Critical Appraisal Of Collective Evidence

Obesity is a leading preventable cause of death worldwide and its prevalence is increasing at an alarming rate (Barness et al, 2007). For thousands of years obesity was rarely seen, it was not until the 20th century that it became common, some much so that in 1997, the World Health Organization (WHO) formally recognized obesity as a global epidemic (Caballero, 2007).

Benefit of bariatric surgery is that overweight patients lose excess Body fat. Another benefit is that obesity related health conditions often improve or are eliminated because of this loss weight. The common conditions are diabetes, severe arthritis, high blood pressure and sleep apnea which often improve after a patient undergoes bariatric surgery. For some, weight loss surgery can even be a lifesaving process. Noticeably, weight reduction surgery also conveys dangers. They are quite negligible. Truth be told, weight reduction surgery carries a risk that is proportional to having your hip supplanted. That

In order to identify a condition as a disease, it should fit certain criteria. One of the reasons that obesity is classified as a disease is because of its large comorbidity. Obesity is a risk factor for chronic diseases such as hypertension, dyslipidaemia, type 2 diabetes, cardiovascular disease, sleep apnoea, musculoskeletal disorders and some cancers (Rossner, 2002). According to Rossner (2002), the death rate from all causes, cardiovascular disease, cancer and other diseases increases among moderate and severe overweight men and women in all age groups. Therefore, obesity is

“I think I may go out on the town today and see what kind of fun things I can do.” Mommy look at that fat girl, fat people shouldn’t be allowed out, quack quack waddle fat girl, hey shamu go back to the water. These are some of the things that I have endured and heard on a day-to-day when going out in public as an obese individual. Like myself, a lot of other obese individuals have embarked on many failed weight loss attempts only to gain instead of lose weight. Bariatric Surgery is a great lifelong tool to help aid in weight loss and manage the success;, however, many individuals shy away from the surgery because many health professionals only state the risks over the benefits. Bariatric surgery has become very popular in the United States, but there are many factors to consider such as the risks and benefits, success rates, and procedure options offered. Bariatric surgery has afforded many obese individuals a new lease on life. Medical doctors and insurance companies seem to be down playing the benefits as a way to keep patients with many obesity related ailments to keep them in business. The benefits that bariatric surgery has greatly outweigh the risks and allows for new beginnings.

While not the leading cause of death (mortality), there is a high prevalence of both obesity and diabetes in the population, justifying the selection of these health issues to be addressed in the

Marks, Jennifer B. “Obesity in America: It's Getting Worse.” Clinical Diabetes, American Diabetes Association, 1 Jan. 2004, clinical.diabetesjournals.org/content/22/1/1.

One of the most important lifestyle factors influencing health outcomes is obesity. Specifically, obesity is widely recognized as a primary cause of poor health outcomes across all socioeconomic and ethnic groups in the US. The CDC reports that “people who are obese, compared to those with a healthy or normal weight, are at increased risk for many serious diseases and health conditions, including… all-causes of death (mortality), high blood pressure (hypertension), type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, certain cancers, and mental illness.” Thus, exploring

The prevalence of obesity in the United States has doubled over the last two decades (Pomerantz et al, 2010) and tripled over the last three decades (Taylor et al, 2006); similar trends are also occurring worldwide (Sabharwal and Root, 2012).

Weight loss surgery, also known as bariatric surgery is recommended by many physicians to people who are unable to benefit from traditional weight loss methods. However, choosing to undergo weight loss surgery isn’t an easy decision. It is an important decision that will drastically and permanently impact a person’s life. Therefore, before making such a significant decision, an individual should be aware of both the risks and benefits associated with weight loss surgery (McGowan & Chopra ix).

Obesity is a casual factor in type 2 diabetes, hypertension, coronary heart disease, gallstones, cancer, and musculoskeletal diseases.

This paper is a critical analysis of the article authored by Mingrone et al. (2012), titled, which is titled: "Bariatric surgery versus conventional medical therapy for type 2 diabetes.” Mingrone et al. (2012) wanted to compare between traditional medical therapy and bariatric surgery in the cure of diabetes mellitus type 2. The critique examines the strengths and weaknesses in the research topic, abstract, and the literature review. Mingrone et al. (2012) did a laudable study that focused on comparing a relatively novel medical procedure to the conventional procedures, thereby contributing new knowledge in the field of diabetes care.

A randomized controlled trial carried out by Ikramuddin et al. (2013) compared conventional standard therapy with lifestyle modification to a single type of Bariatric operation (Roux-en-Y gastric procedure [RYGB]) and measured the effect on glucose control in patients with T2DM. The key outcome and measure of this study with respect to glycemic control was to attain a target HbA1c level below 7% (Ikramuddin et al., 2013). At baseline, these patients had

“A major concern at this time is the rapid climb in incidence of Type 2 diabetes, with prevalence now estimated at about 9% (18 million) of the population greater than 20 years of age.” Obesity and Type 2 diabetes are commonly associated (Gould & Dyer, 2011). In addition to the two types of diabetes, there are signs and symptoms that are easily detected and some that develop after diagnosis.

Only a few studies in nursing research provide some kind of study that looks into experiences of patients who choose to undergo bariatric surgical procedures or investigation. Within the growth of science in bariatric nursing, there is that need of information to support both the patient that is receiving the care and the physician that is providing the care and the support. In this time of continues growth in this bariatric procedures, it is a most that all healthcare providers initiate and Evaluate necessary changes in practice that will enhance the well-being and health of patients that undergo this procedure. With the current increase in the rate of obesity, people have now turned to bariatric surgery because they

No studies evaluate the commonly used indications for bariatric surgery. Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m(2) or with BMI >35 kg/m(2) and 1 or more significant co morbid conditions, when less invasive methods of weight loss have failed and the patient is at high risk for obesity-associated morbidity and mortality (strength of recommendation: C, based on consensus guidelines).