Healthcare professionals working at the coal face of primary care are now faced daily with the challenge of both preventing and treating obesity. Fast Facts: Obesity, written by leading experts in the field, provides a comprehensive overview of the causes and implications of obesity, and is packed with practical advice on the assessment and management of the obese patient. It explains clearly how to achieve the seemingly simple objective of a negative energy balance, through caloric restriction and increased physical activity, and the importance of changing patients' habits and attitudes through behavioral therapy. The book provides the latest information on adjunctive pharmacotherapy and bariatric surgery, the latter being a vital and cost-effective means of improving health and quality of life in some individuals. The authors also explore issues specific to the management of obesity in children, pregnant women and the elderly. As well as being a disease in its own right, obesity is a key risk factor for serious chronic conditions -type 2 diabetes, cardiovascular disease and many cancers - and also leads to a plethora of non-fatal but debilitating health problems, including musculoskeletal problems (e.g. osteoarthritis), respiratory problems and obstructive sleep apnea. This exciting new title in the Fast Facts library is complementary to the recently updated Fast Facts: Diabetes Mellitus as well as Fast Facts titles covering the numerous conditions associated with obesity (e.g. hyperlipidemia, hypertension, obstructive sleep apnea). It is an invaluable resource for any healthcare professional who wants to understand and manage this major threat to human health. Contents: Epidemiology; Patient assessment: Causes and science; Cardiometabolic consequences; Other consequences; Management: diet; Management: physical activity: Management: behavioral therapy; Pharmacological and surgical treatments; Specific patient groups; Management tools and programs.

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Obesity (fast Facts)

David Haslam, Gary Wittert,Gary Wittert

Haslam, David W.; Wittert, Gary

David W Haslam; Gary Wittert

Gary Wittert David Haslam

S. Karger Publishers Ltd

Ingram Publisher Services UK, Abingdon, 2009

United Kingdom and Ireland, United Kingdom

Fast facts, Abingdon, Oxford, 2009

Fast facts, Abingdon, 2007

2009-09-30

0

lg1146470

producers:
Acrobat Distiller 7.0.5 for Macintosh

{"edition":"1","isbns":["1905832044","9781905832040"],"last_page":144,"publisher":"Health Press Limited"}

Cover 1
Title Page 2
ISBN 9781905832040 3
Contents 4
Introduction 6
1 Epidemiology 8
A global problem 8
A growing problem 8
Childhood obesity 12
Burden on general health 12
2 Patient assessment 17
Assessment of body fat 17
Predicting risk 22
Taking an accurate history 22
Physical examination 23
3 Causes and science 25
Evolution 25
Regulation of energy balance and fat mass 25
Energy storage 26
Regulation of energy intake 26
Regulation of energy expenditure 28
The ‘obesogenic’ environment 30
Genetic predisposition 31
Environmental factors 32
Life stage 32
Socioeconomic status 33
Earlier lifestyle 34
Other factors 34
Medical conditions 35
Psychiatric conditions 35
Medicines 36
4 Cardiometabolic consequences 39
Metabolic syndrome 39
Diabetes 43
Polycystic ovary syndrome 48
Atherogenic dyslipidemia 50
Inflammation 53
The prothrombotic state 53
Hypertension 54
Management 55
5 Other consequences 58
Respiratory disorders 58
Liver and gastrointestinal disorders 59
Reproductive consequences 61
Cancer 63
Disorders of the bones, joints and soft tissues 64
Mental health and cognitive function 66
Neurological problems 67
Surgery and anesthetic risk 68
6 Management: diet 70
Energy balance 70
Dietary approaches to weight management 71
Diets that promote weight loss 74
7 Management: physical activity 84
Risks of inactivity 84
Benefits of physical activity 85
Recommended levels 86
8 Management: behavioral therapy 92
Stages of change theory 93
Elements of behavioral therapy 93
Eating disorders 99
9 Pharmacological and surgical treatments 102
Pharmacological treatments 102
Bariatric surgery 107
10 Specific patient groups 122
Children 122
The elderly 129
Pregnant women 133
11 Management tools and programs 136
OBEMAN 136
EPODE 137
Counterweight 137
MEND 138
Care pathways 139
Useful resources 142
Index 143
Back 146
Health,Press,Ltd,ISBN,9781905832040
Health Press Ltd,ISBN 9781905832040

Obesity is a serious, chronic condition that increases the risk of numerous comorbid diseases, including hypertension, type 2 diabetes, coronary heart disease, stroke and respiratory problems. This book provides an insight into this complex condition. It covers the causes and implications of obesity, along with the information on drug treatments.

This text covers the causes and implications of obesity, together with the latest information on drug treatments, surgical options and weight-management strategies

2014-01-27