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NYT Article: Childhood obesity and bariatrics

I read this article in the New York Times this week and thought it brought up a lot of interesting issues. With the alarming growth of obesity in young people, including children, there are a lot of questions about when should a patient become a candidate for WLS. With my upcoming surgery, I've had a few conversations with my teen/tween daughters about nutrition/healthy eating, as well as some of the possible genetic components of weight gain. Both of my girls are active and not currently at risk, but I know that my younger daughter is physically a lot like I was at her age, and I would do anything for her not to ever have to deal with weight gain the way I have as she gets older. I hope I can teach them both good habits now that they can carry with them.

But what happens when a kid is already so large at age 16 that their quality of life is impacted? What's the responsible/ethical thing to do with regards to a surgery that can't be reversed? This is a very interesting read.

In case you didn't read it, here's a link (it should bypass the paywall for non-subscribers until the end of November): https://www.nytimes.com/2023/10/31/magazine/teen-bariatric-surgery.html?unlocked_article_code=1.7Ew.M7l-.QaJi8BjntPW_&smid=url-share

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  • Thank you. A very interesting article. My heart breaks for children who are dealing with obesity related health & emotional issues we didn’t have to until we were adults & had them had some kn

  • That article was on point. I saw myself in some of it. Thanks for posting it .

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Thank you. A very interesting article. My heart breaks for children who are dealing with obesity related health & emotional issues we didn’t have to until we were adults & had them had some knowledge & strategies to manage aspects of these issues ourselves. The toll of obesity on one’s physical, psychological & emotional health & well being is almost immeasurable.

It is known that high & ultra processed foods increase production of our hunger hormones & reduces the production of satiety hormone. But companies won’t stop producing these foods & the convenience & lower prices make them very attractive to families. The comment ‘trying to limit meals to one plate’ is also endemic of the excessive portion sizes people accept as being appropriate & ‘normal’. If children aren’t introduced to healthier & better food choices & cooking methods, like vegetables, home cooked meals, etc., they will never develop a taste or appreciation for them. I am horrified by children & adults who don’t know what some fruits & vegetables are let alone know how to cook or eat them. Same with other foods. Education about better & more nutritional eating is fighting a losing battle against multinational companies, convenience, price, advertising, etc. It is more & more becoming a wide spread generational problem.

Many strong opinions on whether children should or shouldn’t have surgery or be placed on medication. The decision to go down either of these routes or not is truely one of life (or quality of) & death. Nor is it easy. The child & family must be well educated about their options, the impacts & the lifestyle changes necessary for success so they can make the most informed decision to best benefit the child whatever route they decide to follow.

Well that’s my opinion (& rant for today).

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