Obesity potentiates many risk factors such as
diabetes, hypertension, high cholesterol, etc. Conversely, any weight loss
helps to mitigate them. But in the end, losing weight is this reflected a real
increase of life expectancy? Here is the proof, demonstrated in obese people
who underwent bariatric surgery.
Weight and life expectancy
The extra pounds are not beneficial to health.
But if the life expectancy of patients with obesity is lower, conversely,
weight loss reduces the risk factors associated with excess weight. Indeed, any
weight reduction is associated with a decreased risk of diabetes, better
control of high blood pressure, lower cholesterol and a significant improvement
in the quality of life. It was still necessary to demonstrate that improving these
risk factors was accompanied by a real increase in life expectancy. This is
what just proved two independent studies, one European, the other American,
conducted in people who have undergone obesity surgery.
The obesity surgeries
Recall that obesity surgery is based on several
techniques to all decrease the size of the stomach and thus get a quick
satiety. This is gastric banding (placing a flexible ring around the stomach),
the gastric bypass (part of the stomach contents is deflected) and stapled gastroplasty
(volume the stomach is reduced by putting clips on it) .On the 4,000 Swedish
obese people, half of them underwent surgery for obesity. Fifteen years later,
the non-operated lost an average of 2% of their weight. For others, the maximum
weight loss was located about two years after surgery, and was 32% with gastric
bypass, 25% for gastroplasty and 20% with the ring. Ten years later, weight
status was stabilized at 25%, 16% and 14%. The percentage of deaths is lower
among treated subjects, 5% against 6.3% in the control group. The most common
causes were myocardial infarction (13 cases against 25 in the control group)
and cancer (29 cases against 47).
Weight loss increases life expectancy
The US study looked at more than 14,000 obese
people, half of them were candidates for gastric bypass. After a 7-year
follow-up on average, their mortality was reduced by 40% compared to control
subjects. In the intervention group, mortality from coronary heart disease was
reduced by 56%, diabetes-related mortality was reduced by 92% and by 60%
cancer. However, there among the subjects operated an increase in mortality
from accidents and suicides by 58%. In conclusion, weight loss in obesity leads
to an increase in life expectancy. This intervention therefore appears much
beneficial.
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