Manjula Kurella Tamura.

Manjula Kurella Tamura, M.D., M.P.H., Kenneth E. Covinsky, M.D., M.P.H., Glenn M. Chertow, M.D., M.P.H., Kristine Yaffe, M.D., C. Seth Landefeld, M.D., and Charles E. McCulloch, Ph.D.: Functional Position of Elderly Adults before and after Initiation of Dialysis In the United States, more and more elderly patients with end-stage renal disease are starting dialysis.1 In 1999, nursing home residents accounted for 4 percent of all new sufferers with ESRD and 11 percent of new patients with ESRD who have been older than 70 years of age.2 The benefits of dialysis in such patients are uncertain.After gastric bypass surgery treatment, sufferers were seen to possess greater reductions in blood pressure, heart rate, triglycerides, low-density lipoprotein cholesterol, and insulin resistance than did individuals in the group of severely obese patients who had been treated via medicine and life-style modification. The medical group also experienced favorable adjustments in center function and ‘geometry’ – – a subtle remodeling of the heart’s components leading to greater efficiency. The study’s principal investigator, Dr. Ted Adams of the University of Utah College of Medicine, believes the new data support the usage of bariatric surgery to prevent the cardiovascular complications connected with obesity and Type 2 diabetes.