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Weight Concerns
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
Conventional medicine recognizes the epidemic of obesity and its impact on chronic disease. It also recognizes that the best way to address weight management is through a multidisciplinary approach based on behavioral modification, nutrition, physical activity, pharmacotherapy, and, when indicated, bariatric (weight-loss) surgery. The difficulty is that most physicians have minimal training in nutrition and limited time during a visit to discuss these interventions. Even more distressing is that negative views toward overweight and obese patients remain widespread among physicians, despite extensive scientific evidence that genetic and environmental factors often contribute to obesity. In a 2012 survey of 2,500 U.S. women, 69% reported feeling stigmatized by their doctors, and 52% endured recurring weight bias.9 The problem is so pervasive that the American Medical Association and the American Academy of Pediatrics issued statements in 2017 emphasizing the importance of compassionate communication in an effort to ensure that overweight and obese patients are not stigmatized or shamed when seeking treatment for health issues.10
Atherosclerosis
Published in Charles Theisler, Adjuvant Medical Care, 2023
Weight Loss/Diet: Diet plays a major role in the etiology of cardiovascular disease and as a modifiable risk factor is the focus of many prevention strategies. Weight management with a healthy diet (no trans fats; fewer saturated fats; more fiber, fruits and vegetables; and moderate [if any] alcohol) and increased physical activity are important treatment options.
Successful Patient Stories—Learning from Them
Published in Ruth Chambers, Paula Stather, Tackling Obesity and Overweight Matters in Health and Social Care, 2022
As a health or care professional, you are familiar with many of the factors that might underpin and contribute to the likelihood of overweight or obese individuals’ success in their weight management. These include deprivation, educational attainment, current wealth, long-term condition(s), work/life balance, family/friend support, local services available, stereotyping, family culture, understanding of health and wellbeing risks/benefits and setting of goals in the short/mid and/or long term—and more.
Obesity in women’s life: role of GLP-1 agonists
Published in Gynecological Endocrinology, 2022
Weight management should first include implementing and consolidating changes in lifestyle habits (i.e. diet and exercise) tailored to each patient. To this date, most clinical guidelines for the management of obesity consider these changes as the cornerstone of the treatment. Nonetheless, science has showed us that our organism defends itself against weigh loss by activating certain hormonal (i.e. ghrelin, leptin, insulin) and metabolic (i.e. fasting metabolical rate) pathways that lead to a reduction in thermogenesis [10], thus making it difficult to consolidate weight loss over time. This is the reason why obesity is a chronic and relapsing condition and the explanation why it is frequent to experience weight regain after starting healthier lifestyle habits based on caloric restriction, balanced nutrient intake and moderate physical exercise.
Cardiometabolic risk factors efficacy of semaglutide in the STEP program
Published in Postgraduate Medicine, 2022
Anastassia Amaro, Neil S. Skolnik, Danny Sugimoto
Key clinical take-home points: Current strategies and unmet needs in the management of obesityThere are a variety of treatment options in the management of obesity.Improvement in cardiometabolic parameters is related to the degree of weight loss achieved.Lifestyle intervention, including dietary modification and exercise, should be the foundation of obesity management strategies, and should be continued in conjunction with any other interventions for optimal weight management.Combining pharmacotherapy with lifestyle intervention may facilitate the achievement of weight loss goals.The STEP trial program explored the effects of pharmacotherapy with semaglutide 2.4 mg as an adjunct to lifestyle intervention in people with overweight or obesity.
Integrating semaglutide into obesity management – a primary care perspective
Published in Postgraduate Medicine, 2022
Janine V. Kyrillos, Neil S. Skolnik, Bhasha Mukhopadhyay, Nicholas Pennings
Key clinical take-home points: The role of lifestyle in weight managementNutrition based on real, whole foods, while avoiding ultra-processed foods, is recommended, with less focus being put on simple calorie restriction.Nutritional advice should align with patients’ preferences, lifestyle, and cultural and socioeconomic factors.PCPs should be aware of the counteractive physiological changes that occur in response to weight loss and have empathy for patients when they struggle to maintain weight loss.Physical activity plays an important part in maintaining weight loss. Realistic goals should be set for increasing physical activity based on patients’ current abilities and preferences.