In Short Term, Weight-Loss Surgery Doesn't Raise Fracture Risk

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TUESDAY, Aug. 7 (HealthDay News) — Obese people who undergo
weight-loss surgery, such as gastric bypass or gastric band, are not at
greater risk for broken bones in the first few years after their
operation, according to a new study. Three to five years after this type
of surgery, however, these patients may face an increased risk of
fractures.

“It has been recognized that surgical treatment is the most effective
route to weight loss for many with morbid obesity,” Dr. Nicholas Harvey,
senior lecturer at the Medical Research Council Lifecourse Epidemiology
Unit at the University of Southampton, in England, said in a school news
release. “Overall, for the first few post-operative years, these results
are reassuring for patients undergoing bariatric surgery, but do not
exclude a more protracted adverse influence on skeletal health.”

In previous studies, weight loss alone has been shown to reduce
patients’ bone density, the researchers said, and weight-loss surgery also
has been linked to a loss of bone density.

For the new study, researchers compared rates of broken bones among
people who had weight-loss surgery between 1987 and 2010 with similar
people of the same age, sex and body-mass index who didn’t have the
surgery. Body-mass index (BMI) is a measure of body fat based on height
and weight.

The risk of broken bones was not much higher for patients who had
weight-loss surgery in the three years after their operation. The risk
inched upward from three to five years after the surgery, and patients
with a more significant drop in their body-mass index had a slightly
higher risk for fractures, the researchers noted.

“This is the first time that we have been able to investigate risk of
fracture following bariatric surgery by comparing patients with
nonsurgical controls,” Cyrus Cooper, professor of rheumatology and
director of the Medical Research Council Lifecourse Epidemiology Unit,
said in the news release. “The results suggest that, at least in the short
term, such changes in bone density are unlikely to lead to increased
fracture risk.”

The study was published Aug. 7 in the British Medical
Journal
.

More information

The U.S. National Institutes of Health has more about weight-loss surgery.

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