Energy balance
Bariatric surgery is recommended for individuals with BMI ≥ 40 kg/m2, or BMI ≥ 35 kg/m2 with comorbidities, to achieve long-term weight loss, diabetes remission, and reduced mortality.
If you have a BMI of 40 or higher, or 35 or higher with health issues like diabetes or high blood pressure, bariatric surgery is a highly effective option. It leads to greater long-term weight loss and diabetes remission than medical treatment alone, and reduces long-term mortality. Discuss this with a specialist to see if you are a candidate.
La chirurgie bariatrique peut être envisagée chez les personnes ayant un IMC ≥ 40 kg/m2 ou un IMC ≥ 35 kg/m2 auquel s’ajoute au moins 1 maladie liée à l’adiposité... afin de : Réduire la mortalité globale à long terme... Induire une perte de poids à long terme significativement plus importante comparativement au traitement médical seulement.
Why this rating
Supported by Level 1a evidence for weight loss and Level 2b for mortality reduction.
Source
L’obésité chez l’adulte : ligne directrice de pratique clinique
Sean Wharton et al. · Canadian Medical Association Journal · 2020
DOI 10.1503/cmaj.191707-f
More from this paper
- Obesity is a chronic, complex, and heterogeneous disease characterized by abnormal or excessive adiposity that impairs health, rather than a simple failure of willpower or lifestyle choice.Weak
- Aerobic physical activity (30-60 minutes, moderate to vigorous intensity, most days of the week) improves cardiometabolic parameters, reduces visceral fat, and aids in weight maintenance, even without significant weight loss.Weak
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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