Office-Based Strategies for the Management of Obesity

June 2010
American Family Physician;6/15/2010, Vol. 81 Issue 12, p1449
Academic Journal
Roughly two thirds of U.S. adults are overweight or obese. Obesity increases the risk of hypertension, type 2 diabetes mellitus, hyperlipidemia, heart disease, pulmonary disease, hepatobiliary disease, cancer, and a number of psychosocial complications. Physicians often feel unprepared to handle this important problem. Practical office-based strategies include: (1) making recommendations for assisted self-management, including guidance on popular diets, (2) advising patients about commercial weight-loss programs, (3) advising patients about and prescribing medications, (4) recommending bariatric surgery, and (5) supplementing these strategies with counseling about lifestyle changes using a systematic approach. Family physicians should provide basic information about the effectiveness and safety of popular diets and commercial weight-loss programs, and refer patients to appropriate information sources. Sibutramine and orlistat, the only medications currently approved for the long-term treatment of obesity, should only be prescribed in combination with lifestyle changes. Bariatric surgery is an option for adults with a body mass index of 40 kg per m2 or higher, or for those with a body mass index of 35 kg per m2 or higher who have obesity-related comorbidities such as type 2 diabetes. The five A's behavioral counseling paradigm (ask, advise, assess, assist, and arrange) can be used as the basis for a systematic, practical approach to the management of obesity that incorporates evidence for managing common obesity-related behaviors.


Related Articles

  • Let's Treat Obesity Seriously. BRAY, GEORGE A. // American Family Physician;6/15/2010, Vol. 81 Issue 12, p1406 

    The author discusses the need for physicians to treat obesity seriously. He mentions that 66 percent of U.S. adults are overweight and 33 percent are obese based on a study. He says that obese patients often have different kinds of health problems aside from excess weight like depression,...

  • New anti obesity drug for 2007. Wynyard, Ruth // New Zealand Doctor;6/14/2006, p6 

    Reports that the anti-obesity drug rimonabant will be available in the Australian market by the end of 2007. Possible availability of the drug in the U.S. in 2008; View of nutritionist and professor Jim Mann on the drug.

  • Even 3% weight loss can improve health.  // Pulse;Nov2013, p17 

    The article focuses on the draft guidance for public health from the National Institute for Care and Excellence (NICE) which urges general practitioners (Gps) to advise overweight and obese patients on the health benefits of even 3% reduction in weight.

  • Obesity crisis in the concrete jungles.  // FloraCulture International;Jul/Aug2011, Vol. 21 Issue 7/8, p21 

    The article reports on a study that suggests the relationship between living in concrete jungles surrounded by graffiti and obesity.

  • Factors influencing overweight childrens commencement of and continuation in a resistance training program. Pescud, Melanie; Pettigrew, Simone; McGuigan, Michael R.; Newton, Robert U. // BMC Public Health;2010, Vol. 10 Issue 1, p709 

    Background: In light of the child overweight and obesity problem in Australia, resistance training programs have been trialled as an innovative way of assisting children increase lean body mass and reduce body fat. The purpose of this study was to investigate the factors influencing overweight...

  • A review of late-stage CNS drug candidates for the treatment of obesity. Heal, D J; Gosden, J; Smith, S L // International Journal of Obesity;Jan2013, Vol. 37 Issue 1, p107 

    Obesity is an important causative factor in morbidity, disability and premature death. Increasing levels of obesity will impose enormous health, financial and social burdens on worldwide society unless effective interventions are implemented. For many obese individuals, diet and behavioural...

  • Obesity Raises Prehypertensives' Risk.  // Renal & Urology News;Nov2009, Vol. 8 Issue 11, p39 

    The article reports on the study conducted by the researchers at the Norwegian University of Science and Technology on the risks faced by obese patients in Trondheim, Norway. According to the study, obese patients with prehypertension have higher risk of progressing to end-stage renal disease...

  • Endocrine disruptors alter social behaviors and indirectly influence social hierarchies via changes in body weight. Kim, Benjamin; Colon, Eliezer; Chawla, Shivansh; Vandenberg, Laura N.; Suvorov, Alexander // Environmental Health: A Global Access Science Source;Aug2015, Vol. 14 Issue 1, p1 

    Background: In humans, the causal link between socioeconomic status (SES) and body weight (BW) is bidirectional, as chronic stress associated with low SES may increase risk of obesity and excess weight may worsen career opportunities resulting in lower SES. We hypothesize that environmental...

  • New diabetes-cancer link. S. N. H. // Prevention;Jun2005, Vol. 57 Issue 6, p64 

    Discusses how excess pounds can lead to type 2 diabetes and may boost the risk of cancer. Study of South Koreans with type 2 diabetes--the kind that that is often a result of being overweight--who ran a 25% higher risk of getting cancer and a 30% risk of dying of it compared with nondiabetics;...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics