J G Wechsler1, K Leopold. 1. Medical Department, Hospital Barmherzige Brüder, Romanstrasse 93, 80639, Munich, Germany. Prof.Wechsler@barmherzige-muenchen.de
Abstract
BACKGROUND: Obesity is associated with elevated morbidity and death rates. The World Health Organization defines obesity as a chronic disease. The percentage of obese persons is increasing worldwide. Many different treatment modalities are available. Long-term success rates are not convincing. RESEARCH FOCUS: Overweight and obesity should be treated in an interdisciplinary and multimodal approach. The best results in loosing body weight, especially body fat use very low calorie diets followed by a fat-reduced, carbohydrate-rich diets. Weight-loss drugs should be used only in a weight-loss program including diet and physical activity. Surgical intervention is necessary in a small group of persons refractory to conservative obesity treatment. CONCLUSIONS: New structured guidelines oriented and quality controlled programs for treatment of obese patients are necessary.
BACKGROUND:Obesity is associated with elevated morbidity and death rates. The World Health Organization defines obesity as a chronic disease. The percentage of obesepersons is increasing worldwide. Many different treatment modalities are available. Long-term success rates are not convincing. RESEARCH FOCUS: Overweight and obesity should be treated in an interdisciplinary and multimodal approach. The best results in loosing body weight, especially body fat use very low calorie diets followed by a fat-reduced, carbohydrate-rich diets. Weight-loss drugs should be used only in a weight-loss program including diet and physical activity. Surgical intervention is necessary in a small group of persons refractory to conservative obesity treatment. CONCLUSIONS: New structured guidelines oriented and quality controlled programs for treatment of obesepatients are necessary.
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