Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults.

@article{Becker1998ClinicalGO,
  title={Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults.},
  author={D.M. Becker and Claude Bouchard and Richard A. Carleton and William H Dietz and John P. Foreyt and Scott M. Grundy and Shiriki K Kumanyika and Elaine Prewitt and Albert P. Rocchini and Philip L. Smith and Linda G. Snetselaar and James R. Sowers and David F. Williamson and Karen A. Donato and Michael J. Horan and Van S. Hubbard and Clarice Brown},
  journal={WMJ : official publication of the State Medical Society of Wisconsin},
  year={1998},
  volume={97 9},
  pages={
          20-1, 24-5, 27-37
        }
}
About 97 million adults in the United States are overweight or obese. Obesity and overweight substantially increase the 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. The aim of this guideline is to provide useful advice on how to achieve… 

Tables from this paper

Epidemiology, risks and pathogenesis of obesity.

Conceptual basis and clinical rationale for the development of a multidisciplinary weight management center

  • M. Artandi
  • Medicine, Biology
    International journal of obesity supplements
  • 2012
As the etiology and therapy of obesity is complex, what is needed for these patients is a multidisciplinary clinic where specialists from different disciplines share their knowledge and participate in the treatment of the obese patient.

Obesity: A Review of Pathogenesis and Management Strategies in Adult

It is concluded that physicians have a responsibility to recognize obesity as a disease and help obese patients with appropriate prevention and treatment and a suggested algorithm for the clinician assessing and managing obese patients is presented.

Overweight and Obese Adults: Pathology and Treatment

This column will focus on exercise recommendations and considerations for overweight and obese adults, and the most widely used classification scheme for defining obesity is the body mass index.

Treatment of obesity: need to focus on high risk abdominally obese patients

Even in the absence of hypercholesterolaemia, hyperglycaemia, or hypertension, obese patients could be at high risk of coronary heart disease if they have this “hypertriglyceridaemic waist” phenotype.

The Medical Risks of Obesity

Evidence for significant associations of obesity with comorbidities is reviewed to provide information useful for optimal patient management to allow health care professionals to identify and implement appropriate interventions to reduce patient risk and mortality.

Optimal diabetes management during medical weight loss for cardiovascular risk reduction

This review explores the clinical recommendations in place, new clinical investigations, diet therapy, medical nutrition therapy, meal replacements, behavior therapy, exercise therapy, pharmacotherapy and surgical therapy as strategies to achieve weight-loss success in diabetic patients and ultimately reduce cardiovascular disease.

Overweight and Obesity in the Context of Heart Failure: Implications for Practice and Future Research

Data supporting both the negative and positive effects of overweight and obesity in relationship to HF are reviewed, recommendations for practice as it relates to lifestyle modification through diet, exercise, and cognitive-behavioral therapy are described.

Assessment of obesity management in medical examination

Curricular changes in the medical education of obesity could help reduce morbidity and mortality associated with this disease.
...

References

SHOWING 1-3 OF 3 REFERENCES

Overweight and obesity in the United States: prevalence and trends, 1960–1994

Between 1976–80 and 1988–94, the prevalence of obesity (BMI≥30.0) increased markedly in the US, in agreement with trends seen elsewhere in the world.

Varying body mass index cutoff points to describe overweight prevalence among U.S. adults: NHANES III (1988 to 1994).

Tabular data for population prevalence estimates from the third National Health and Nutrition Examination Survey (NHANES III) at selected gender- and age-specific BMI levels ranging from < 18.0 to > 45.0 are presented and compared with various examples of BMI criteria reported in the scientific literature.

Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults, HIH-NHLBI

  • 1998