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Obesity, with its prevalence at an alarming 41.9 in the United States, is a growing health concern that requires prompt attention and intervention. Traditionally characterized by body mass index BMI exceeding 30 kgm2, obesity poses a significant risk not only to physical well-being but also mental health due to its association with several comorbidities.
Wst circumference becomes an equally valuable indicator of obesity, particularly for older adults, surpassing BMI in predictive accuracy. For patients struggling with weight management, clinicians should delve into the medical history to identify medications that may contribute to weight gn and explore existing conditions that are either caused or exacerbated by obesity. Additionally, the discussion must include previous attempts at weight loss strategies and their efficacy.
Initial laboratory evaluations encompass a complete blood count CBC, metabolic panel, lipid profiles, thyroid-stimulating hormone levels, fasting glucose measurements, and an HbA1c test to gauge overall health status. The Obesity Medicine Association advocates for a comprehensive approach involving five pillars of obesity management: behavioral counseling, nutrition guidance, physical activity promotion, pharmacological intervention, and when appropriate, bariatric surgery.
For patients with BMI exceeding 30 kgm2 or those who are overweight BMI of 27 kgm2 yet suffer from comorbidities such as hypertension, type 2 diabetes, or dyslipidemia, consideration for weight loss medication is warranted. Pharmacological options like glucagon-like peptide-1 receptor agonists and sympathomimetics offer potential solutions for achieving a healthier weight.
In cases where obesity significantly impedes quality of life, referral to bariatric surgery becomes increasingly pertinent. Establishing individualized support systems that facilitate ongoing follow-ups throughout each stage of treatment is crucial to ensure sustned success in managing obesity.
emphasizes the necessity of employing a multifaceted strategy for addressing obesity, integrating medical intervention with lifestyle modifications and psychological support. A collaborative approach between healthcare providers, patients, and their families fosters successful outcomes and promotes long-term health.
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