Studies in this issue (attached below):

Janice was presenting the poster which describes the patient journey through the South Island Bariatric Service, the first South Island Service where there is just one treatment waiting list and pooled funding for the service".

To read the full story and download the poster, go to:   http://www.sialliance.health.nz/CDF_ModuleNews/Display/Details/139?NewsSetId=32&PageId=22806

Studies in this issue (attached below):

Studies in this issue (attached below):

In the latest issue (attached below):

The journal for bariatric/metabolic surgeons, provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disease.

The aim of the 2nd Diabetes Surgery  Summit, (DSS-II) is to assist leading diabetes organizations in the development of new guidelines for multimodality diabetes care. The new guidelines are intended to guide endocrinologists, primary care physicians and surgeons in the selection of candidates for surgical treatment and in the development of a diabetes-based model for pre- and postoperative care.

For further information about this event, go to:  http://www.wcitt2d.org/

The authors aimed to assess the effect of bariatric surgery on development of type 2 diabetes in a large population of obese individuals.

Studies in this issue (attached below):

Obesity Surgery Society of Australia & New Zealand (OSSANZ) is delighted to announce that we will be hosting a combined Conference with Australia & New Zealand Gastro Oesophageal Surgery Association (ANZGOSA) from 7th to 9th October 2015. The meeting will be held on Hamilton Island, Queensland.

To view the newsletter, go to: http://www.sialliance.health.nz/UserFiles/SouthIslandAlliance/File/PDFs/SIA%20in%20review%20(1).pdf

Studies in this issue (attached below):

The Congress will focus on the newly growing discipline of metabolic surgery, endoluminal and mini invasive approaches as well as the concept of team management.

For further information about this Congress, go to: http://www.ifso2015.com/index.php?id=1399

Studies in this issue (attached below):

In the latest issue (attached below):

Studies in this issue (attached below):

Studies in this issue (attached below):

• Duration of obesity and coronary artery calcification
• Low-carbohydrate diet for gestational diabetes
• CV effects of intensive lifestyle intervention in type 2 diabetes
• Threshold-based insulin- pump for hypoglycaemia
• Benefits and harms of treating gestational diabetes
• Frequency of blood glucose testing in type 1 diabetes
• Inpatient management of hyperglycaemia/diabetes:  a call to action
• FGF-19 and bile acids in diabetes remission after gastric bypass
• Primary care team for best- practice diabetes care

To subscribe to research review, go to: http://researchreview.co.nz

Studies in this issue (attached below):

Studies in this issue (attached below):

• Type 2 diabetes remission with intensive lifestyle intervention
• Affective disorder risk associated with type 2 diabetes and its treatment
• Bariatric surgery inequalities in Australia
• Public health implications of individualising glycaemic targets
• Carbohydrate counting and glucose variability in type 1 diabetes
• Type 2 diabetes and periodontitis/tooth loss
• Adjusting doses for flexible intensive insulin therapy
• Diabetic retinopathy at type 2 diabetes diagnosis
• Dairy consumption and body composition/weight
• Weight-related concerns among young NZers

To subscribe to the research review, go to: http://www.researchreview.co.nz

• CV risk in healthy children: association with BMI
• Physical activity interventions in children
• SSBs and genetic obesity
• Sugar-free vs. SSBs and children’s bodyweight
• SSBs and adolescents’ bodyweight
• Sleep restriction impairs insulin signalling
• Type 1 diabetes in Canterbury youth
• Bariatric surgery dramatically improves quality of life
• Curcumin prevents progression to type 2 diabetes
• Adding pharmacists to usual primary care lowers CV risk

To subscribe to the research review, go to: http://www.researchreview.co.nz

• Fracture risk after bariatric surgery
• Low GI diet in pregnancy to prevent macrosomia
• Exercise dose and diabetes risk in overweight/obese children
• Physical activity and mortality in diabetes
• Benefits of gastric bypass after 6 years
• Healthcare use following bariatric surgery
• Dysfunctional adiposity and prediabetes/diabetes risk in obesity
• Temporal mortality changes after MI ±diabetes
• Formation of β-cells happens early in life
• Food selection for hypoglycaemia in insulin-treated diabetes.

To subscribe to the research review, go to: http://www.researchreview.co.nz

Studies in this issue (attached below):

Professor Jonathan Shaw, Associate Professor Anna Peeters, Dr Kathryn Backholer, and Associate Professor Dianna Magliano from the Baker IDI Heart and Diabetes Institute in Melbourne, Australia, examined three different strategy models to avert future diabetes cases that could be averted.

To read the full news item at Medical News Today, go to: http://www.medicalnewstoday.com/articles/245250.php

The statement, published in Circulation: Journal of the American Heart Association, is the first by the American Heart Association focused solely on bariatric surgery and cardiac risk factors, according to lead author Paul Poirier, M.D., Ph.D., director of the prevention/rehabilitation program at Quebec Heart and Lung Institute at Laval University Hospital in Canada.  

"The statement is not an across-the-board endorsement of bariatric surgery for the severely obese,” Poirier said. “It is a consensus document that provides expert perspective based on the results of recent scientific studies.”

Bariatric surgery encompasses various procedures that decrease appetite while restricting food intake and/or causing food to pass through the gastro-intestinal tract without being fully absorbed or digested. The American Heart Association has long considered bariatric surgery an option to be evaluated carefully based on each patient’s medical profile.

Severe obesity is defined as a body mass index (BMI) of more than 40kg/m2, according to the statement. For example, a sedentary woman who is 5-feet, 4-inches tall and weighs 235 pounds has a BMI of about 40.3kg/ m2. A 6-foot tall sedentary man who weighs 295 has a BMI of 40.

“Obesity has reached epidemic proportions in the United States, as well as in much of the industrialized world,” Poirier said. “The most rapidly growing segment of the obese population is the severely obese. The health consequences of severe obesity are profound. In comparison with normal-weight individuals, a 25-year-old severely obese man has a 22 percent reduction in his expected lifespan.”

Doctors and patients have been frustrated with the challenges of treating obesity, Poirier said. “Substantial long-term successes from lifestyle modifications and drug therapy have been disappointing, making it important to look at surgical options,” he said. 

When reviewing the scientific literature, the statement-writing committee found that, when indicated, bariatric surgery leads to significant weight loss and improvements in the  health consequences of being overweight, such as diabetes, high cholesterol, liver disease, high blood pressure, obstructive sleep apnea and cardiovascular dysfunction. Recent studies have suggested that bariatric surgery prolongs life in the severely obese.

There are, however, surgical risks – including death – and long-term post-surgical lifestyle implications. Patients must make lifelong behavior changes, such as supplement use, and follow up with the surgical team.

“Bariatric procedures are generally safe; however, this is not a benign surgery,” Poirier said. “At the moment, bariatric surgery should be reserved for patients who can undergo surgery safely, have severe obesity and have failed attempts at medical therapy.”

More research on bariatric surgery in adults and youths is needed, Poirier said. The severely obese adolescent population continues to grow with no effective sustainable treatment available.

The value of psychological evaluations and profiles in bariatric surgery cases is uncertain. The statement’s authors suggest psychological evaluations should assess the behavioral and environmental factors that may have contributed to a patient’s obesity, as well as the potential impact on a patient’s ability to make the dietary and behavioral changes needed to achieve the best results from surgery.

Poirier, P., et al. (2011). Bariatric surgery and cardiovascular risk factors: A scientific statement From
the American Heart Association. Circulation, 14 March, DOI: 10.1161/CIR.0b013e3182149099

To access the journal manuscript, go to: http://circ.ahajournals.org/cgi/reprint/CIR.0b013e3182149099v1?

Researchers‚ writing in the Journal of the American College of Cardiology‚ found that marked weight loss in patients undergoing GBS was associated with reverse cardiac remodeling and improved left ventricular and right ventricular function.

Owan, T., et al. (2011). Favorable changes in cardiac geometry and function following gastric bypass surgery. Journal of the American College of Cardiology‚ 57, 732-739.

For the full abstract and access to the full text of this study, go to: http://content.onlinejacc.org/cgi/content/abstract/57/6/732