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Home > Morbid Obesity > Health Effects of Morbid Obesity

Health effects of morbid obesity that can be improved with gastric bypass surgery

Heart Disease
High Blood Pressure
High Blood Cholesterol
Diabetes Mellitus
Sleep Apnea Syndrome
Obesity Hypoventilation Syndrome
Respiratory Insufficiency
Heartburn - Reflux Disease & Reflux Nocturnal Aspiration
Asthma and Bronchitis
Gallbladder Disease
Stress Urinary Incontinence
Degenerative Disease of Lumbo-Sacral Spine
Degenerative Arthritis of Weight-Bearing Joints
Venous Stasis Disease
Emotional/Psychological Disease
Social Effects

Severe obesity damages the body by its mechanical, metabolic and physiological adverse effects on normal bodily function. These "co-morbidities" affect nearly every organ in the body in some way and produce serious secondary illnesses which may also be life-threatening. The cumulative effect of these co-morbidities can interfere with a normal and productive life, cause endless frustration and can seriously shorten life as well.

Heart Disease

People who suffer from morbid obesity are approximately 6 times as likely to develop heart disease as those who are normal-weighted. Coronary disease is predisposed by increased levels of blood fats and the metabolic effects of obesity. Increased load on the heart leads to early development of congestive heart failure. People with morbid obesity are 40 times as likely to suffer sudden death, in many cases due to cardiac rhythm disturbances.

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High Blood Pressure

Essential hypertension, the progressive elevation of blood pressure, is much more common in people with morbid obesity, and leads to development of heart disease and damage to the blood vessels throughout the body, causing susceptibility to strokes, kidney damage, and hardening of the arteries.

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High Blood Cholesterol

Cholesterol levels are commonly elevated in the severely obese – another factor predisposing to development of heart and blood vessel disease.

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Diabetes Mellitus

Overweight people are 10 times as likely to develop Type II, Adult-Onset, Diabetes. Elevation of the blood sugar leads to damage to tissues throughout the body: Diabetes is the leading cause of adult-onset blindness, a major cause of kidney failure, and the cause of more than one half of all amputations. It is the third leading cause of death in the United States.

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Sleep Apnea Syndrome

Sleep apnea – the stoppage of breathing during sleep – is commonly caused in the obese by compression of the neck, causing loud snoring interspersed with periods of complete obstruction during which no air gets in at all. The sleeping person sounds to an observer like he is holding his breath, but he is, himself, usually unaware that the problem is occurring at all, or only notices that he sleeps poorly, and awakens repeatedly during the night. The health effects of this condition may be severe – high blood pressure, cardiac rhythm disturbances, and sudden death. Affected persons awaken exhausted and often fall asleep during the day, sometimes even at the wheel of their car. This condition has a high mortality rate, and is a life-threatening problem.

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Obesity Hypoventilation Syndrome

This condition occurs primarily in the very severely obese – over 350 pounds. It is characterized by episodes of drowsiness, or narcosis, occurring during awake hours and is caused by abnormalities of breathing and accumulation of toxic levels of carbon dioxide in the blood. It is often associated with sleep apnea and may be difficult to distinguish from it.

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Respiratory Insufficiency

Obese people find that exercise causes them to be out of breath very quickly. The lungs are decreased in size, and the chest wall is very heavy and difficult to lift. At the same time, the demand for oxygen is greater with any physical activity. This condition prevents normal physical activities and exercise, often interferes with usual daily activities like shopping, yard-work or stair climbing, and can be completely disabling.

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Heartburn – Reflux Disease & Reflux Nocturnal Aspiration

Acid belongs in the stomach, and seldom causes any problem when it stays there. When it escapes into the esophagus through a weak or overloaded valve at the top of the stomach, the result is called "heartburn," or "acid indigestion." The real problem is not with digestion, but with the burning of the esophagus by the powerful stomach acid. When one belches, the acid may bubble up into the back of the throat causing a fiery feeling there as well. Often this occurs at night, especially after a large or late meal, and if one is asleep when the acid regurgitates it may actually be inhaled, causing a searing of the airway and violent coughing and gasping.

This condition is dangerous because of the possibility of pneumonia or lung injury. The esophagus may become scarred and constricted, causing trouble with swallowing. Approximately 10 - 15% of patients with even mild sporadic symptoms of heartburn will develop a condition called Barrett's esophagus, which is a pre-malignant change in the lining membrane of the esophagus, a cause of esophageal cancer.

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Asthma and Bronchitis

Obesity does not directly cause asthma or bronchitis. However, it does interfere with breathing, aggravating any attack of asthma. Gastroesophageal reflux caused by obesity may seriously aggravate asthma and may cause severe bronchitis.

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Gallbladder Disease

Gallbladder disease occurs several times as frequently in the obese, in part due to repeated efforts at dieting which predispose to this problem. When stones form in the gallbladder, and cause abdominal pain or jaundice the gallbladder must be removed.

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Stress Urinary Incontinence

A large heavy abdomen and relaxation of the pelvic muscles, especially associated with the effects of childbirth, may cause the valve on the urinary bladder to be weakened which can lead to leakage of urine with coughing, sneezing, or laughing. This condition is strongly associated with being overweight and is usually relieved by weight loss.

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Degenerative Disease of Lumbo-Sacral Spine

The entire weight of the upper body falls on the base of the spine, and overweight causes it to wear out or to fail. The consequence may be accelerated arthritis of the spine or "slipped disk," when the cartilage between the vertebrae squeezes out. Either of these conditions can cause irritation or compression of the nerve roots and lead to sciatica – a dull, intense pain down the outside of the leg.

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Degenerative Arthritis of Weight-Bearing Joints

The hips, knees, ankles and feet have to bear most of the weight of the body. These joints tend to wear out more quickly or develop degenerative arthritis much earlier and more frequently than in the normal-weighted person. Eventually, joint replacement surgery may be needed to relieve the severe pain. Unfortunately, the obese person faces a disadvantage there too – joint replacement has much poorer results in the obese. Many orthopedic surgeons refuse to perform the surgery in severely overweight patients.

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Venous Stasis Disease

The veins of the lower legs carry blood back to the heart, and they are equipped with an elaborate system of delicate one-way valves, to allow them to carry blood "uphill." The pressure of a large abdomen may increase the load on these valves, eventually causing damage or destruction. The blood pressure in the lower legs then increases, causing swelling, thickening of the skin, and sometimes ulceration of the skin.

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Emotional/Psychological Disease

Seriously overweight persons face constant challenges to their emotions: repeated failure with dieting, disapproval from family and friends, sneers and remarks from strangers. They often experience discrimination at work and cannot enjoy theater seats or a ride on an airplane. It's no wonder that anxiety and depression might accompany years of suffering from the effects of a genetic condition – one which many people believe should be controlled easily by will power.

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Social Effects

Seriously obese people can't qualify for many types of employment and suffer from discrimination in employment opportunities as well. They tend to have higher rates of unemployment and a lower socioeconomic status. Ignorant people often make rude and disparaging comments and there is a general societal belief that obesity is a consequence of moral weakness or a lack of self-discipline. Many severely obese persons find it preferable to avoid social interactions or public places, choosing to limit their own freedom rather than suffer embarrassment.

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