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NYT Article: Childhood obesity and bariatrics



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

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    • LeighaTR

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    • 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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