Episode #252: Metabolic Bariatric Surgery

Barbell Medicine Podcast

Barbell Medicine

Health & Fitness

4.8 • 1.2K Ratings

🗓️ 22 November 2023

⏱️ 106 minutes

🔗️ Recording | iTunes | RSS

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Summary

Drs. Baraki and Feigenbaum discuss metabolic bariatric surgery, what it is, its efficacy, diet and exercise considerations, and more.

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Transcript

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0:00.0	It's the Barbell Medicine podcast where we bring modern medicine to strengthen conditioning
0:09.0	and strengthen conditioning to modern medicine.
0:10.8	I'm your host, Dr. Jordan Feigenbaum, and this is episode 252.
0:14.8	Today we're talking about bariatric or metabolic surgery.
0:18.4	Overweight nobicity occur when excess fat accumulation increases the risk for negative
0:22.0	health outcomes.
0:23.4	Fat can deposit under the skin, in particular areas of the body or within organs.
0:27.5	Probably speaking excess fat accumulation is likely to be present when an individual's
0:31.0	body mass index, their BMI, is elevated above 25 in the case of overweight and 30 in the
0:36.1	case of obesity.
0:37.1	There are several caveats and nuances to this topic which have been discussed in detail
0:40.8	in previous podcast episodes of particular importance is that different ethnicities
0:44.8	and age groups can have different cutoffs based on evidence showing stronger relationships
0:48.9	between the different BMI values and excess body fat.
0:51.9	For example, it is recommended that individuals of South Asian descent use BMI cutoffs of
0:55.9	23.75 instead of 25 for overweight and 27.5 versus 30 for obesity.
1:02.0	As these individuals tend to have smaller skeletons among other factors, therefore limiting
1:05.9	the amount of muscle mass and increasing the amount of fat mass that they are likely
1:08.7	to have at a given height and weight.
1:11.3	The prevalence of obesity among U.S. adults is currently about 42%, whereas in the pediatric
1:16.4	population nearly 20% or 15 million children are burdened with obesity.
1:20.8	This isn't just a U.S. phenomenon as global rates of obesity are also increasing.
	...

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