Obesity Management in Primary Care, An Issue of Primary Care: Clinics in Office Practice , livre ebook

Obesity Management in Primary Care
Primary Care: Clinics in Office Practice
Editor
Mark B. Stephens, MD, MS, FAAFP, CAPT
Department of Family Medicine, Uniformed Services University, Bethesda, MD, USA
Consulting Editor
Joel J. Heidelbaugh

Clinics Review Articles

www.primarycare.theclinics.com

March 2016 Volume 43 Number 1
Table of Contents
Cover image
Title page
Copyright
Contributors
Consulting Editor
Editor
Authors
Forthcoming Issues
Forthcoming Issues
Recent Issues
Foreword. Just Eat Less and Exercise More?
Preface. Obesity: A Plague Upon Our Houses
The Future of Pediatric Obesity
Key points
Introduction and overview of childhood obesity
A clinical approach to childhood obesity
Summary
References
Health Care Systems and National Policy: Role of Leadership in the Obesity Crisis
Key points
The obesity challenge: epidemiology
Response to obesity epidemic
Medical Management of Obesity: merging individuals and systems
Future opportunities
Summary
Acknowledgments
References
Obesity Prevention and Screening
Key points
Introduction
Screening and prevention
Infants (birth-12 months), toddlers (1-3 years), and preschoolers (3-5 years)
School-aged children (ages 5-12 years)
Adolescents (ages 13-18 years)
Adults
Special populations: autistic spectrum disorder and mild traumatic brain injury
Cultural considerations
Summary
References
Multidisciplinary Teams and Obesity: Role of the Modern Patient-Centered Medical Home
Key points
Introduction
Other players on the patient-centered medical home team
Clinical correlation
Summary/Discussion
References
Past, Present, and Future of Pharmacologic Therapy in Obesity
Key points
The past: a brief history
The present: what is currently available
The future
Summary
References
Nutritional Therapy
Key points
Introduction
Successful weight loss
Nutrition therapy: the basics
Nutrition, diet fads, and trends
The quick fix
Nutrition therapy: what does the evidence suggest?
Creating a calorie deficit
Sugar and fat: limit sugar, trans fats, and saturated fats
Tools for success
Additional therapies and the interdisciplinary team
Follow-up session topics
Nutrition management following bariatric surgery
Successful weight loss: lessons learned
Summary
References
Economic Impact of Obesity
Key points
Individual obesity spending
National obesity spending
Direct and indirect costs of obesity
Direct costs of obesity
Indirect costs of obesity
Lost productivity
Employment/insurance claims
Quality of life
Is obesity more expensive than smoking?
Comorbidity costs
Future trends
Special populations
Estimated savings: medical weight loss
Solutions: from practice to policy
Summary
References
Impacts of Physical Activity on the Obese
Key points
Regional variations in obesity trends
Exercise physiology: a brief review
Increasing physical activity: can it be done?
Physical activity-is it a roadblock?
Resistance training versus aerobic training
Pediatrics
Additional resources
Summary
References
Obesity in Special Populations: Pregnancy
Key points
Perinatal complications associated with maternal overweight/obesity
Management of obesity in pregnancy
Recommendations
Summary
References
Obesity Statistics
Key points
Introduction
Disease description
Risk factors
Prevalence/incidence in the United States
Worldwide/regional incidence
Morbidity and mortality
Costs of obesity
Summary
References
Obesity in Older Adults
Key points
Introduction
Body composition changes with age
Body mass index as a measure for obesity and a prognostic indicator
The relationship between body mass index and mortality
Potential explanations for improved survivability in the obese elder
Body mass index and morbidity in older adults
Obesity-related risks that matter: impaired physical function and frailty
Weight loss for older adults: key management points
Lifestyle interventions for elderly patients
Pharmacologic management
Surgical management
Summary
References
Surgical Management of Metabolic Syndrome Related to Morbid Obesity
Key points
Introduction
Presurgery medical evaluation
Presurgery nutritional assessment and education
Presurgery psychological assessment
Why medically supervised treatment fails
Mechanisms of action of metabolic surgery
Metabolic surgery outcomes
Surgical treatment options
Surgical complications
Postoperative care
Summary/discussion
References
Behavioral Modification for the Management of Obesity
Key points
Introduction: nature of the problem
Behavioral modification for obesity management
Research review: prototypical programs for behavioral modification in the management of obesity
Changing lifestyles for long-term weight management: background on nondieting behavioral modification approaches
A feasible alternative: features of nondiet approaches to weight management
Research review: behavioral choice treatment
Primary care plan of action: framework for building a clinical program in the behavioral modification in the management of obesity
A collaborative approach: primary care physicians and behavioral health specialists
Research review: motivational interviewing
Behavioral choice treatment with a family component
Summary
Disclaimer
Funding/Support
References
Copyright
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PRIMARY CARE: CLINICS IN OFFICE PRACTICE Volume 43, Number 1
March 2016 ISSN 0095-4543, ISBN-13: 978-0-323-41659-7
Editor: Jessica McCool
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