Obese minority children less likely to have weight-loss surgery

Obese minority children less likely to have weight-loss surgery
From Reuters - September 15, 2017

(Reuters Health) - Obese white teens in the U.S. are much more likely obese black or Hispanic teens to be treated with weight loss surgery, according to a recent study.

Thats despite the fact that minority kids are disproportionately affected by rising childhood obesity rates in the U.S.

Bariatric surgery, which includes several approaches to shrinking the stomach so patients eat less, has been shown to help with weight loss and reversing health conditions that come with obesity, such as diabetes and high blood pressure. Current guidelines recommend the procedure for adolescents with serious or severe obesity who havent been able to lose weight with other treatments.

While 4.5 million children and adolescents in the U.S. are obese, few teens undergo bariatric surgery, the study team reports in Journal of Adolescent Health. And white teens are more than twice as likely as their minority counterparts to have the procedure.

Weve known for a long time that health disparities exist in adults, but people dont think about it with children and teens, said senior author Dr. Kanika Bowen-Jallow, a pediatric surgeon at University of Texas Medical Branch in Galveston.

You wouldnt suspect it because we have coverage for children through their parents insurance or Medicaid, so 90 percent of kids should be covered, she told Reuters Health in a phone interview. But in reality, there is a difference.

Pediatric obesity rates are on the rise, with 33 percent of children considered overweight and 9 percent considered severely obese, according to the Centers for Disease Control and Prevention.

Childhood obesity is associated with type 2 diabetes, hypertension, sleep apnea, liver disease and reflux problems, the authors write. Bariatric surgery is an option for teens with severe obesity who cant lose weight after six months of behavioral and medical treatments.

For parents and doctors, its hard to have that conversation that a child is overweight, Bowen-Jallow said. But its something that will follow children into adulthood.

Bowen-Jallow and colleagues analyzed national data on obesity rates to identify how many teens would be candidates for bariatric surgery. They also examined records for bariatric surgery cases in the U.S. between 2007 and 2014 to understand what characteristics were associated with teens who got the surgery.

They found that 1,539 adolescents between ages 12 and 19 underwent bariatric surgery during the study period.


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