This book describes in detail the multidisciplinary management of obesity, providing readers with a thorough understanding of the rationale for a multidisciplinary approach and with the tools required to implement it effectively. The emphasis is on a translational approach, starting from basic concepts and fundamental mechanisms of the pathology and clinical morbidity. Experts in the field discuss the full range of relevant topics, including the significance of physical exercise, psychological issues, nutritional strategies, pharmacological options and bariatric surgery. Put another way, the book covers all aspects from the bench to the bedside. Physicians, scientists and postgraduate students will all find it to be invaluable in understanding the causes and optimal management of obesity, which has rapidly become a major public health problem.
Clinics Collections: Obesity draws from Elsevier’s robust Clinics Review Articles database to provide multidisciplinary teams, including general practitioners, endocrinologists, pediatricians, gastroenterologists, nurses, and other healthcare professionals, with practical clinical advice and insights on this highly prevalent disease and its comorbidities. Clinics Collections: Obesity guides readers on how to apply current primary research findings on obesity to everyday practice to help overcome challenges and complications, keep up with new and improved treatment methods, and improve patient outcomes. Areas of focus include obesity and secondary disorders, pediatric obesity, metabolic issues, dietary approaches, surgical options, and special considerations. Each article begins with keywords and key points for immediate access to the most critical information. Articles are presented in an easy-to-digest and concisely worded format. Elsevier Clinics Collections provide concise reviews of today’s most prevalent conditions and significant medical developments. Other Clinics Collections titles available include Type II Diabetes Mellitus, Asthma, and Pain Management.
There is an obesity crisis in America. It is also becoming a global problem, with increased prosperity enjoyed by many developing countries. Because of this, many books have been written on this topic. But none presents a nice, concise, multidisciplinary approach to the problem as this book by Dr. Lalita Kaul. Author has been able to convey the basic information in a simple manner, useful for both medical personnel and lay public. The clinical consequences of obesity are profound and far reaching. Beginning with prevalence in various ethnic groups, successive chapters deal with causes, health risks, and the management of obesity. Chapter 13 summarizes the treatment for quick reference. The appendices contain valuable information including the caloric content of many commonly used foods, nutritional assessment forms, food diary, ways to measure your servings, and behavior modification strategies. The appendix on calories in fast foods is a true eye-opener. Did you know a Big Mac has 570 calories and 35 gm of saturated fat, only beaten by the Burger King Whopper with 640 calories and 41 gm of fat? No wonder they are called the "coronary diet." Finally, there are healthy, delectable low-fat recipes for your daily use, including a variety of delicious Indian recipes. All chapters are well written, fully researched, and clearly organized with a lot of practical information on how to handle the problem from infancy to old age. The many tables and diagrams are useful adjuncts. And there is an extensive list of references at the end. The chapters dealing with obesity in children are particularly informative since therein lies the root of the problem. Also, there is an ample discussion on the biology of obesity (genes, hormones, metabolic pathways, etc). Bariatric surgery, now gaining momentum in the United States of America, has been given some importance. Book also discusses obesity in getting COVID and vitamin-D deficiency. In short, this book answers some of the questions we always ask, "Why we eat what we eat? What happens to all that we eat?" and "What can we do to end this epidemic?" and more. Overall, this is a very useful handbook for medical students, residents, nurses, practicing physicians, and the lay public.
The book provides a comprehensive perspective on the subject of obesity epidemiology, pathophysiology, and management of obesity. The chapters provide a better understanding of obesity and obesity-related diseases and offer an integrative framework for individualized dietary and exercise programs, behavior modification, pharmaceutical approaches, surgery, and population interventions to reduce the growing epidemic of obesity.
This title includes a number of Open Access chapters.The book provides a comprehensive perspective on the subject of obesity epidemiology, pathophysiology, and management of obesity. The chapters provide a better understanding of obesity and obesity-related diseases and offer an integrative framework for individualized dietary and exercise programs
Leaders in the field present today's most comprehensive coverage of bariatric surgery, one of the most promising current treatments for the growing global epidemic of overweight and obesity. This brand new resource begins with a through examination of the history, incidence, demography, etiology, biology, comorbidities, longevity, and social and economic implications of obesity. It then discusses pre-, peri-, and postoperative issues of importance before examining the evolution of bariatric procedures. Individual chapters present the best surgical approaches, their outcomes, and other considerations involved in this surgical approach. Presents a comprehensive overview of the entire field of bariatric surgery, as well as a broad discussion of critical non-operative topics. Discusses the evolution of bariatric procedures, followed by individual chapters that examine laparoscopic adjustable gastric banding, vertical banded gastroplasty, the banded gastric bypass, and other surgical approaches. Reviews the outcomes of bariatric surgery with respect to nutrition, diabetes, hypertension, sleep apnea, orthopedic conditions, and metabolism. Offers guidance on practical and academic training of the bariatric surgeon, patient support groups, the importance of the multidisciplinary team, managed care, allied health, laparoscopic suites and robotics, liability issues, and more. Includes dietary, drug management, and other alternative non-operative approaches. Addresses the growing incidence of childhood obesity with a chapter focusing on adolescent bariatric surgery patients. With 91 additional contributing experts.
Obesity is affecting children throughout the nation. Approximately 12.5 million have a body mass index (BMI) classifying them as overweight or obese. Rates have been reported to be increasing with each grade level in Texas schools. As a result, these children have an increased risk for developing chronic diseases and decreased quality of life. However, few parents exhibited concerns regarding their child's BMI associated healh risks. Through collaboration with the staff of a family practice clinic and the staff of a nearby school; we were able to implement a health-promotion/disease-prevention (HP/DP) project that focused on decreasing the prevalence of overweight and obesity among children eleven to eighteen year of age. The Stetler Model and the Interaction Model of Client Behavior (IMCB) guided the implementation of the project. This framework provided a unique and individualized approach for focusing on individual characteristics and the external factors that influenced dietary and physical activities that contribute to children's health risks. Children, who were seen in the family practice clinic or attended the local school, were screened to determine their health risks associated with their BMI. These screenings provided a collective contribution of factors that affected each child's health. Evidence-based (EB) strategies targeting dietary and physical activities were implemented for those having a BMI equal to or greater than the 85th percentile on the growth chart. Interventions focused on increasing awareness and motivating changes in health habits. Professional competencies and communications fostered parental decisions and enhanced the utilization of the strategies provided by the EB guidelines. Professionals and advocates provided motivation that initiated individualized decisions that influenced the diet and physical activities that were affecting their health. Data collected from the school's health records and clinical charts for children who were seen in the primary care clinic was analyzed six months after the implementation of this project. An analysis of the data confirmed the prevalence of obesity and the lack of parental concern. The outcomes revealed an increase in the awareness of the need to initiate healthy dietary and physical activity behaviors that would promote health. An enlightening realization of the links between the presence of disease in family members and the health risks associated with being overweight or obesity was indicated after the first visit in most cases. The family history indicated the most significant impact on motivating changes in health habits. The HP/DP project proved to be beneficial in assisting providers, schools, and parents with identifying and managing the health risks associated with children's BMI. It provided a unique, new collaborative, multidisciplinary service that bridged the gap between client singularity and the desired health outcomes. Sustaining this project and expanding the setting into other schools, clinics, and community settings would increase the potential for achieving optimal growth and development among children, resulting in a decrease in the prevalence of obesity among children.
This monograph covers the medical, psychological and biological features of bariatric surgery. From a multidisciplinary view, important aspects both before and after bariatric surgery are considered. Firstly, this monograph focuses on the evaluation of bariatric surgery candidates, both considering the pathology and psychopathology of morbidly obese patients. Also, special attention is given to measurement instruments applied during the psychological assessment of these patients. Secondly, surgical techniques used in bariatric surgery are covered. A detailed description of these techniques, also considering their possible postoperative and late complications is provided. A comparison of long-term results obtained by the different surgical techniques is also included. Other features related to surgical intervention, such as revision surgery or plastic surgery are also covered. Thirdly, a chapter about bariatric surgery in adolescents has been included. Specific guidelines and considerations of the application of bariatric surgery to adolescents are discussed. Another aspect that is covered in the present publication are metabolic changes in morbidly obese patients, both before and after bariatric surgery. A description of changes in carbohydrate and lipid metabolism, satiety factors and other metabolic parameters involved in morbid obesity are also provided. Adherence to dietary recommendations is also considered. Dietary recommendations before and after bariatric surgery, and cognitive and behavioural techniques that promote their adherence are provided. Finally, the impact of morbid obesity on health-related quality of life, its improvement after bariatric surgery and the therapeutic approach to improve quality of life among these patients is included.
There is an obesity crisis in America. It is also becoming a global problem, with increased prosperity enjoyed by many developing countries. Because of this, many books have been written on this topic. But none presents a nice, concise, multidisciplinary approach to the problem as this book by Dr. Lalita Kaul. Author has been able to convey the basic information in a simple manner, useful for both medical personnel and lay public. The clinical consequences of obesity are profound and far reaching. Beginning with prevalence in various ethnic groups, successive chapters deal with causes, health risks, and the management of obesity. Chapter 13 summarizes the treatment for quick reference. The appendices contain valuable information including the caloric content of many commonly used foods, nutritional assessment forms, food diary, ways to measure your servings, and behavior modification strategies. The appendix on calories in fast foods is a true eye-opener. Did you know a Big Mac has 570 calories and 35 gm of saturated fat, only beaten by the Burger King Whopper with 640 calories and 41 gm of fat? No wonder they are called the "coronary diet." Finally, there are healthy, delectable low-fat recipes for your daily use, including a variety of delicious Indian recipes. All chapters are well written, fully researched, and clearly organized with a lot of practical information on how to handle the problem from infancy to old age. The many tables and diagrams are useful adjuncts. And there is an extensive list of references at the end. The chapters dealing with obesity in children are particularly informative since therein lies the root of the problem. Also, there is an ample discussion on the biology of obesity (genes, hormones, metabolic pathways, etc). Bariatric surgery, now gaining momentum in the United States of America, has been given some importance. Book also discusses obesity in getting COVID and vitamin-D deficiency. In short, this book answers some of the questions we always ask, "Why we eat what we eat? What happens to all that we eat?" and "What can we do to end this epidemic?" and more. Overall, this is a very useful handbook for medical students, residents, nurses, practicing physicians, and the lay public.
