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Click image to download the Medical Options for Treating Obesity Fact Sheet
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Bariatric Physicians
2821 S. Parker Road
Ste. 625
Aurora, CO 80014
303.770.2526 | asbp.org
Staff
Laurie Traetow, CAE, CPA
Executive Director
laurie@asbp.org
Beth Amelon
Administrative Coordinator
beth@asbp.org
Carly Crosby
Administrative Coordinator
carly@asbp.org
Heidi Gordon
Director of Marketing &
Communication
heidi@asbp.org
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Obesity Medicine e-Weekly
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 | Eric Westman,
M.D., M.H.S.
ASBP President |
Wow! Traveling back home after the ASBP Overcoming Obesity Symposium, my mind is swimming with all the new knowledge, new people I've met, getting feedback from past lectures I've given, and reconnecting with friends and teachers. Is it my imagination or is the content of the conferences getting better each time? I hope you are already implementing new ideas from this meeting in your practice!
One particular lecture has made me think: Thyroid Dysfunction & Weight Gain: The Chicken or the Egg, by Jeffrey Sicat, M.D. In this lecture, Dr. Sicat presented evidence that low thyroid probably isn't the cause for obesity but rather a consequence of obesity, which goes against the prevailing wisdom that hypothyroidism is a common cause of obesity. His lecture reminded me of the theory of "Lipophilia," described well in Gary Taubes' book, Good Calories, Bad Calories. The theory of "Lipophilia" was that the adipose tissue sends out signals to keep the adipose tissue growing, and one way to do that would be to "send out the message" to slow the metabolic rate through lowering the thyroid levels. Dr. Sicat's lecture has me rechecking thyroid levels after weight loss is complete. And, if the individual is on thyroid replacement, I'll consider tapering the medication to see if it is still necessary when the excess adipose tissue is gone.
Another highlight of the symposium was listening to Ethan Lazarus, M.D., give details during the awards luncheon about how he contributed to the American Medical Association's designation of obesity as a disease earlier this year. The ramifications of this action will be widespread.
Special thanks to the ASBP staff members for their work and missionary zeal! If you feel the same way, please take a moment to thank the staff now, or at the next meeting.
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News
Call for story entries: Patients can share their stories, get published in academic journal
Inspired by the recent classification of obesity as a chronic disease state by the American Medical Association, Narrative Inquiry in Bioethics will publish a narrative symposium focused on stories from patients affected by obesity. Writers may submit a 300-word proposal to the editorial office by Nov. 25, 2013. Click here for topics and guidelines to share with your patients.
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Resources
Obesity Updates: Click titles to view articles
Talma, H., et al. Obesity Reviews, November 2013.
Estimating percent body fat (%BF) using dual-energy X-ray absorptiometry (DEXA), isotope dilution (e.g., deuterium oxide-18O) and underwater weighing (UWW) are widely used in research settings. Although these measures are more precise when compared to anthropometric measures, they are rather costly and time-consuming and, therefore, not very practical in all clinical settings. An alternative, more practical and child-friendly measure of %BF is bioelectrical impedance analysis (BIA). This study aimed to summarize the evidence on validity, responsiveness, reliability and measurement error of BIA methods for the estimation of body composition [%BF, Fat Mass (FM) and Fat-free Mass (FFM)] in children and adolescents. The authors concluded that BIA is a practical method to assess body fat in children and adolescents. However, based on conflicting results for criterion and convergent validity and considerable measurement error, BIA cannot accurately assess %BF, FM or FFM.
Paliy, O., et al. Nutrition, October 2013.
Mothers affected by overweight are more likely to have children affected by overweight, and the strongest predictor of child overweight status is the mother's current excess body weight (EBW). This review article explores the potential associations between maternal EBW during and after pregnancy and the risk for offspring developing obesity during childhood or later in life.
Wenjing, T. & Lagergren, J. Nature Reviews: Clinical Oncology, July 2013.
A large body of evidence links obesity to increased cancer incidence, with some studies also showing poorer survival rates in patients with cancer and obesity. Chemotherapy and hormonal therapy in patients with cancer and obesity are affected by altered pharmacokinetics and hormone levels. In addition, the precision of radiotherapy may be adversely affected in this population given their greater skin motility and increased motion of internal organs. Patients with cancer and obesity also face higher risk of minor complications after surgery. Issues specifically associated with the clinical management of patients with cancer and obesity--including comorbidity, polypharmacy and problems related to sarcopenia and health-related quality of life--need to be addressed. This review summarizes the available literature concerning the clinical management of patients with cancer and obesity and discusses opportunities to improve the cancer care of these patients.
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Advocacy
 New issue of ASBP Capitol Resource now available
The current issue of the Society's advocacy newsletter, ASBP Capitol Resource, is now available for download. Topics in this issue include:
- Centers for Medicare & Medicaid Services drops Center of Excellence requirements for bariatric surgery
- ASBP members participate in advocacy training during Innovate Course
- ASBP Advocacy Committee Chairperson Brian Sabowitz, M.D., M.S., F.A.C.P., participates in Obesity Action Coalition's "Advocacy Day"
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Education
 2014 Obesity Basic Medical Treatment Course speakers announced
Starting in January, the one-day Obesity Basic Medical Treatment (OBMT) Course dates kick off, offering up to 7 continuing medical education (CME) hours and a full day's worth of information about practicing clinical obesity treatment. Click on course dates below to register online for that course:
- Jan. 25 | Baltimore
Dr. William McCarthy & Dr. Allen Rader - Feb. 1 | Boston
Dr. Deborah Bade Horn & Dr. Eric Westman - Feb. 8 | Los Angeles
Dr. Allen Rader & Dr. Brian Sabowitz - Feb. 22 | Detroit
Dr. Allen Rader & Dr. Brian Sabowitz - April 12 | Scottsdale, Ariz.*
(*Offered in cooperation with the Arizona Osteopathic Medical Association Convention.)
Dr. Deborah Bade Horn & Dr. David Bryman - June 21 | Atlanta
Dr. Krishna Doniparthi & Dr. Eric Westman - July 19 | Albuquerque, N.M.
Dr. David Bryman & Dr. Brian Sabowitz - July 26 | Charlotte, N.C.
Dr. Brian Sabowitz & Dr. Eric Westman - Aug. 9 | Richmond, Va.
Dr. William McCarthy & Dr. Jeffrey Sicat
Click here to download the 2014 OBMT course brochure.
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