Jun 1, 2008 Issue
Low Glycemic Diets for Obesity Treatment [Cochrane for Clinicians]

Compared with high glycemic index diets or conventional energy-restricted weight loss diets, low glycemic index diets better reduce body mass index (BMI) and low-density lipoprotein (LDL) cholesterol. The weighted mean difference showed that patients lost an additional 1 to 2 BMI units on the low glycemic index diets.

Jan 15, 2008 Issue
Predicting Mortality Risk in Patients Undergoing Bariatric Surgery [Point-of-Care Guides]

Bariatric surgery has become increasingly common in the United States. Recent randomized controlled trials have shown that mortality is modestly reduced 11 years after bariatric surgery (absolute risk = 5.0 versus 6.3 percent; P = .04; number needed to treat = 77).2 The overall mortality risk within...

Dec 1, 2007 Issue
Obesity in Children [Clinical Evidence Handbook]

What are the effects of lifestyle interventions for the treatment of childhood obesity?

Jun 15, 2007 Issue
CDC Releases Report on Prevalence of Adult Obesity [Practice Guidelines]

The Centers for Disease Control and Prevention (CDC) found that the prevalence of obesity in adults increased significantly from 1995 to 2005 in all states, based on data from the 1995, 2000, and 2005 Behavioral Risk Factor Surveillance System surveys.

May 1, 2007 Issue
Exercise is an Effective Intervention in Overweight and Obese Patients [Cochrane for Clinicians]

Exercise leads to a weight loss of 1 lb, 2 oz to 16 lb, 12 oz (0.5 to 7.6 kg), compared with a 3-oz (0.1-kg) weight loss to a weight gain of 1 lb, 9 oz (0.7 kg) with no treatment. Patients participating in higher-intensity exercise lose 3 lb, 5 oz (1.5 kg) more than those participating in low-intens...

Mar 1, 2007 Issue
Are Obese Physicians Effective at Providing Healthy Lifestyle Counseling? [Curbside Consultation]

More than 40 percent of American adults are classified as obese by the Centers for Disease Control and Prevention, and obesity is associated with many comorbidities (e.g., hypertension, type 2 diabetes, asthma, depression, orthopedic problems, sleep apnea).2 Physicians are not immune to obesity.

Sep 1, 2006 Issue
Obesity: Psychological and Behavioral Considerations [Curbside Consultation]

Assuming that medical causes of weight gain (e.g., hypothyroidism, hypercortisolism) have been ruled out, the physician should consider social, psychological, and environmental factors that may explain the patient’s weight gain and his apparent indifference.

Jun 1, 2006 Issue
Joint Position Statement on Obesity in Older Adults [Practice Guidelines]

The American Society for Nutrition (ASN), the North American Association for the Study of Obesity (NAASO), and the Obesity Society have issued a joint position statement that includes a review of concerns related to obesity in older persons and weight management guidelines for patients in this age group.

May 15, 2006 Issue
Screening for Overweight in Children and Adolescents [Putting Prevention into Practice]

Case study: EH is a five-year-old boy seeing you for a routine well-child examination. His mother is concerned about his weight. He weighs 55 lb (25 kg), and his height is 42.5 in (108 cm). His body mass index (BMI) is 21.4 kg per m2, which places him in the 95th percentile for his age.

May 1, 2006 Issue
Determining Eligibility for Gastric Bypass Surgery [Curbside Consultation]

This case scenario brings up two issues: (1) whether the patient should undergo a risky procedure that might benefit her and (2) responsible allocation of health care resources. First, American College of Physicians (ACP) guidelines1 recommend optional bariatric surgery for those who have BMIs great...

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