At the turn of the twenty-first century, morbid obesity has changed into a growing epidemic. Worldwide, several billion adults are overweight, including those clinically obese.1 Morbid obesity may be defined as being 100 pounds above ideal weight, or twice the best bodyweight, or, more commonly, as a human body mass index (BMI) of 40kg/m2 or greater. Portion control, use of a low-fat diet, and regular physical activity are behaviors that drive back obesity; however, it has become increasingly difficult to adopt and maintain these behaviors inside our modern society.2 A BMI of 40kg/m2 has been demonstrated to be related to premature death, and obesity is the 2nd leading reason behind preventable death in the United States after tobacco use. Obesity has been estimated to cause 280,000 deaths annually in the United States.3 Elevated BMIs may also be associated with a heightened risk for heart disease, hypertension, diabetes, hypercholesterolemia, sleep apnea, osteoarthritis, and gallbladder disease.4 Medical therapy for morbid obesity has limited short- and long-term success. Randomized controlled trials employing lifestyle modifications or pharmacologic interventions for weight loss resulted in mere approximately a 7-pound loss that has been maintained over a 2-year period.5 Diets that are lower in fat or low in carbohydrates often yield weight loss that’s insufficient to alter comorbid conditions that are secondary to obesity. Pharmacologic therapy also offers poor results. The latest antiobesity agent, orlistat, has been shown to generate a maximum weight loss of 10% weight at 1 year, and weight is frequently regained within 12 to 18 months.6 Surgery has been which may be the only real effective longterm treatment for morbid obesity. Patients are eligible for bariatric surgery if they have a BMI of 40kg/m2 or greater or have a BMI between 35 and 40kg/m2 with significant comorbidities, and have failed other medically managed weight-loss programs.7 The eligible patient must certanly be 18 to 60 years of age and prove to truly have the motivation for weight-loss maintenance.7 Approximately 12 million people in the United States currently meet these criteria. Typically, patients are not eligible for surgical intervention if obesity relates to a metabolic or endocrine disorder, if they have a history of substance abuse or psychiatric problems, or if surgery would be considered high risk; women who’ll try to become pregnant in the next 18 months also are ineligible for surgery.

Filed under : Bikers Health,