Family Practice Vol. 21, No. 3, 324-328
Family Practice Vol. 21, No. 3 © Oxford University Press 2004, all rights reserved.
Selections from Current Literature |
The spectrum of treatment options for obesity
Department of Family Medicine, Health Sciences Center, L-4 R050, State University of New York, Stony Brook, NY 11794, USA
Nemerson L, Danowski L and Trilling JS. The spectrum of treatment options for obesity. Family Practice 2004; 21: 324328.
| The first 150 words of the full text of this article appear below. |
| Introduction |
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Throughout the world there are currently more than 1 billion overweight adults. At least 300 million of these are clinically obese.1 An estimated 64% of US adults are either overweight or obese as defined by a body mass index (BMI)
25. This represents an 8% increase since the NHANES III 19881994 data. Obesity, defined as a BMI
30.0, has risen from 15% in 1980 to 27% in 1999 as reflected by the NHANES 1999 and NHANES II 19761980 data.2,3 The cost associated with conditions of overweight and obesity, in the USA, was >$117 billion in 2000.4 Obesity is a complex condition with a multifactorial aetiology elusive to intervention. Traditional treatment options do not always yield favourable outcomes, the resultant general perception being that successful long-term maintenance of weight loss is rare.
The National Weight Control Registry (NWCR) evaluates the weight loss and weight maintenance strategies of successful weight loss maintainers.
| Phelan S, Hill JO, Lang W, Dibello JR, Wing RR. Recovery from relapse among successful weight maintainers. Am J Clin Nutr 2003; 78: 10791084 |
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| Zinzindohoue F, Chevallier JM, Douard R et al. Laparoscopic gastric banding: a minimally invasive surgical treatment for morbid obesity. Ann Surg 2003; 237: 19 |
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| Foster GD, Wyatt HR, Hill JO et al. A randomized trial of a low-carbohydrate diet for obesity. N Engl J Med 2003; 348: 20822090 |
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| Lantz H, Peltonen M, Agren L, Torgerson JS. Intermittent versus on-demand use of a very low calorie diet: a randomized 2-year clinical trial. J Intern Med 2003; 253: 463471 |
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| Conclusions |
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