Obesity’s Link to COPD

According to estimates, 6% of American adults have chronic obstructive pulmonary disease (COPD), and 35% of those COPD patients are considered obese. In addition to being common among COPD patients, studies have also suggested that obesity leads to a higher risk of acute exacerbations, indicating that obesity may be a risk factor. 

Now a U.S. study suggests that obese people with COPD who get weight loss surgery may go to the hospital less often with acute breathing problems after their operations. The study found that among obese adults with COPD, those who had bariatric surgery to lose weight, needed to go to the emergency room or have inpatient care half as often as before surgery.

The researchers examined data on 481 obese adults aged 40 to 65 who had COPD and underwent bariatric surgery in California, Florida, and Nebraska. They followed patients from 2005 through 2011 to see how hospital and emergency room visits for COPD in the two years before weight loss surgery compared to the two years afterwards.

At the start of the study, when patients were 13 to 24 months away from getting their operations, 28% of them had an emergency department (ED) or hospital visit for acute COPD symptoms. During the second year of the study, the 12 months right before surgery, these rates didn’t change much, but compared with that first year of the study, the chances of an ED or hospital visit dropped by 65% in the first year after bariatric surgery. 

Just 12% of patients had a COPD visit during that time. During the last year of the study, 13 to 24 months after surgery, the odds of an ED or hospital visit were 61% lower than in the first year of the study. These findings suggest that benefits of bariatric surgery may extend beyond remission of chronic health problems associated with obesity to include COPD and other respiratory conditions.

If you are considering bariatric surgery, schedule a consultation at VIP SURG. Their expert team can help you find the right treatment for your unique situation.

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Diet Recommendations for After Weight-Loss Surgery

A gastric bypass diet helps people who are recovering from sleeve gastrectomy and from gastric bypass surgery — also known as Roux-en-Y gastric bypass — to heal and to change their eating habits. Your doctor or a registered dietitian can talk with you about the diet you’ll need to follow after surgery, explaining what types of food and how much you can eat at each meal. Closely following your gastric bypass diet can help you lose weight safely and keep you feeling well too.

The gastric bypass diet is designed to:

  • Allow your stomach to heal without being stretched by the food you eat
  • Accustom you to eating the smaller amounts of food that your smaller stomach can comfortably and safely digest
  • Help you lose weight and avoid gaining weight
  • Avoid side effects and complications from the surgery

Diet recommendations after gastric bypass surgery vary depending on your individual situation. A gastric bypass diet typically follows a staged approach to help you ease back into eating solid foods. How quickly you move from one step to the next depends on how fast your body heals and adjusts to the change in eating patterns. At each stage of the gastric bypass diet, you must be careful to:

  • Avoid dehydration.
  • Wait about 30 minutes after a meal to drink anything and avoid drinking 30 minutes before a meal.
  • Eat and drink slowly, to avoid dumping syndrome — which occurs when foods and liquids enter your small intestine rapidly and in larger amounts than normal, causing nausea, vomiting, dizziness, sweating and diarrhea.
  • Eat lean, protein-rich foods daily.
  • Choose foods and drinks that are low in fats and sugar.
  • Avoid alcohol.
  • Limit caffeine, which can cause dehydration.
  • Take vitamin and mineral supplements daily as directed by your health provider.
  • Chew foods thoroughly to a pureed consistency before swallowing, once you progress beyond liquids only.

The gastric bypass diet can help you recover from surgery and transition to a way of eating that is healthy and supports your weight-loss goals. Remember that if you return to unhealthy eating habits after weight-loss surgery, you may not lose all your excess weight, or you may regain any weight that you do lose.

If you live in the Las Vegas area and are considering bariatric surgery, schedule a consultation with VIPSurg. Dr. Tsuda and his team are ready to help you on your way to a healthier, happier life.

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Obesity is a Big Deal! A Look at the Complexity of this Serious Health Problem

Let’s face it, often those of us who are overweight or obese are judged quite harshly by society. People generally assume that obesity is strictly a matter of personal willpower, the product of bad choices about physical activity and diet. It is assumed that an overweight or obese person has little self-control. This kind of bias and thinking gets in the way of dealing with obesity as the serious health issue it is.

Obesity is a very complicated condition. About 50 to 70% of one’s risk of obesity is genetically determined. You can make choices that make it better or worse, but that’s just like any other chronic disease. When the blame and shame that are so common get in the way, it makes it hard to improve the health of people living with obesity.

A lot of health plans have had broad, blanket exclusions for obesity, thinking that it is a cosmetic condition. However, the rise in the prevalence of obesity that’s happened over the last 3 decades has made it clear that it’s creating a trend of chronic disease ranging from cardiovascular disease to diabetes to many cancers.

Because weight-based stereotypes and prejudices so often emerge from claims that obesity is caused and maintained by personal characteristics such as laziness or lack of willpower, there is a clear need for increased public awareness and education about the complex biology of obesity and the significant obstacles that exist in efforts to achieve sustainable weight loss. The prevailing societal and media messages that reinforce blame on obese persons need to be replaced with messages that obesity is a chronic disease with a complex set of causes. It is a lifelong condition for most obese persons.

Several studies have consistently demonstrated that experiencing weight stigma increases the likelihood of engaging in unhealthy eating behaviors and lower levels of physical activity, both of which exacerbate obesity and weight gain. Among youths, several studies have demonstrated that overweight children who experience weight-based teasing are more likely to engage in binge-eating and unhealthy weight control behaviors compared with overweight peers who are not teased, even after controlling for variables such as BMI and socioeconomic status. Other research has consistently documented a positive association between weight-based victimization and eating disorder symptoms and bulimia. Weight-based victimization among overweight youths has been linked to lower levels of physical activity, negative attitudes about sports, and lower participation in physical activity among overweight students.

If you’re looking for treatment for this very real, physical disease, contact VIPSurg for an appointment. Our expert team understands the complexity of obesity and all the issues that come with it. They can help find the right treatment for you.

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Eat Healthy/Live Healthy

One of the ways that weight loss surgery works is that after one has had a bariatric procedure, it takes less food to fill up and keep satisfied. As time goes on, though, it will take more food to make you feel full. This a normal part of the process. During the first two years after surgery, the capacity for food you can eat will go up from a few teaspoons to 1 cup to 1 1/2 cups of food. Whether you eat a little or a lot, eating healthy is the most important element.

A healthy eating plan gives your body the nutrients it needs every day while staying within your daily calorie goal for weight loss. A healthy eating plan:

  • Emphasizes vegetables, fruits, whole grains, and fat-free or low-fat dairy products
  • Includes lean meats, poultry, fish, beans, eggs, and nuts
  • Limits saturated and trans fats, sodium, and added sugars
  • Controls portion sizes

If you’re trying to lose weight or maintain a healthy weight, finding the right kind of foods is essential. The goal should be to eat healthy foods that will fill you up for the longest amount of time.

Feeling hungry every 3 to 4 hours is normal. You’re supposed to feel hungry that often, and eating the right types of foods helps to keep blood sugar levels balanced.

Fruits and vegetables are filling. They are not only low-calorie, but also high in fiber. Foods such as carrots and hummus have fiber, flavor, and fat to keep you feeling full longer. They also help us absorb nutrients. Nuts like pistachios, almonds, pecans, and seeds all offer healthy fats as well as protein. Proteins can be a healthy snack choice as well as a meal option. Foods high in protein, such as lean chicken, ham or turkey will help satisfy hunger.

 If you are looking for ways to treat obesity in the Las Vegas area, schedule an appointment at VIP Surg. Their team of experts can help find the right treatment for you.

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Is Weight-Loss Surgery Right for You?

Weight-loss surgery, also known as bariatric surgery, is a safe and effective treatment for individuals suffering from morbid obesity, a serious health condition that can interfere with basic physical functions such as breathing or walking. Obesity puts people at greater risk for illnesses including diabetes, high blood pressure, sleep apnea, gastroesophageal reflux disease (GERD), gallstones, osteoarthritis, heart disease, and cancer.

To be considered morbidly obese, you must have a BMI of 40 or more or be 35 or more and experiencing obesity-related health conditions, such as high blood pressure or diabetes. These are important for qualifying for a bariatric procedure.

People seeking weight-loss surgery are not usually considered candidates unless they have tried and failed to lose weight through traditional forms of treatment. People at high risk for disease or who have a life-threatening condition, including those with a disabling condition from obesity, are often considered good candidates for surgeries such as gastric bypass. People with a genetic condition that causes obesity are candidates as well.

Are you a candidate?

Weight-loss surgery may be right for you if:

  • Your BMI of 40 or more.
  • Your BMI is 35 or higher, and you also suffer from one or more health problem such as Type 2 Diabetes or Hypertension.
  • Your past attempts to lose weight have been unsuccessful.
  • You do not have any other disease that may have caused your obesity.
  • You are prepared to make substantial changes in your eating habits and lifestyle.

Other guidelines can include an extremely high body mass index, obesity that exists for five or more years, no history of alcohol or drug abuse, and no untreated psychiatric disorder. Candidates are typically between the ages of 18 and 65. Certain adolescents may be eligible for weight loss surgery, too.

Being a good candidate means having realistic expectations. Weight-loss surgery can help reduce your risk of life-threatening conditions and improve your overall health and appearance, and these changes should improve your quality of life; however, surgery alone is often not enough to turn your life around. Significant behavior modifications are necessary.

To decide about the gastric bypass procedure and to find out if you are a good candidate for weight loss surgery, talk to the doctors at VIP SURG. Their experts can help you find the right weight-loss treatment for your unique situation.

Bariatric Surgery - medical concept

Plastic Surgery After Dramatic Weight Loss

Dramatic weight loss either through bariatric surgery or diet and exercise is truly a life changing event. You look and feel better, but after any substantial amount of weight loss, the skin and tissues often lack the elasticity to conform to the reduced body size. Hanging skin can affect both comfort and self-confidence and can be a daily reminder of past obesity. Bariatric plastic surgery after weight loss is often done for medical reasons as much as or more than for aesthetic reasons. 

However, before having bariatric plastic surgery after weight loss, consider the following:

  • Are you at your low weight? Wait until you’re at your low weight and have stayed there for several months. If you had weight loss surgery, you’ll need to wait at least one year, preferably two. 
  • How is your current physical and mental health? Better overall physical health means less likelihood of complications. Work with your primary care physician to determine if your physical health is appropriate for plastic surgery. Mental health is a big consideration. Surgery preparation and recovery can be a lengthy process, and you must have the proper mindset going into it.
  • Would you do this for mental reasons, health reasons, or both? Mentally, the saggy skin may cause you to feel embarrassed both with and without clothes on. Physically, it can cause a myriad of issues ranging from annoying to potentially serious, including:
      • Difficulty getting dressed
      • Difficulty exercising, which may impact long-term weight maintenance and health
      • Skin fold rashes or breakdown of skin
      • Skin fold infections

These are just a few of the issues to think about before deciding to move forward with plastic surgery after weight loss. You should consider the severity of the mental and physical issues caused by your excess skin and weigh that against the risks and side effects of surgery along with how much it will cost.

If you live in the Las Vegas area and are considering bariatric surgery, VIPSurg is ready to help. Dr. Tsuda and his team of experts can help find the right treatment for you.

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Motivation: Scientific Secrets to Success

Researchers have been trying to figure out what compels us to do something repeatedly we don’t always want to do – like exercise. Here are some scientifically-proven strategies to help your workout motivation:

  • Give Yourself a Real Reward – Give yourself tangible, immediate benefits to working out, such as treating yourself to an episode of your favorite TV show or a healthy smoothie after you exercise. These kinds of rewards are powerful because your brain starts to link the reward to the behavior making it seem worthwhile. Over time, the motivation becomes the workout itself, as the brain begins to associate sweat and pain with the surge of endorphins — those feel-good chemicals released in the brain that are responsible for that exhilarating rush you get after a great exercise session. Once you’ve trained your brain to recognize that the workout itself is the reward, you won’t even need the treat.
  • Sign a Commitment Contract — Research shows we’re more likely to follow through with pledges when we make them in front of friends. You can up the ante even more by signing a contract agreeing to pay a pal $20 every time you skip your planned workout. Studies of people who created contracts found that those who signed longer contracts ended up exercising more than those who agreed to shorter time spans. Once we get past the initial pain and discomfort, it’s much easier to recognize the benefits of sticking to the routine.
  • Rethink Positive Thinking — Believers in the power of positive thinking also believe in the power of positive imaging, where you actual visualize the behavior and the beneficial outcomes of it as well. For example, when deciding whether to get out of bed to go running in the morning, it helps to imagine how the sun will feel on your face as you run. Or visualize your happiness as you see the results of your fitness routine. You can also visualize the obstacles to getting in the workouts you desire. Once you have those images, it’s easier to find solutions to work around the things blocking your wellness path. 
  • Find Your Fitness Tribe — What will ultimately inspire you to get up and start moving is a strong, supportive community. The laughs, high fives, and words of encouragement from the bonds people make are things that can’t be replicated. Find a workout that makes you feel good and surround yourself with people that help build your confidence as much as your strength. 

If you’re in the Las Vegas area and are considering weight-loss surgery, schedule an appointment at VIPSurg. Dr. Tsuda and his team of experts will find the right treatment for you.

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