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Longevity Studies: WLS versus not



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I have often wondered about long term studies that show longevity rates between people who choose to do WLS versus those who do not. I have not actually seen these studies, but I did find a few interesting articles on the ASMBS website.... I cut and pasted a portion of one below and put in a link to it. Interesting. What I can't tell from the summary is if it was a comparison of people over a certain BMI or what.... but at least its an indication.

That same area of the ASMBS website has several good sensible, easy to follow articles on weight loss surgery - the various types, myths etc.

http://asmbs.org/patients/benefits-of-bariatric-surgery

Improved Longevity

Several large population studies find that individuals affected by severe obesity who have had bariatric surgery have a lower risk of death than individuals affected by obesity who do not have surgery. One of these studies found up to an 89 percent greater reduction in mortality throughout a 5-year observation period for individuals who had bariatric surgery when compared to those who did not. Another large population study comparing mortality rates of bariatric and non-bariatric patients found a greater than 90 percent reduction in death associated with diabetes and a greater than 50 percent reduction in death from heart disease.

The mortality rate for bariatric surgery (3 out of 1000) is similar to that of a gallbladder removal and considerably less than that of a hip replacement. The exceptionally low mortality rate with bariatric surgery is quite remarkable considering that most patients affected by severe obesity are in poor health and have one or more life-threatening diseases at the time of their surgery. Therefore, as regards mortality, the benefits of surgery far exceed the risks.

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Here is my bariatric study:

My brother died of a heart attack at age 47, when he weighed 420 pounds.

My mother died at age 67 (just three years older than I am now) of an abdominal aortic aneurysm when she weigh 320 pounds at 5'2" tall. Her mother, who was not overweight died at the age of 98, and she would have lived longer if she had not broken her hip and gotten pneumonia.

Other grandparents, aunts, and uncles who were not overweight lived well into their mid-eighties and early nineties.

Many of my 60 first cousins have already died of overweight-related health issues in their late forties to early sixties.

My older sister weighed about 300 pounds when she graduated high school in 1968 and gained another 100 pounds after that. She got a gastric bypass 15 years ago and is still doing well at age 67 (the age Mother died).

I had the sleeve at age 62 because I just do not want to be done yet. I have grandchildren that I want to see grow up.

One of my younger sisters who weighed close to 400 pounds got a band three years ago. She lost enough weight to get to a size 12, got a Tummy Tuck, breast lift and all that - and looks awesome! She is healthier and happier than she has ever been.

So, my family is my example for life-span. I know I have greatly increased my odds for a longer life with good quality of life.

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Miss Mac I too come from a large family. :) Some of us have weight issues but many do not- I'm one of the lucky ones to fall in to the obese part of the family. We must have excellent genes as most of my family has lived in to their 80s and 90s. I'm 43 and looking forward to having bypass surgery later this year.

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@@Miss Mac I lost a 40 year old Super Morbidly Obese niece and a 64 sister in law - both died instantly of heart failure way before their time. They were both very high BMI.

I have just been very curious about results across large populations and this is the first time I have seen these types of studies mentioned.

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In my family too the obese folks have died much younger then the thinner more active ones. My father at 54, my aunt at 57, my uncle at 32, the list goes on and on and they were all obese and it led to all the usual issues, diabetes, heart failure etc.

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My fingers are itching to send this to my uncle... I made a post about this before with him being 69 years old and about 400 pounds. I am so worried about him dying before his time :( but his paranoid daughter talked him out of it because she's afraid he'll die on the operating table.

I know it's not my place but the evidence is so strong. Surely the surgery carries less risks than the weight that's crushing his organs.

In the next month or so I'm going to invite him out to lunch. I want him to see me after I've shed a good 50 pounds. I just had another fill and this one is really working great - only ate a half cup of food for dinner last night! This weight is going to melt right off my muscles, bones, and organs - and I'm feeling so good. I want him to see that. Hopefully a bright light will shine from above and guide him back to the bariatric center.

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Here's an observation I use for motivation...how many fat, old people do you know? There aren't many!

I hear that a lot but think it is a little bit of a fallacy. Especially the "how many fat old people do you see in nursing homes".

The problem with this is that some (many?) fat people do lose weight at the end of life due to illness, malnutrition, etc.

I would qualify this as how many fat old people do you see who have a good quality of life.?

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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