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A28    SCIENCE
                       Monday 20 May 2019
            Obesity surgery benefits may                                                           AP EXPLAINS:


            be bigger for teens than adults




            By MARILYNN MARCHIONE
            AP Chief Medical Writer
            Teens who have obesity sur-
            gery  lose  as  much  weight
            as those who have the op-
            eration  as  adults  and  are
            more likely to have it resolve
            other health problems such
            as diabetes and high blood
            pressure, a study finds.
            The results suggest there's a
            benefit from not waiting to
            address obesity. Research-                                                             In this March 30, 2005 file photo, an Iranian security official in
                                                                                                   protective clothing walks through part of the Uranium Conver-
            ers  say  longer  study  is  still                                                     sion Facility just outside the Iranian city of Isfahan.
            needed to know lifetime ef-                                                                                                     Associated Press
            fects of this radical surgery
            and that it's a personal de-                                                           Science of uranium
            cision  whether  and  when
            to try it.
            The  study  was  published                                                             enrichment amid
            Thursday  by  the  New  Eng-
            land  Journal  of  Medicine
            and presented at the Com-                                                              Iran tension
            bating  Childhood  Obesity
            conference in Houston. The
            National Institutes of Health                                                          By MALCOLM RITTER            atom  of  U-235,  while  go-
            paid  for  it,  and  some  re-                                                         AP Science Writer            ing from there to 90% purity
            searchers  consult  for  mak-                                                          NEW  YORK  (AP)  —  Iran  means  removing  just  four
            ers of obesity surgery tools.                                                          made  a  veiled  threat  this  more  per  atom  of  U-235,
            The  damaging  effects  of                                                             week  to  enrich  uranium  he  noted.  Ninety  percent
            obesity  accumulate,  and                                                              stocks  closer  to  weapon-  is  considered  weapons-
            the risk of developing other                                                           grade  levels  amid  rising  grade.
            diseases and dying prema-                                                              tensions in the region.      So once one achieves 20%
            turely rises the longer some-                                                          That  would  mean  going  purity  on  the  way  to  90%,
            one goes. Surgery is usually                                                           beyond  the  level  of  po-  "you're  most  of  the  way
            reserved  for  people  who   In this Wednesday, Nov. 4, 2015 file photo, Miranda Taylor, 20,   tency allowed by the 2015  there already," Chyba said.
                                         poses for a portrait outside Christ College of Nursing and Health
            can't  lose  enough  weight   Science in Cincinnati.                                   nuclear  agreement  with  Iran's     Supreme    Leader
            through  other  means  —                                              Associated Press   world  powers,  which  the  Ayatollah Ali Khamenei re-
            diet,  exercise  and  some-                                                            U.S. withdrew from last year.  portedly said Tuesday that
            times medicines — and are  been  obese  since  they  though  about  2  percent         Tehran is threatening to re-  achieving 20% "is the most
            severely obese.              were  teens.  Five  years  af-  of  each  group  died,  two   sume higher enrichment on  difficult  part  ...  The  next
            Researchers  led  by  Dr.  ter  their  operations,  both  of  the  teens  did  so  from   July 7 if no new agreement  steps  are  easier  than  this
            Thomas Inge at the Univer-   groups had lost 26% to 29%  drug overdoses, suggesting    is reached to provide relief  step."    Iran  is  not  known
            sity  of  Colorado  wanted  of their weight.              substance  abuse  and  self-  from U.S. sanctions.        to  have  enriched  beyond
            to  know  whether  it's  bet-  Diabetes  went  into  remis-  harm may be a concern.    Enriching  a  supply  of  ura-  20% previously.
            ter  or  safer  to  have  it  in  sion  in  86%  of  teens  and  Overall, the results are con-  nium  means  boosting  its  Matthew Bunn at Harvard's
            mid-life, the most common  53% of adults who had that  sistent with an earlier study   concentration  of  the  type  John F. Kennedy School of
            time now, or sooner before  disease  before  their  op-   comparing     teens   and    of uranium that can power  Government said the same
            many of those other health  erations;  high  blood  pres-  adults,  Ted  Adams  of  the   a  nuclear  reaction.  That  centrifuge   technology
            problems  appear  or  do  sure  did  the  same  in  68%  University  of  Utah  in  Salt   type,  or  isotope,  is  called  used  to  reach  3.67%  can
            much harm.                   of teens and 41% of adults.  Lake  City  wrote  in  a  com-  U-235. Enrichment basically  be  used  to  drive  enrich-
            They    compared     results  Some  side  effects  were  mentary in the journal.       means  stripping  away  at-  ment to 90%.
            from  two  studies  of  gastric  more  common  in  teens,  "Almost  6%  of  adolescents   oms  of  another  isotope,  Once  Tehran  had  enough
            bypass  surgery, which  cre-  and  they  were  twice  as  in the United States are se-  called U-238.               uranium  enriched  to  20%,
            ates a much smaller stom-    likely to need a second op-  verely  obese,  and  bariat-  When  uranium  is  mined,  it  would  only  be  weeks
            ach  pouch,  in  161  teens  eration.                     ric  surgery  is  now  the  only   it  typically  has  about  140  away from a bomb if it de-
            and  396  adults  who  had  One  troubling  finding:  Al-  successful, long-term treat-  atoms  of  this  unwanted  cided to build one, he said.
                                                                      ment  option"  for  them,  he   isotope  for  every  atom  of  A  bomb's  worth  of  highly
                                                                      wrote.                       U-235,  notes  Christopher  enriched  uranium  "could
                                                                      Most  obese  teens  stay     Chyba of Princeton Univer-   be the size of a very large
                                                                      obese    as   adults,   and   sity.  Refining  it  to  a  purity  grapefruit," Bunn said.
                                                                      adults who were obese as     of 3.67%, the level now al-  Iran  says  it  has  never
                                                                      teens  have  worse  health   lowed by the nuclear deal,  sought  nuclear  weapons.
                                                                      than  people  who  started   means  removing  114  un-    But  Western  officials  and
                                                                      to  weigh  too  much  at  an   wanted atoms of U-238 for  experts say that prior to the
                                                                      older age, but that doesn't   every atom of U-235.        nuclear  deal,  Iran  had  a
                                                                      mean  it's  the  right  choice   Boosting  its  purity  to  20%  breakout  capability  of  just
                                                                      to have surgery earlier than   means  removing  22  more  a  few  months  if  it  were  to
                                                                      later, he warned.q           unwanted  isotopes  per  decide to build a bomb.q
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