Surgery for obesity in older women

Miller, Megan E.; Kral, John G.
December 2008
Menopause International;Dec2008, Vol. 14 Issue 4, p155
Academic Journal
The global epidemic of obesity continues to grow, with over 1.7 billion people worldwide classified as obese (body mass index; BMI ≥ 30 kg/m2). Of special concern is the population of older women, since women are more obese than men and gain weight early during menopause. Obesity with co-morbidities is the leading threat to women's health and longevity. Specific female co-morbidities, such as reproductive failure, urinary stress incontinence and disproportionate prevalence of serious diseases such as diabetes, cardiovascular disease and cardiopulmonary failure in addition to breast cancer and gynaecologic malignancies, reduce the fitness benefits grandmothers provide to the species by ensuring reproductive success of their children and health and survival of grandchildren. In fact, female life-expectancy is decreasing in industrialized nations. Non-surgical treatment for obesity itself is ineffective; currently there is not enough evidence to recommend weight loss medications for routine use in the elderly and calorie- burning exercise is problematic. Conversely, antiobesity surgery has been shown to be both effective and safe in the older adult population in studies that predominantly enrol women. Although the risks and benefits of antiobesity surgery performed in high-volume dedicated centres must be carefully weighed for each individual patient, the strong evidence for its safety and efficacy in reducing obesity-related co-morbidities and improving quality of life, with the potential to increase healthy life-expectancy, makes antiobesity surgery a viable treatment option for older obese women.


Related Articles

  • Embarazo y cáncer de mama. Ramírez-Torres, Nicolás; Asbun-Bojalil, Juan; Hernández-Valencia, Marcelino // Cirugia y Cirujanos;mar/abr2013, Vol. 81 Issue 2, p98 

    Introduction: association of breast cancer and pregnancy is not common. The objective of this investigation was to evaluate the pregnancy, young age, stage, treatment, prognosis and mortality of women with breast cancer during pregnancy. Methods: retrospective analysis from March 1992 to...

  • TRATAMENTUL HORMONAL AL CANCERULUI DE SAN INCIPIENT: CARE PACIENT, CE FEL DE STRATEGIE? Toganel, Cornelia // Acta Medica Transilvanica;jun2011, Vol. 16 Issue 2, p166 

    Breast cancer hormonal treatment in our days is important because meta-analysis showed semnificative gain in recurence and breast cancer mortality. Sometimes is dificult to chose the strategy we want to use. AIS are now routinely recommended for postmenopausal woman with HR+ tumors, particulary...

  • Obesity in Libya: a review. Elmehdawi, Rafik R.; Albarsha, Abdulwahab M. // Libyan Journal of Medicine;Jan2012, Vol. 7 Issue 1, p1 

    Obesity is a global epidemic resulting in major morbidity and premature death. About 64% of Libyan adults are either overweight or obese, obesity progressively increasing with age, and two times more common among Libyan women than men. Cases of obesity and overweight are increasing in Libya as...

  • Risk Factors for Node Affectation and Recurrence in Endometrial Cancer. Alonso, Sonsoles; Lapuente, Fernando; González-Martin, Antonio; Chiva, Luis // Current Women's Health Reviews;Nov2011, Vol. 7 Issue 4, p320 

    Endometrial cancer is the most common gynecologic malignancy in western countries. In United States, 42000 estimated new cases were diagnosed in 2009, approximately 7780 women died from this cancer last year. This malignancy has a five year survival rate around 80%, thanks to its early...

  • Declining mortality from smoking in the United States. Rodu, Brad; Cole, Philip // Nicotine & Tobacco Research;Jul2007, Vol. 9 Issue 7, p781 

    The proportion of Americans who smoke cigarettes has declined 50% since 1965. The effect on mortality of this considerable reduction has received little attention and is described in this study. U.S. national data were used to enumerate current, former, and never-smokers aged 35 years or older...

  • Bariatric surgery and the ob/gyn patient. Kominiarek, Michelle A.; Kilpatrick, Sarah J. // Contemporary OB/GYN;Mar2005, Vol. 50 Issue 3, p76 

    Provides information on bariatric surgery. Prevalence of obesity in the U.S.; Treatment options for obesity; Approaches to bariatric surgery; Effect of the surgery on gynecological aspects of a woman.

  • Carnie MY NEW FAT BATTLE.  // Woman's Day (Australia Edition);4/7/2008, Vol. 60 Issue 14, p27 

    The article reports on singer Carnie Wilson's battle against obesity. The troubled singer is now tipping the scales at almost 100 kilograms (kg), despite her much publicised gastric bypass operation in 1999. At her heaviest, the former Wilson Phillips singer weighed 136kg. But she lost a massive...

  • Weight regain among women after metabolic and bariatric surgery: a qualitative study in Brazil. de Carvalho Jr., Ataliba; Ribeiro Turato, Egberto; Adami Chaim, Elinton; Magdaleno Jr., Ronis // Trends in Psychiatry & Psychotherapy;2014, Vol. 36 Issue 3, p140 

    Introduction: Due to the increased number of bariatric surgeries over the years, aspects contributing or hindering the achievement of outcomes, among them weight regain, have acquired increased significance. Psychological factors directly influence on this unwanted situation, but there are few...

  • 8th European Breast Cancer Conference (EBCC-8): Overweight and obese women at greater risk of breast cancer recurrence.  // Biomedical Market Newsletter;3/28/2012, Vol. 21, p1 

    The article focuses on a study according to which obese women who are diagnosed with breast cancer are at higher risk of cancer recurrence.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics