Exercise: How Much is Enough?

Our bodies were meant to move — they actually crave exercise. As a matter of fact, regular exercise is necessary for physical fitness and good health. It reduces the risk of heart disease, cancer, high blood pressure, diabetes and other diseases, and it can improve your appearance and delay the aging process. So why aren’t we all doing it?

Many say lack of time is their single biggest obstacle to fitness, but experts say you may be overestimating how much exercise you really need to get at one time. Many think exercise means you have to hit the point where you’re completely out of breath and panting after you’ve finished, and you can do that, but for the majority of health benefits, it’s not necessary.

People often assume that more is better. On the contrary; doing too much too soon or performing intense exercises on a daily basis can have harmful effects, such as muscle/tendon strains, loss of lean tissue, and fitness-level plateaus. However, if you don’t exercise at all, your muscles will become flabby and weak, your heart and lungs won’t function efficiently, and your joints will be stiff and easily injured.

If you are overweight or obese, your fitness goals probably go beyond lowering your risk for disease, but even if losing weight is your primary goal, it’s nice to know what research actually shows when it comes to how much exercise you should be doing each week for better health.

Here are a few statistics to consider:

  • 30 minutes of interval training per week (broken into 3 workouts) reduces the risk of type 2 diabetes.
  • 150 minutes of moderate exercise per week reduces the risk of cancer.
  • 120 minutes of moderate aerobic exercise per week offers improvements in memory.

People seem to have heard the message that you need 30 minutes of exercise, five days a Exercise tracking device Dollarphotoclub_101019544 (2)week according to federal guidelines. If you get that, you’ll get 85% of the health benefits we talk about. However, the misconception is that it’s all or nothing. It’s also important to note that federal guidelines call for moderate-intensity exercise, which means you don’t have to be killing yourself with long runs, boot camp, or spin class five days a week in order to relish the rewards. Being consistent with exercise is probably the most important factor in achieving desired results.

If you’re obese and looking for ways to get fit and lower your risk of disease, schedule an appointment at VIP SURG. We can help you find the right treatment.

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Gastric Bypass for a Longer Life

According to research by the Geisinger Health System, one of the largest health service organizations in the U.S., patients with severe obesity who have gastric bypass surgery reduce their risk of dying from obesity and other diseases by 48% up to 10 years after surgery, compared to similar patients who do not undergo the procedure. This is significant considering that the American Society for Metabolic and Bariatric Surgery estimates about 24 million Americans have severe obesity, which would mean a BMI of 35 or more with an obesity-related condition like diabetes or a BMI of 40.

Researchers from the Geisinger Health System followed nearly 2,700 patients who had gastric bypass at the system’s nationally accredited bariatric surgery center between 2004 and 2014. Mortality benefits began to emerge within two years after surgery and were significant within four years. The biggest reduction in risk occurred in patients 60 years or older at the time of surgery and in patients who had diabetes before surgery.

“The long-term survival benefits these older patients and those with diabetes experience likely relate to improvements in long-term metabolic and cardiovascular health, among other risk factors,” said Michelle R. Lent, Ph.D., a Geisinger Obesity Institute researcher. “While this study did not evaluate specific-cause mortality, as expected, we did find significant improvements or remission in diabetes and high blood pressure.”

In the study, more than 60 percent of patients with diabetes before surgery experienced diabetes remission about five years after surgery. Previous studies have shown death from heart disease and even certain cancers are lower in gastric bypass patients than patients with severe obesity who do not have the operation.

People with obesity and severe obesity have higher rates of heart disease, diabetes, some cancers, arthritis, sleep apnea, high blood pressure and dozens of other diseases and conditions. Studies have shown individuals with a BMI greater than 30 have a 50 to 100 percent greater risk of premature death compared to healthy weight individuals.Live Longer

If you live in the Las Vegas area and are interested in learning what bariatric surgery can do for you, schedule an appointment with Dr. Shawn Tsuda. He and his team of experts can help you choose the best treatment for your unique situation.

 

Robotic Gallbladder Surgery

A horrendous pain hits you in the upper right side or middle of the abdomen. You might think it’s a gas pain because your abdomen might feel especially full, or maybe it’s bad indigestion because you are also very nauseous and vomiting. These are all symptoms of a problem with the gallbladder. If the pain and/or nausea isn’t enough to send you to your doctor or the emergency room, symptoms such as fever, clay-colored stool, or yellowing of skin and whites of eyes (jaundice) should be assessed by a medical professional as soon as possible.

Gallbladder disease is very common, affecting about 10-15% of adults in Europe and the U.S. Treatment for gallbladder disease may include lifestyle changes and medication. However, if your symptoms worsen, your doctor may recommend surgery to remove your gallbladder.

Fortunately, your gallbladder is an organ that you can live without. The surgery to remove Gallbladderthe gallbladder is called a cholecystectomy. This surgery can be performed using open surgery through one large incision or through minimally invasive surgery (laparoscopy). Minimally invasive surgery can be done either through a few small incisions in your abdomen or one incision in your belly button. In laparoscopic procedures, surgeons use long-handled instruments to reach your gallbladder. One of the instruments is a tiny camera that takes images inside your body and sends them to a video monitor to guide surgeons as they operate.

Cholecystectomy through the belly button can be done using traditional single incision laparoscopy or da Vinci® Single-Site® Surgery. The da Vinci System features a magnified 3D high-definition vision system and flexible Single-Site instruments. These features enable your doctor to operate with enhanced vision and precision.

It is important to discuss all treatment and surgical options with your doctor, as well as the risks and benefits of each. If your doctor believes you are a candidate for da Vinci Single-Site Surgery, your doctor removes your gallbladder using state-of-the-art precision instruments. With da Vinci, surgery is performed through one incision in the belly button, which dramatically limits visible scarring.

As a result of da Vinci technology, da Vinci Single-Site Cholecystectomy offers the following potential benefits compared to traditional laparoscopy:

  • Low rate of major complications
  • Low conversion rate to open surgery
  • Virtually scarless surgery
  • High patient satisfaction
  • Minimal pain

Though it is often called a “robot,” da Vinci cannot act on its own. Surgery is performed entirely by your doctor. This state-of-the-art technology must be operated by an experienced and specially trained surgeon like Dr. Tsuda.

If you need gallbladder surgery, contact Dr. Shawn Tsuda to see if you are a candidate for this type of procedure. Da Vinci surgery allows one to get back to normal life much more quickly than with traditional open and even laparoscopic surgeries.

Treat Your Obesity to Solve These Potential Health Issues

Measuring waist AdobeStock_90560299.jpegObesity is a complex health issue to address. It results from a combination of causes and contributing factors, including individual factors such as behavior and genetics. Behaviors can include dietary patterns, inactivity, medication use, and other exposures. Obesity is a serious concern because it is associated with poorer mental health outcomes and reduced quality of life. Obesity is one of the leading causes of death in the U.S. and worldwide, along with its accompanying ailments including diabetes, heart disease, stroke, and some types of cancer.

People who are obese, compared to those with a normal or healthy weight, are at increased risk for many serious diseases and health conditions, including the following:

  • All-causes of death (mortality)
  • High blood pressure (Hypertension)
  • High LDL cholesterol, low HDL cholesterol, or high levels of triglycerides (Dyslipidemia)
  • Type 2 diabetes
  • Coronary heart disease
  • Stroke
  • Gallbladder disease
  • Osteoarthritis (a breakdown of cartilage and bone within a joint)
  • Sleep apnea and breathing problems
  • Some cancers (endometrial, breast, colon, kidney, gallbladder, and liver)
  • Low quality of life
  • Mental illness such as clinical depression, anxiety, and other mental disorders
  • Body pain and difficulty with physical functioning

Metabolic syndrome is the name for a group of risk factors that raises your risk for heart disease and other health problems, such as diabetes and stroke. You can develop any one of these risk factors by itself, but they tend to occur together. A diagnosis of metabolic syndrome is made if you have at least three of the following risk factors:

  • A large waistline. This is called abdominal obesity or “having an apple shape.” Having extra fat in the waist area is a greater risk factor for CHD than having extra fat in other parts of the body, such as on the hips.
  • A higher than normal triglyceride level (or you’re on medicine to treat high triglycerides).
  • A lower than normal HDL cholesterol level (or you’re on medicine to treat low HDL cholesterol).
  • Higher than normal blood pressure (or you’re on medicine to treat high blood pressure).
  • Higher than normal fasting blood sugar (or you’re on medicine to treat diabetes).

If you live in the Las Vegas area and are looking for treatments for your obesity and metabolic syndrome, schedule an appointment with Dr. Shawn Tsuda. He and his team of experts can help you explore all of the options.

 

Bariatric Surgery and Gastric Reflux

Bariatric Surgery and Gastric RefluxIn the last two decades, the world has seen a striking rise in both obesity and the number of people suffering from acid reflux, also known as gastroesophageal reflux disease (GERD). Many studies have convinced scientists that along with all of the other health problems caused by obesity, it also contributes to acid reflux. Several studies have shown that being overweight nearly doubles the possibility for GERD symptoms such as heartburn, regurgitation of acid, chest pain, and difficulty swallowing. According to Texas GERD Institute, one recent study maintains that obese people can be up to six times more likely than normal weight people to have gastroesophogeal reflux.

How does obesity make GERD more likely? Researchers aren’t sure, but some theorize that excess body fat compressing the stomach, diets with fatty and other irritation-causing foods, and hernias could be to blame.

If not controlled, GERD can result in serious problems, including an increased risk of esophageal cancer. Obese people are about three times more likely than normal weight individuals to develop esophageal cancer. Nearly two-thirds of American adults are currently overweight, and esophageal cancer has quadrupled in the last twenty years. GERD is most commonly treated with over-the-counter and prescription medications. However, these drugs do not always work, and taking them for long periods of time can cause other side effects, including weakened bones and gastrointestinal infections.

Losing weight can greatly improve symptoms. According to the Nurses’ Health Study, losing as little as eight pounds can dramatically reduce heartburn. Weight-loss surgeries may also improve GERD. Some studies have shown that the Roux-en-Y gastric bypass is the most effective weight-loss surgery for consistently reducing GERD.

If you have noticed an increase in acid reflux symptoms as your weight has increased, don’t lose heart. Acid-blocking medications may supply short-term aid, and surgery may be an effective option. Bear in mind that in any case, losing weight may also provide relief. Make an appointment with Dr. Tsuda to see if weight-loss surgery is a good option for you.

Read more on this topic at: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3801365/

Morbid Obesity: Causes and Treatments

Morbid Obesity: Causes and TreatmentsObesity, a condition in which you have a high body mass index (BMI), is one of the main health problems in the United States.

Some causes of obesity include:

  • low resting metabolic rate
  • environmental factors
  • family behavior patterns
  • poorly developed satiety response
  • reactive eating due to stress or anxiety

Morbid obesity is characterized by an increased number of fat cells and a degree of irreversibility. Overeating increases the size of fat cells; however, once they achieve their maximal size, cell reproduction is sparked and massive, irreversible obesity may result.

Knowing your BMI is a good starting point in addressing your weight. If you find you are in an unhealthy range, you should talk with your doctor to address this issue.

Morbid obesity is a complex issue and has many causes. It is a serious disease that needs to be prevented and treated. Each treatment differs from person to person. Your physician can best diagnose your weight issue and give you options according to your health and lifestyle.

Modifying those behaviors that may have contributed to developing obesity is one way to treat the disease. A few suggested behavior modifiers include:

  • Changing eating habits
  • Increasing physical activity
  • Becoming educated about the body and how to nourish it appropriately
  • Engaging in a support group or extracurricular activity
  • Setting realistic weight management goals

Surgical treatment of morbid obesity is the only therapeutic form that has stood the test of time, but bariatric surgery should be reserved as a last resort. There are various surgical options to choose from when considering bariatric surgery. In order to qualify for surgery, individuals must have a BMI of 40 or greater, or a BMI more than 35 and an existing weight-related co-severity, such as diabetes or hypertension.

Schedule a consultation with Dr. Tsuda to help decide if surgery is right for you. Read more online at: http://www.mayoclinic.org/diseases-conditions/obesity/basics/definition/con-20014834

What is Your BMI?

Obesity_and_BMIThese days when you go to your doctor, the topic of weight is often discussed in terms of body mass index (BMI) rather than pounds alone. BMI is a measure of body fat based on one’s height and weight. BMI is a fairly reliable indicator of body fatness for most people. BMI does not measure body fat directly, but can be considered an alternative for direct measures of body fat. Additionally, BMI is an inexpensive and easy-to-perform method of screening for weight categories that may lead to health problems.

For adults 20 years old and older, BMI is interpreted using standard weight status categories that are the same for all ages and for both men and women. For children and teens, on the other hand, the interpretation of BMI is both age- and sex-specific.

The standard weight status categories associated with BMI ranges for adults are shown in the following table:

BMI Weight Status

Below 18.5 Underweight

18.5 – 24.9 Normal

25.0 – 29.9 Overweight

30.0 and Above Obese

It is important to remember that BMI is only one factor related to risk for disease. For assessing someone’s likelihood of developing overweight- or obesity-related diseases, the National Heart, Lung, and Blood Institute guidelines recommend looking at two other predictors:

* The individual’s waist circumference (because abdominal fat is a predictor of risk for obesity-related diseases).

* Other risk factors the individual has for diseases and conditions associated with obesity (for example, high blood pressure or physical inactivity).

If you are trying to lose weight, BMI is one of the ways to track your progress, but you can get a clearer picture of your body composition if you use that number along with weighing yourself on a reliable bathroom scale and using a tape measure to track your waist circumference.

Consult with Dr. Shawn Tsuda to see what weight-loss options are available for you.

Read more about this topic online at: http://www.nhlbi.nih.gov/health/educational/lose_wt/BMI/bmicalc.htm