Outcomes of Bariatric Surgery

Outcomes of Bariatric Surgery

Majid Valizadeh, MD

Obesity Prevention and Treatment Research Center

Research Institute for Endocrine Sciences

Shahid Beheshti University of Medical Sciences

16 Nov. 2018

1397.08.25

Tehran, Iran

Agenda:

• Introduction
• Effects of the bariatric surgery on:
  • Weight
  • Glycemic control (DM remission & Improvement)
  • Lipids
  • Blood pressure
  • Prevention of Diabetes
  • Microvascular & Macrovascular complications
  • Cardiovascular disease and mortality
• Conclusions
  • Tehran Obesity Treatment Study (TOTS)

Introduction:

• The world epidemic of overweight [BMI] > 25 and obesity  ≥ (BMI 30) is estimated  about 1.7 billion individuals.
• In US approximately two thirds of individuals are overweight, and of those, almost half are obese.
• The BMI subgroups experiencing the most rapid growth are:
  •  35 or higher (23 million)
  •  and 40 or higher (8 million).
• In Iran: the prevalence of obesity in populations > the age of 18 was 21.7% and in populations < 18 was 6.1% .
• An ascending trend in the prevalence of obesity in Iran.
•  

Overweight and Obesity: Findings from 20 Years of the Tehran Lipid and Glucose Study

• Prevalence of excess weight, including overweight and obesity were 20.8 and 63.6% among those aged below and above 20 years, respectively.
• TLGS found a high incidence of obesity with higher incidence in women among Tehranian adults; 
• Prevalence of abdominal obesity in men and women were 52.8% and 44.4% respectively.