ITEMS IN AFP WITH KEYWORD:
Lorcaserin, combined with diet and exercise, can be used to produce additional weight loss, although the effect on morbidity and mortality is not known. It should be discontinued in patients who do not lose at least 5% of their body weight in the first 12 weeks because they are unlikely to have any additional weight loss.
Phentermine/topiramate has been shown to be a good option for sustained weight loss in patients who are unable to lose weight with diet and exercise alone. It should not be given to patients with a history of significant heart disease, and women of childbearing age should use contraception and have ...
What are the common causes and treatment options?
Nov 15, 2012 Issue
Screening for and Management of Obesity in Adults: Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index (BMI) of 30 kg per m2 or higher to intensive, multicomponent behavioral interventions.
Case study: A 40-year-old woman presents to your office for a routine well-woman examination. She has no significant medical history. She recently participated in a health fair at work and underwent free lipid and glucose screening; both levels were within normal limits.
Mar 15, 2012 Issue
Medications for Weight Loss in Patients with Type 2 Diabetes Mellitus [FPIN's Clinical Inquiries]
Fluoxetine (Prozac) and orlistat (Xenical) produce modest short-term weight loss, but their long-term benefits are unclear and their safety is uncertain.
Apr 1, 2010 Issue
ACOG Guidelines on Pregnancy After Bariatric Surgery [Practice Guidelines]
Counseling and treating women who become pregnant after bariatric surgery present unique challenges. Although outcomes are generally good, nutritional and surgical complications can arise. The American College of Obstetricians and Gynecologists (ACOG) recently reviewed the available evidence on pregnancy outcomes after bariatric surgery.
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...
Low-fat diets are no better than low-calorie diets in achieving weight loss in overweight or obese people. In studies, the average weight loss after 18 months on either diet was less than 5 lb.
Elderly patients with unintentional weight loss are at higher risk for infection, depression and death. The leading causes of involuntary weight loss are depression (especially in residents of long-term care facilities), cancer (lung and gastrointestinal malignancies), cardiac disorders and benign g...