Article

Safe and effective management of the obese patient.

Division of Endocrinology, Metabolism, Nutrition and Internal Medicine, Mayo Clinic Rochester, Minn 55905, USA.
Mayo Clinic Proceedings (impact factor: 5.7). 01/2000; 74(12):1255-9; quiz 1259-60. DOI:10.4065/74.12.1255 pp.1255-9; quiz 1259-60
Source: PubMed

ABSTRACT The prevalence of overweight and obesity has increased dramatically in the recent decades, and obesity is now a major public health problem. Obesity negatively influences an individual's health by increasing mortality and raising the risk for multiple medical conditions such as type 2 diabetes mellitus, hypertension, dyslipidemia, and coronary heart disease. In addition, the obese individual is often the brunt of social discrimination. Weight loss has been shown to reduce the risk for many of these comorbid conditions. A multifaceted approach to the obese patient should include identifying potential causes for weight gain, outlining medical conditions that would benefit by weight loss, and tailoring a weight loss program that is safe and effective for the individual. Components of a successful weight loss program include dietary intervention, recommendations for physical activity, behavior modification, and, in a select group of patients, pharmacologic or surgical intervention.

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    Article: Outpatient management of obesity: a primary care perspective.
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    ABSTRACT: An estimated 64% of the adult population in the United States is either overweight or obese. Because obesity affects such a large percentage of the population and carries with it numerous health risks, it is essential that physicians treat obesity and encourage healthy-weight maintenance within the primary care setting. Effective weight management will require providing the appropriate physical environment for the overweight or obese patient, properly evaluating the impact of a patient's weight on health, evaluating a patient's readiness to change, setting appropriate weight-loss goals, and providing information and help about how to modify dietary and physical activity patterns. Achieving and maintaining weight loss is more likely to be successful when there is a physician-patient partnership where the physician provides support and motivation for the patient's efforts to initiate and maintain a healthy body weight.
    Obesity research 01/2003; 10 Suppl 2:124S-130S. · 4.95 Impact Factor

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