are found only in fats.

And in the same coin this deprives the body of nutrition, which is weight loss’s worst enemy!

The key is to be patient with your body, because weight loss doesn’t happen overnight. You just need to listen to your body’s cravings and fuel it right!

If you are looking forward to lose weight, look good and feel great, you must check out the slimming section at Telesky Shopping. Some of the highlights among selections are some 100% herbal products, which enable you to lose weight without having to bring about a change in your lifestyle patterns

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Or you could opt for the natural sweeteners in the list, which are nutritious, keep the body supple, such that the cravings for sugar are gone. And as you work towards weight loss, you effectively fight diabetes as well

Article Source: http://EzineArticles.com/9844171

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Compare Gastric band Surgery In Europe with learning to Belly Dance to Lose Weight

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comapre gastric band surgery to  Belly dancers lose weightBelly Dancers Lose Weight

I want to take belly dancing to lose weight. Will this dance help me to do so?

This is a very popular question which many women who are considering taking lessons ask either before or during class sessions. The instructors will supply guidelines to assist weight loss.

Commit to Losing Weight

The first decision is to make a commitment to lose a certain amount of pounds within a period of time. Select small units of weight loss. The reason for this is not to lose weight so quickly that you find yourself hungry or frustrated and binge eats undoing efforts. The time frame is to allow a healthy and reasonable amount of weight loss. For example, losing two pounds a month and keeping it off is a realistic goal.

People who lose large amounts of weight in a short period of time will create folds of hanging skin. The skin which has been stretched with extra weight will pull and hang in folds. Exercising is important to help the skin gain tightness, toning, and elasticity in order to return to normal.

Costumes Motivate Weight Loss

Belly dancing is a unique dance form which works naturally with the female body and the dancer wears beautiful costumes. The costumes are a great incentive for any woman to lose excess fat. The excitement of performing is a turning point for many women to look in the mirror and make desired physical changes.

Beautiful costumes camouflage or hide body faults, but the dancer can continue to be mentally and physically attractive during her weight loss program. As she loses weight, the costuming will change and she is rewarded with beautiful gifts for her exercises, dancing movements, and healthy eating habits.

Dancers Are Focused

Many students of this dance are so preoccupied and focused on learning and performing that weight loss is put on the back burner. They are not preoccupied with counting and measuring calories because they become mentally, psychologically, and physically active with dancing. With months of increased activity and performances, each woman can experience weight loss or see results of trimmed and toned muscles.

Performances bring many compliments from fellow students, families, friends, and people in the audience. These positive compliments help many individuals to continue their journey towards becoming slender and taking pride in their appearance.

This dance requires discipline, patience with the learning curve, private practice, rehearsals, before and after exercises, and new skills. Nutrition knowledge and portion control needs to be managed.

Bad versus Good Eating Habits

Approach eating as a nutritionist and eat those foods which are beneficial to one’s health. Eliminate hydrogenated fats, animal saturated fats, no fructose corn syrup and artificial sugars, no diet drinks, and if the label has ingredients which you cannot pronounce, do not eat or drink it. Avoid fast foods and commercially prepared foods. In other words eat foods in its most natural state. Learn to steam, boil, bake, or sauté foods. Avoid deep fried foods and large portions of candies and desserts.

If you are a daily junk food eater or have unhealthy eating habits, changing to a healthy eating lifestyle may seem difficult or shocking. However, reaping the benefits of these food types has wonderful rewards. There are many varieties of foods available from nature’s bounty. People have discovered that eating natural foods satisfies their hunger and boosts their energy level resulting in weight loss.

Feel and look beautiful; take belly dancing classes to not only lose weight but to build a positive self- image, self-worth, self-esteem, and confidence.

Article Source: http://EzineArticles.com/9732639

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Vegan, paleo and ketogenic diet weight loss recipes with diet food swaps

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Vegan, paleo and ketogenic diet weight loss recipes with diet food swaps

I have lost 100 pounds using a variety of diet tips and tricks. I don’t follow a specific weight loss diet because there’s no one meal plan that hits everything I’m looking for. So I do like they say in the Al-Anon slogans, “take what you like and leave the rest.”

 The ‘how I lost 100 pounds’ diet

My eating strategies are culled from a variety of #weight loss programs. The #Ketogenic Diet, South Beach, hypertension DASH diet, paleo, Mediterranean Diet, Weight Watchers and more. Some of my favorite weight loss tricks are food swaps. Using the “eat this, not that” and “hungry girl” concepts, I create recipes that trade fatty, sugary, salty, junky ingredients for healthier, low-calorie ones.

I package them like Nutrisystem does, for ease of use.

Religious fasting

I also follow many of the dietary fasts and restrictions of other religions. I’m not a Muslim, but Islam‘s halal foods are typically healthier. So are Jewish fasts and kosher foods. I am Catholic and observe Lent, but I try to do it all year-long. Many celebrities are preaching diets that have been put together centuries ago by different religions. Even doctors recommend some fasting (I say even because I got very little help with weight loss from the medical community, aside from bariatric surgery or gastric bypass advice). So I’m not to het up over traditional medicine.

Vegan and diabetic diets

Arguably, vegan or at least vegetarian is how we should all be eating. Supergirl Gabrielle Union says she’s imitating the fittest women who are vegan.
I’m not diabetic but before I lost weight my glucose number was getting higher. I was tentatively diagnosed with pre-diabetes (aka insulin resistance or metabolic syndrome). So I try to avoid refined sugar as if I had Type 2 diabetes.

Superfood bowls

“Bowling” is not only a sport but a trendy eating style just now. It just means eating food in bowls, typically based on salad. Now I adore pasta and potato salads and cole slaw. But made the usual way, sloppy with mayo, sugar, etc., they are calorie-bombs. So I put together a to-die-for coleslaw recipe you could literally live on. It’s vegan, superfood-dense, protein-rich, diabetic, bad fat-free, ketogenic (high in good fatty acids) low sodium, gluten-free, sugarfree and a meal in itself. Oh, and it’s super cheap to make. And my diet recipe is pretty too! See the picture above! (Those aren’t bugs, lol, but seeds)

Superfood kale slaw bowl

chopped kale with stems removed

coarsely grated carrots

chopped green and purple cabbage

cubed salad cucumbers (much tastier than other cukes)

chopped zucchini

sliced grape tomatoes

cashews and/or walnuts and/or almonds

pumpkin seeds

milled flaxseed

chia seeds

unsweetened dried strawberries, cranberries or blueberries

dash liquid smoke

apple cider, acai or pomegranate vinegar

whole seed, Dijon or horseradish mustard

lemon juice and zest

100% juice, raw honey (omit if making vegan) or blue agave syrup (optional)

Chop, slice, toss ingredients, season to taste with vinegar, mustard juice or honey, and enjoy.

This kale slaw is sweet enough for me without any honey or juice. But you may like it sweeter. Go easy on the juice and dried fruit as they are full of sugar and will spike glucose levels. #Gluten Free

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Mariah Carey Picks Out Perfect Christmas Tree With Bryan Tanaka And Her Adorable Twins!

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Mariah Carey Looks amazing after shedding 25 pounds due to her rumored gastric sleeve surgery.

The Queen of Christmas is back in full effect and we’ve got the evidence to prove it! Everyone who is a fan knows that Mariah Carey is at her best during the most wonderful time of the year. Her superpowers are in full effect as she kicked off her holiday tour and picked out what seems to be the biggest tree in the forest for her and the twins!

Mariah Carey has had it rough as of recent. Starting off the year with one of her worse performances ever, to an on-again-off-again romance with her backup dancer turned boy toy Bryan Tanaka, and lastly, having to part ways with her controversial manager Stella Bulochnikov.

‘Tis the season and her luck is turning around significantly.

The R&B songstress came down with a respiratory infection which made her have to postpone her tour but now she’s feeling better and is back on the stage where she belongs.

In addition to being back in action, the legend showed off her new slim figure.

She looks amazing after shedding 25 pounds due to her rumored gastric sleeve surgery.

 

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Burst The Common Nutrition Myths About Weight Loss

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Burst The Common Nutrition Myths About Weight Loss

Weight Loss is the topic of debate and is mostly surrounded by a number of misconceptions. Every single person has its own logic and advice to give that might confuse you and a wrong choice may even affect your health. Thus, it is always good to consider a dietitian or nutrition expert that have great knowledge in the same domain and suggest you the best diet plan for weight loss as per your body BMI.

If you are also not able to differentiate between the fact and fiction about weight loss this article is for you.

Here we help you burst the common nutrition myth about weight loss people have. So, what are we waiting for? Let’s get started.

  • Starve To Lose Weight:
    If you also think that starving or fasting is the easiest ways to lose weight, so, you are absolutely wrong. Eating doesn’t affect your weight, but eating wrong food and at the wrong time may. Therefore, if you want to see quicker results, so, instead of skipping meals you should eat after a while. Break your three meals into the six one to give your hunger pangs a relief. Also, it boosts up your metabolism that helps in achieving your weight loss goal.
  • All Carbohydrates Are Bad:
    It is not more than just an old wives tale, which you should not believe. But, the truth is that not all the Carbs you consumed are bad, some of them are very good for your health and provide your body essential nutrients and fibers that not help in losing weight but also keeps your protected from a number of diseases.
  • All Calories Are Created Equal:
    Well, it is not more than just a lie because different foods we eat goes through the different metabolic pathway and thus, have different effects on your body hormones and brain center that give signals to your appetite. So, it is not the truth all calories have varying effects on hunger, hormones, and health.
  • Slimming Pills Are The Only Option:
    Come out of your dilemma right away, this is because slimming pills are not long-term effects and can affect your health in an adverse manner. So, if you want to avoid such situation, you should say “No” to them and “Yes” to a healthy diet.

Article Source: http://EzineArticles.com/9776217

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Obesity and Health Problem

Compare Adjustable Gastric band Surgery In Europe gastric band surgery cost Obesity and Health ProblemWHAT IS OBESITY? Obesity is a condition resulting from excessive storage of fat In the body. Obesity has been defined as a weight more than 20% above what is considered normal according to standard age, height and weight tables or by a complex formula known as the “Body Mass Index “(BMI).See all stories on this topic

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