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Background: Obesity is associated with adverse health effects and is common in the United States and West Virginia. We describe the development of a medical-surgical obesity center in an academic health system in West Virginia. Me...
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Background: Obesity is associated with adverse health effects and is common in the United States and West Virginia. We describe the development of a medical-surgical obesity center in an academic health system in West Virginia. Methods: With institutional leadership guidance, the Surgery and Medicine departments collaborated to form this program. Evidence-based interventions were implemented using standardized scalable workflows. Patient demographics, comorbidities, medications, and preliminary outcomes were analyzed. Outcomes: Between May 1, 2019, and August 31, 2020, 447 new obesity medicine patients were seen. Average body mass index was 43.5 ±10.5 kg/m~2 (range 23.5-101 kg/m~2). Average age was 48 ±13 years (range 19-81 years). Eighty-five percent were female. Ninety-four percent were Caucasian. Seventeen percent had prior bariatric surgery. Common comorbidities were hypertension (69%), depression (65%), gastroesophageal reflux disease (63%), obstructive sleep apnea (46%), and diabetes mellitus type 2 (36%). In a sample population of patients served by one insurance carrier (n = 76), participants experienced statistically significant weight loss in the program: 15 lbs (5.3%) of weight loss (p < 0.01 for pre- vs. post-intervention weight), and 42% lost at least 5% of weight. Conclusions: This successful implementation of a medical-surgical obesity center can become a model for other health systems looking to treat obesity and improve their patients' health.
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Paediatric referrals for obesity are increasing. The paediatric literature provides good guidance for the management of older children, but there is little relating to obese babies and toddlers. This article offers a guide for pae...
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Paediatric referrals for obesity are increasing. The paediatric literature provides good guidance for the management of older children, but there is little relating to obese babies and toddlers. This article offers a guide for paediatricians encountering obese infants and preschool children in the paediatric outpatient setting. The paediatricians' role includes addressing concerns about the aetiology; excluding a medical cause; looking for comorbidity; providing guidance around weight management and ensuring that it is safe; supporting colleagues providing lifestyle advice; and preventing obesity in children who are at high risk. A sensitive approach is crucial to helping parents and colleagues tackle the problem effectively.
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摘要 :
Paediatric referrals for obesity are increasing. The paediatric literature provides good guidance for the management of older children, but there is little relating to obese babies and toddlers. This article offers a guide for pae...
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Paediatric referrals for obesity are increasing. The paediatric literature provides good guidance for the management of older children, but there is little relating to obese babies and toddlers. This article offers a guide for paediatricians encountering obese infants and preschool children in the paediatric outpatient setting. The paediatricians' role includes addressing concerns about the aetiology; excluding a medical cause; looking for comorbidity; providing guidance around weight management and ensuring that it is safe; supporting colleagues providing lifestyle advice; and preventing obesity in children who are at high risk. A sensitive approach is crucial to helping parents and colleagues tackle the problem effectively.
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While the rising epidemic of obesity is primarily attributed to sedentary lifestyle, poor
dietary habits and the aging of the population, secondary causes of obesity generally go
undetected and untreated. These include endocrinolo...
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While the rising epidemic of obesity is primarily attributed to sedentary lifestyle, poor
dietary habits and the aging of the population, secondary causes of obesity generally go
undetected and untreated. These include endocrinological disorders, such as Cushing’s
syndrome, polycystic ovary syndrome, hypogonadism and hypothyroidism, as well as
genetic, syndromic and drug-related obesity. We present an overview of the major
disorders associated with obesity, highlighting the pathophysiologic mechanisms and
discussing diagnostic and treatment strategies that are most helpful to practicing
physicians in recognizing and treating these generally underdetected and
undertreated disorders.
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With the majority of patients seen by primary care practitioners suffering from overweight or obesity, an additional certification in obesity medicine provides the critical tools and skillset to expertly address the many chronic h...
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With the majority of patients seen by primary care practitioners suffering from overweight or obesity, an additional certification in obesity medicine provides the critical tools and skillset to expertly address the many chronic health conditions predicated by unhealthy adiposity and excess weight.
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Abstract Purpose of Review The worldwide prevalence of obesity is increasing. Obesity is strongly associated with many chronic health conditions that have been shown to improve with weight loss. However, counseling patients on wei...
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Abstract Purpose of Review The worldwide prevalence of obesity is increasing. Obesity is strongly associated with many chronic health conditions that have been shown to improve with weight loss. However, counseling patients on weight loss can be challenging. Identifying specific aspects of weight management may personalize the conversation about weight loss and better address the individual patient’s health goals and perceived barriers to change. Recent Findings Physical and behavioral phenotypes are being identified to better tailor treatment recommendations, given lack of efficacy of currently available interventions. Summary The current review provides a summary of the evidence behind the management of several recognized clinical phenotypes, to include body fat distribution (e.g., central obesity), muscle mass (e.g., sarcopenic obesity of the elderly), and problematic eating behaviors (e.g., cravings). Identifying specific aspects of weight management may personalize the conversation about weight loss and better address the individual patient’s health goals and perceived barriers to change.
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