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TUESDAY, July 18 (HealthDay News) -- The front air bags now installed in cars offer as much protection as first-generation air bags but are less likely to kill children or small adults when they deploy, a U.S. government study finds.
First-generation air bags, which were installed in vehicles until 1998, deployed with such force that they were potentially deadly for children and small adults, according to background information in the study. Second-generation airbags were refined to deploy with less force and reduce this risk. However, there have been concerns that the newer airbags may fail to fully protect larger people who, because they're not wearing their seatbelts, are propelled forward at high force during a crash.
Reporting in the current issue of the American Journal of Epidemiology, researchers analyzed U.S. National Highway Traffic Safety Administration data on over 128,000 occupants of more than 53,000 cars (model years 1987 to 2003) involved in crashes occurring between 1990 to 2002.
First-generation airbags were associated with a 10 percent decrease in the risk of death for an average front-seat occupant, while second-generation airbags were associated with an 11 percent decrease, the study found.
It also found that first-generation airbags were associated with a statistically significant increase in the risk of death for children younger than 6 years old. There was no such association for second-generation airbags.
"Occupants in the path of a deploying air bag may receive its full force and be injured by it," principal investigator Dr. Carin Olson, associate professor of medicine and adjunct professor of epidemiology at the University of Washington, said in a prepared statement.
On the other hand, some super-obese patients have medical problems that may prohibit them from undergoing a bypass, Ferzli said. For these patients, banding -- which is less invasive -- may be the best choice, he said.
"Postoperative support, nutritional follow-up and psychological follow-up is as important as the surgery itself," Ferzli added.
Another expert thinks the choice of procedures should be based on the patient's perception of acceptable risk.
"This study corroborates other studies comparing these procedures," said Dr. Philip R. Schauer, president of the American Society for Bariatric Surgery, and director of the Cleveland Clinic Foundation's Bariatric and Metabolic Institute. "These are the two most common operations performed in the United States for weight loss," he added.
However, Schauer believes the short follow-up with the patients in the study was a shortcoming. "How rapidly one loses weight is not that important," he said. "It [the study] does not say what the long-term results are. It does not say that gastric bypass results in superior weight loss, in the long term, compared to the band."
Schauer also thinks there were too few patients in the study to come to definitive conclusions, particularly about the risks of the procedures and their complication rates.
"Both operations result in significant weight loss," Schauer said. "Gastric bypass has greater weight loss in the short term. This may mean that they have better long-term weight loss, but you can't tell that from this study."
More information
The National Institutes of Health can tell you more about weight-loss surgery.
