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Harrison's Principles of Internal Medicine, 18e
Chapter 78. Evaluation and Management of Obesity
Sections: Evaluation and Management of Obesity: Introduction, Further Readings.
Topics Discussed: obesity.
Excerpt:"Over 66% of U.S. adults are categorized as overweight or obese, and the prevalence of obesity is increasing rapidly in most of the industrialized world. Children and adolescents also are becoming more obese, indicating that the current trends will accelerate over time. Obesity is associated with an increased risk of multiple health problems, including hypertension, Type 2 diabetes, dyslipidemia, degenerative joint disease, and some malignancies. Thus, it is important for physicians to identify, evaluate, and treat patients for obesity and associated comorbid conditions.Physicians should screen all adult patients for obesity and offer intensive counseling and behavioral interventions to promote sustained weight loss. The five main steps in the evaluation of obesity, as described below, are (1) focused obesity-related history, (2) physical examination to determine the degree and type of obesity, (3) comorbid conditions, (4) fitness level, and (5) the patient's readiness to adopt lifestyle changes.Information from the history should address the following six questions:The primary goal of treatment is to improve obesity-related comorbid conditions and reduce the risk of developing future comorbidities. Information obtained..."
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