NHD digital edition - issue 34 May 2008

healthy weight loss
to lose weight. Fitness professionals and think ‘I want to be like her’. On the gastric band (or bypass) will not
are all too keen to sell articles or ap- the other hand it is still believed that work for them. A strong emphasis
pear in TV shows with new exercise surgery for weight loss is inherently needs to be placed on intensive
regimes which take little account dangerous and the media naturally long-term aftercare and support.
of the fact that the majority of the seize on any story which is likely to There are interesting and exciting
population don’t even walk regu- reinforce this view. The damaging advances being made in the evalu-
larly. effect of this is that many people ation and treatment of obesity. But
It is not very glamorous to tell OK who would beneﬁ t from surgery will they will only achieve their full poten-
magazine that losing weight after not avail themselves of it because of tial if we can encourage a more
giving birth was a long hard struggle the perceived risks involved. Yet all responsible attitude on the part of
and the ﬁ rst thing you have to do is the available evidence shows that the mainstream media.
to reduce your calorie intake by re- gastric banding is an extremely low
References:
ducing portion size, keeping a food risk procedure, with most recently
1. Aston LM, Stokes CS, Jebb SA. No effect
diary and increasing daily physi- published series showing zero mortal- of a diet with a reduced glycaemic index
cal activity. Moreover, celebrities ity.
on satiety, energy intake and body weight
rarely make reference to the medi- More than 300,000 people world-
in overweight and obese women. Int J
cal professional advice they have wide have beneﬁ ted from gastric
Obes 2008; 32: 160-165
2. Ditschuneit HH, Fletchner-Mors M, John-
often received in order for them to banding, most of whom would never
son TD, Adler. Metabolic and weight-loss
achieve these seemingly amazing have managed to get their weight
effects of a long-term dietary intervention
results. Weight loss is not something under control without it. The really in obese patients. Am J Clin Nutr 1999;
that can be achieved by a quick ﬁ x crucial point to understand about
69:198-204.
diet. Indeed it is this very culture of weight-loss surgery (gastric banding,
3. Buchwald H, Avidor Y, Braunwald E,
quick ﬁ x and celebrity that has led
Jensen MD, Pories W, Fahrbach K, Schoelles
bypass etc) is that it is the surgery
K.Bariatric surgery: a systematic review and
to a rise in interest in obesity surgery; which supports long-term behav-
meta-analysis. JAMA 2004; 292: 1724-37
especially gastric banding. ioural change, not the other way 4. Favretti F, Segato G, Ashton WD, et al.
Gastric banding is something of around.
Laparoscopic adjustable gastric banding in
a paradox. On the one hand, it is In other words, any surgical pa-
1,791 consecutive patients; 12-year results.
perceived as a cosmetic proce- tient has to practice portion control,
Obes Surg 2007; 17:168-175
dure, no different to having Botox, eat a healthy diet and engage in Would you like to comment on
liposuction or a facelift. People see daily physical activity if they want to this article? Send your thoughts to
celebrities such as Sharon Osbourne be successful. If they do not do this, info@NHDmag.com.
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