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Obesity

COURSE

 Understand and Prevent Obesity

An estimated 97 million adults in the United States are overweight or obese. In European Union over 50% of both men and women were overweight, and roughly 23% of women and 20% of men were obese, a condition that substantially raises their risk of morbidity from hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers.

Contents

Chapter I

1. Introduction

1.1 Rationale for Guidelines Development

1.2 Objectives of the Guidelines

1.3 Guideline Development Methodology

1.4 Statement of Assumptions

1.5 Intended Users of These Guidelines

2. Overweight and Obesity: Background

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1. Introduction

An estimated 97 million adults in the United States are overweight or obese. In European Union over 50% of both men and women were overweight, and roughly 23% of women and 20% of men were obese, a condition that substantially raises their risk of morbidity from hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers.

Higher body weights are also associated with increases in all-cause mortality. Obese individuals may also suffer from social stigmatization and discrimination.

As a major contributor to preventive death in the United States and European Union today, overweight and obesity pose a major public health challenge.

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2. Rationale for Guidelines Development

Treatment of the overweight or obese patient is a two-step process: assessment and treatment management. Assessment requires determination of the degree of overweight and overall risk status.

Management includes both reducing excess body weight and instituting other measures to control accompanying risk factors. Assessment: When assessing a patient for risk status and as a candidate for weight loss therapy, consider the patient’s BMI, waist circumference, and overall risk status. Consideration also needs to be given to the patient’s motivation to lose weight.

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3. Patient Motivation

When assessing the patient’s motivation to enter weight loss therapy, the following factors should be evaluated:

  • Reasons and motivation for weight reduction;
  • Previous history of successful and unsuccessful weight loss attempts;
  • Family, friends, and work-site support;
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4. Evaluation and Treatment

The general goals of weight loss and management are:

(1) At a minimum, to prevent further weight gain;

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