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The Takeaway: Underweight Do Worse After Surgery; Supercommittee Folds With No Plan
Posted By Elizabeth Nolan Brown On November 22, 2011 @ 9:34 am In Bulletin Today | Comments Disabled
BMI & Surgery Risk: You know that saying “You can never be too rich or too thin?” Well, mark this as one area where being too thin is a liability: Underweight individuals have a 40 percent higher risk of dying in the first month after surgery than patients who are overweight, U.S. researchers reported in the Archives of Surgery. The researchers looked at data on nearly 190,000 patients who underwent a variety of surgeries between 2005 and 2006. Patients were divided into five groups, based on their body mass index (BMI); those in the lowest group, or quintile, had a BMI under 23.1, while those in the highest had a BMI of 35.3 or higher.
We found patients in the lowest quintile had a 40 percent higher odds of death compared to the mid-range,” said researcher George Stukenborg, referring to people in the overweight category with BMIs of 26.3 to 29.7.
Stukenborg said it is not clear why. The study did not track recent weight loss, so it could be that people who weighed less were sicker to begin with.
Overall, 2,245 or 1.7 percent of people in the study died within 30 days of surgery.
See Also: Calculate Your BMI >>
Meanwhile, researchers from the University of Kansas Alzheimer’s Disease Center are reporting this week that lower weight in older adults could be an early sign of Alzheimer’s. That’s because weight loss may be one of several bodily changes that occur in Alzheimer’s patients long before memory problems or other symptoms show up. And while being overweight at middle age is a risk factor for Alzheimer’s disease, being overweight later in life is associated with a lower risk of Alzheimer’s and dementia, researchers believe.
Supercommittee Folds: In news that may surprise no one, the congressional panel charged with devising a plan to reduce the nation’s deficit has failed at its task. The so-called supercommittee was unable to get past partisan disagreements over issues such as raising taxes and cutting spending for programs like Social Security and Medicare. The AARP Bulletin reports on what happens next:
The Joint Select Committee on Deficit Reduction was charged with cutting at least $1.2 trillion from the deficit over the next 10 years. With no agreement on how to do that, some automatic actions will be triggered to reach the $1.2 trillion target: Defense spending will be pared almost $500 billion; an additional $500 billion would come from Medicare and other domestic spending programs; and interest payments on the national debt will go down.
Social Security and Medicaid are exempt from the automatic across-the-board reductions, called a “sequester.” Medicare would face cuts of up to 2 percent, all from spending on health care providers, not benefits. AARP Legislative Policy Director David Certner says other programs for older people, such as Meals on Wheels, would be hurt.
The automatic cuts, however, don’t kick in until 2013-meaning Congress could try to undo them after next year’s election. But getting agreement on undoing the cuts isn’t any easier than finding the other budget deals that have proved elusive, said Michael Tanner, senior fellow at the Cato Institute.
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