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Diet v surgery: Curing UK obesity

Posted: February 27, 2012 at 1:48 am

26 February 2012 Last updated at 19:46 ET

With one in 30 of the UK population now classed as morbidly obese, the NHS is spending increasing amounts on weight-loss stomach surgery.

Figures released by the NHS Information Centre last week showed there had been a 30-fold increase in bariatric surgeries in a decade - up from 261 in 2000/01 to 8,087 in 2010/11.

While some NHS trusts continue to fund such surgeries for people with life-threatening obesity, others prefer to take a different approach.

In Leeds, teenager Emma Jane Money has recently undergone a gastric bypass operation.

She lost more than two stone in weight in the two weeks since the NHS paid for her to have the surgery at the private Thornbury hospital in Sheffield.

'Potentially dangerous'

The 16-year-old, who weighed more than 21st (133kg) before the operation, said she had tried to diet and exercise more but had been unable to lose weight on her own.

She told the BBC's Inside Out programme: "With constant images of rib cages and bones and bony elbows and things like that it is hard and people do get this idea in their head that this is what every person is meant to be.

"It's really hard when someone then looks at me and thinks 'they're not right, that's not normal'."

Continue reading the main story “Start Quote

People shouldn't be desperate to have bariatric surgery, they should be desperate to change their life around and to work to lose weight”

End Quote Dr Tim Allison NHS East Riding of Yorkshire

Emma said she was "excited" about losing weight.

"I will get to wear all the new fashion trends with my friends. I will get to go anywhere and I don't have to worry about people saying things or judging me."

About 1% of patients die after weight-loss operations but consultant surgeon Roger Ackroyd, who operated on Emma, said the benefits of the surgery far outweighed the risks.

"It's extreme, it's potentially dangerous but it really does work," he said.

"People come to me and say... you are spending hard-earned taxpayers' money treating people who basically all they need to do is eat less and exercise more. That's a very valid argument.

"The only thing I would say is these people such as Emma would in time go on to need a hip replacement, knee replacement, she'll go on diabetic medication, she'll go on blood pressure medication and cancer is much more common in overweight people.

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Mandy Bennett is going through the Live Well programme

"If we can invest in this type of surgery now then it saves the NHS money in the long term."

In the East Riding of Yorkshire, people with a body mass index of more than 45 are being referred to a programme where they are given a personal trainer and nutrition advice.

Mandy Bennett, from Driffield, is one of nearly 50 patients signed up to the Live Well scheme and has lost three stone.

She said: "I have been maintaining my weight for three or four months now which is a big part of it. Learning to maintain your weight is as big an issue as losing the weight."

She said that without the help of her personal trainer she would "still be sat in front of the TV eating the wrong things, getting bigger, getting more unhealthy and probably not anywhere near as happy as I am".

Dr Tim Allison, NHS East Riding of Yorkshire's director of public health, said: "We have seen the number of surgical operations drastically go down by about 80%.

"The levels of bariatric surgery had been increasing quite considerably and we didn't have the services in place to give people the opportunity to have that dedicated six to nine months of intensive diet and physical activity.

"We felt it would be far better if we could put that in place rather than simply have people go forward to surgery.

"People shouldn't be desperate to have bariatric surgery, they should be desperate to change their life around and to work to lose weight."

Inside Out Yorkshire and Lincolnshire is broadcast on Monday 27 February on BBC One at 19:30 GMT and nationwide on the iPlayer for seven days thereafter.

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Diet v surgery: Curing UK obesity

Previous weight loss guidelines 'flawed'

Posted: February 27, 2012 at 1:48 am

Home > News > health-news

Washington, Feb 26 : Battling obesity is not as simple as eating less and exercising more, and for those who struggle to meet their weight loss targets, a new equation may offer some help.

Scientists are now using mathematics to better understand the physiology of weight loss, and more accurately predict just how much weight someone will lose on a specific diet and exercise regime.

In the past, physicians assumed that eating 500 fewer calories per day would lead to about a pound of weight loss per week, said Kevin Hall, a researcher at the National Institutes of Health in Bethesda, Md.

But it turns out, this rule of thumb is wrong, Hall said, because it doesn't take into account that metabolism slows down during dieting. Thus, predictions that used this rule were overly optimistic, Hall said.

Hall and colleagues have developed a model that takes into account an individual's age, height, weight and physical activity level to better predict how much weight they might lose on a diet and exercise plan.

Currently, the model is intended only for use by physicians and researchers scientists, Hall said.

Hall's research has also come up with a more realistic rule of thumb for weight loss. The new rule says you need to cut 10 calories per day from your diet for every pound you want to lose over a three-year period.

So cutting 100 calories per day will lead to a 10-pound weight loss over three years, Hall said. Half of this weight loss would occur over the first year. To lose more weight after the three-year period, you'd have to cut more calories, Hall said.

The model may help policy makers understand the impact of public health measures on the obesity epidemic. For instance, one estimate of the effect of a 20 percent tax on sugar-sweetened beverages predicted that such a tax would lead to a 50 percent reduction in the number of overweight people in the United States in a five-year period.

Hall 's new equation predicts about a 5 percent reduction in the percentage of overweight people in five years, Hall added. (ANI)

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Fat cat’s weight loss challenge makes Tiny a big celebrity

Posted: February 27, 2012 at 1:48 am

FREDERICTON Losing weight is hard enough, but try doing it with the world watching and when you’d rather be dreaming of mice.

Tiny, a very large and lovable grey house cat, has become an international celebrity since he was left in a box outside the Fredericton SPCA on Dec. 30. But no one at the shelter was quite prepared for a cat the size of Tiny, or the media attention he has received since.

“We thought someone was bringing in donations, such as computer paper or newspaper, things that we need, and they set down the box and they left,” said LeeAnn Haggerty, the SPCA’s education co-ordinator. “Then we heard the box meow.

“We opened the box and out popped Tiny’s head, which was small when compared to his large size. ... Lifting Tiny out we realized he was a very large cat, probably one of the biggest we’ve seen.”

He weighed 13.7 kilograms.

Haggerty said her shock quickly changed to concern for his health. So Tiny was moved to a foster home and placed on a diet of special food and exercise.

His efforts to shed weight is aimed at helping other animals at the shelter. A Facebook page called Tiny’s Weight Loss Challenge now has close to 1,700 friends and had raised about $1,900 by Friday.

The money will help provide surgeries for animals left at the shelter.

“It’s really important to have a fund such as Tiny’s Weight Loss Challenge to help us give the care,” said Haggerty.

She said Tiny has lost about 2.25 kilograms so far and has prompted some staff members, including Haggerty, to stick to their own New Year’s resolutions to lose weight.

Tiny’s progress is turning into a good news story that has drawn national and international media attention, including CNN and People magazine’s website.

“We know that cats are pretty popular on the Internet but we weren’t expecting this,” Haggerty said.

Some of Tiny’s supporters have entered him in a best cat contest on Ellen DeGeneres’s website, but Haggerty said they haven’t received a reply yet.

She said the news coverage has brought attention to the importance of keeping pets healthy.

Tiny is a happy cat with a personality that’s big enough to match his girth. He enjoys chasing a laser pointer, which Haggerty says is a great way for him to get some exercise.

The goal is for Tiny to slim down to about nine kilograms over the next 12 to 18 months.

“The goal is a slow and steady weight loss because we want to make sure his weight loss is healthy,” she said.

The Canadian Press

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Fat cat’s weight loss challenge makes Tiny a big celebrity

Exercise does help weight loss, but so does eating right

Posted: February 27, 2012 at 1:48 am

San Marcos — One of the benefits that are always presented to people is that all of that running and exercise helps you lose weight. In a sense that is a true statement.

It’s not a fast weight loss program and it takes a lot of time and energy to be effective.

For many people running, or walking, has made dramatic changes in their lives and weight loss is one of the changes that are most easily demonstrated. The problem with the interpretation of exercise, running, or walking to lose weight is the scale of how much exercise results in how much weight loss.

You may hear a person say, “I walked around the block this morning so that I can have that slice of pie tonight after supper.”

A recent page in the March issue of Nutrition Action Health Letter lists what it takes to burn off some of those small extra desserts you would like to eat for that walk around the block. It was somewhat eye opening to see the amount of exercise it takes for that small helping of extra goodies you might think was earned from your short walk.

The estimates are based on a 150-pound person doing various forms of exercise.

A Starbucks Chocolate Chipper Cookie requires one hour and thirty minutes of brisk walking to burn off the 440 calories.

Eating a Crumbs Bake Shop Red Velvet Cupcake has you lifting weights for two hours and five minutes for the 500 calories it contains.

Even “healthy” food like Pinkberry Original Yogurt requires you to hit that elliptical trainer for an hour and five minutes for those 370 calories.

Heading to the movies, and grabbing a small bag of popcorn with no butter, takes one hour and 15 minutes of low impact aerobics to enjoy the 410 calories in the bag during the show.

Enjoy that early morning cup of coffee before work at Starbucks and ordering a Cinnamon Dolce Latte with whipped cream has you jogging for 50 minutes during your lunch break to burn off those 410 calories from that morning.

Maybe, instead of that cup of coffee, or more likely with that cup of coffee, add a Starbucks Banana Nut Loaf for breakfast for another 490 calories. That allows you to swim laps for one hour and 15 minutes after work to go along with the 50 minutes jogging you did during lunch.

During a weak moment you decide to order a regular order of Five Guys Fries checking in at 620 calories. For that you get to ride your bike to work and back so that you can ride for one hour and 35 minutes for those delicious fries.

You can always go for that healthy Smoothie King Slim-N-Trim Strawberry medium size drink at 560 calories and play doubles tennis with your friends for an hour and 50 minutes that evening to burn those calories off.

When you start to realize the amount of exercise it takes for those “small” things we consume every day it isn't a difficult thing to see why two-thirds of our population is overweight and obese.

Will exercise help a person lose weight? By all means it does.

It just has to go along with some of the food choices you make when you think you can now eat those extra goodies because you walked around the block, maybe even walked around the block twice for a second helping. The two sides of the equation of calories in from eating, and calories out from exercising, just don't equal out.

Just stay away from the thought that exercise allows you to eat more and still lose weight. Exercise, but don't eat more than you normally do, and eventually the weight will begin to disappear.

The one side effect of running, or any vigorous exercise, is that your appetite seems to diminish also. You do not have that urge to eat at the slightest impulse when you see that cupcake or cookie on the plate at home or at work. Instead of the cookie, you see miles and hours of exercise on that plate, and the temptation to eat them is gone.

Dr. Maurice Johnson is a former professor at Texas State University in the Department of Health and Exercise Science. His column appears every Sunday in the Daily Record.

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Exercise does help weight loss, but so does eating right

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Posted: February 26, 2012 at 12:36 pm

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Posted: February 26, 2012 at 12:36 pm

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10 ways to lose weight? Proven methods. *MUST SEE* - Video

Fat cat's weight loss makes 'Tiny' a celebrity

Posted: February 26, 2012 at 12:36 pm

Date: Sunday Feb. 26, 2012 7:07 AM ET

FREDERICTON — Losing weight is hard enough, but try doing it with the world watching and when you'd rather be dreaming of mice.

"We thought someone was bringing in donations, such as computer paper or newspaper, things that we need, and they set down the box and they left," said LeeAnn Haggerty, the SPCA's education co-ordinator. "Then we heard the box meow.

"We opened the box and out popped Tiny's head, which was small when compared to his large size. ... Lifting Tiny out we realized he was a very large cat, probably one of the biggest we've seen."

He weighed 13.7 kilograms.

Haggerty said her shock quickly changed to concern for his health. So Tiny was moved to a foster home and placed on a diet of special food and exercise.

His efforts to shed weight is aimed at helping other animals at the shelter. A Facebook page called Tiny's Weight Loss Challenge now has close to 1,700 friends and had raised about $1,900 by Friday.

The money will help provide surgeries for animals left at the shelter.

"It's really important to have a fund such as Tiny's Weight Loss Challenge to help us give the care," said Haggerty.

She said Tiny has lost about 2.25 kilograms so far and has prompted some staff members, including Haggerty, to stick to their own New Year's resolutions to lose weight.

Tiny's progress is turning into a good news story that has drawn national and international media attention, including CNN and People magazine's website.

"We know that cats are pretty popular on the Internet but we weren't expecting this," Haggerty said.

Some of Tiny's supporters have entered him in a best cat contest on Ellen DeGeneres's website, but Haggerty said they haven't received a reply yet.

She said the news coverage has brought attention to the importance of keeping pets healthy.

Tiny is a happy cat with a personality that's big enough to match his girth. He enjoys chasing a laser pointer, which Haggerty says is a great way for him to get some exercise.

The goal is for Tiny to slim down to about nine kilograms over the next 12 to 18 months.

"The goal is a slow and steady weight loss because we want to make sure his weight loss is healthy," she said.

Fat cat's weight loss challenge makes Tiny an international celebrity

Posted: February 26, 2012 at 12:36 pm

FREDERICTON - Losing weight is hard enough, but try doing it with the world watching and when you'd rather be dreaming of mice.