Caroline M Apovian1, W Timothy Garvey2, Donna H Ryan3. 1. Departments of Medicine and Pediatrics, Boston University School of Medicine, Nutrition and Weight Management Center and Nutrition Support Service, Boston Medical Center, Boston, Massachusetts, USA. 2. Department of Nutrition Sciences, University of Alabama at Birmingham, The UAB Diabetes Research Center and the Birmingham VA Medical Center, Birmingham, Alabama, USA. 3. Pennington Biomedical Research Center, Baton Rouge, Los Angeles, USA.
Abstract
OBJECTIVE: Adult obesity is recognized as a chronic disease. According to principles of chronic disease management, healthcare professionals should work collaboratively with patients to determine appropriate therapeutic strategies that address overweight and obesity, specifically considering a patient's disease status in addition to their individual needs, preferences, and attitudes regarding treatment. A central role and responsibility of healthcare professionals in this process is to inform and educate patients about their treatment options. Although current recommendations for the management of adult obesity provide general guidance regarding safe and proper implementation of lifestyle, pharmacological, and surgical interventions, healthcare professionals need awareness of specific evidence-based information that supports individualized clinical application of these therapies. More specifically, healthcare professionals should be up-to-date on approaches that promote successful lifestyle management and be knowledgeable about newer weight loss pharmacotherapies, so they can offer patients with obesity a wide range of options to personalize their treatment. Accordingly, this educational activity has been developed to provide participants with the latest information on treatment recommendations and therapeutic advances in lifestyle intervention and pharmacotherapy for adult obesity management. DESIGN AND METHODS: This supplement is based on the content presented at a live CME symposium held in conjunction with ObesityWeek 2014. RESULTS: This supplement provides an expert summary of current treatment recommendations and recent advances in nonsurgical therapies for the management of adult obesity. Patient and provider perspectives on obesity management are highlighted in embedded video clips available via QR codes, and new evidence will be applied using clinically relevant case studies. CONCLUSIONS: This supplement provides a topical update of obesity management, including clinical practice examples, for healthcare professionals who treat or provide care for adults with obesity.
OBJECTIVE:Adult obesity is recognized as a chronic disease. According to principles of chronic disease management, healthcare professionals should work collaboratively with patients to determine appropriate therapeutic strategies that address overweight and obesity, specifically considering a patient's disease status in addition to their individual needs, preferences, and attitudes regarding treatment. A central role and responsibility of healthcare professionals in this process is to inform and educate patients about their treatment options. Although current recommendations for the management of adult obesity provide general guidance regarding safe and proper implementation of lifestyle, pharmacological, and surgical interventions, healthcare professionals need awareness of specific evidence-based information that supports individualized clinical application of these therapies. More specifically, healthcare professionals should be up-to-date on approaches that promote successful lifestyle management and be knowledgeable about newer weight loss pharmacotherapies, so they can offer patients with obesity a wide range of options to personalize their treatment. Accordingly, this educational activity has been developed to provide participants with the latest information on treatment recommendations and therapeutic advances in lifestyle intervention and pharmacotherapy for adult obesity management. DESIGN AND METHODS: This supplement is based on the content presented at a live CME symposium held in conjunction with ObesityWeek 2014. RESULTS: This supplement provides an expert summary of current treatment recommendations and recent advances in nonsurgical therapies for the management of adult obesity. Patient and provider perspectives on obesity management are highlighted in embedded video clips available via QR codes, and new evidence will be applied using clinically relevant case studies. CONCLUSIONS: This supplement provides a topical update of obesity management, including clinical practice examples, for healthcare professionals who treat or provide care for adults with obesity.
Authors: Amy Berrington de Gonzalez; Patricia Hartge; James R Cerhan; Alan J Flint; Lindsay Hannan; Robert J MacInnis; Steven C Moore; Geoffrey S Tobias; Hoda Anton-Culver; Laura Beane Freeman; W Lawrence Beeson; Sandra L Clipp; Dallas R English; Aaron R Folsom; D Michal Freedman; Graham Giles; Niclas Hakansson; Katherine D Henderson; Judith Hoffman-Bolton; Jane A Hoppin; Karen L Koenig; I-Min Lee; Martha S Linet; Yikyung Park; Gaia Pocobelli; Arthur Schatzkin; Howard D Sesso; Elisabete Weiderpass; Bradley J Willcox; Alicja Wolk; Anne Zeleniuch-Jacquotte; Walter C Willett; Michael J Thun Journal: N Engl J Med Date: 2010-12-02 Impact factor: 91.245
Authors: Eric A Finkelstein; Olga A Khavjou; Hope Thompson; Justin G Trogdon; Liping Pan; Bettylou Sherry; William Dietz Journal: Am J Prev Med Date: 2012-06 Impact factor: 5.043
Authors: J O Hill; J Hauptman; J W Anderson; K Fujioka; P M O'Neil; D K Smith; J H Zavoral; L J Aronne Journal: Am J Clin Nutr Date: 1999-06 Impact factor: 7.045
Authors: Philip R Schauer; Deepak L Bhatt; John P Kirwan; Kathy Wolski; Stacy A Brethauer; Sankar D Navaneethan; Ali Aminian; Claire E Pothier; Esther S H Kim; Steven E Nissen; Sangeeta R Kashyap Journal: N Engl J Med Date: 2014-03-31 Impact factor: 91.245
Authors: Rebecca H Neiberg; Rena R Wing; George A Bray; David M Reboussin; Amy D Rickman; Karen C Johnson; Abbas E Kitabchi; Lucy F Faulconbridge; Dalane W Kitzman; Mark A Espeland Journal: Obesity (Silver Spring) Date: 2012-02-13 Impact factor: 5.002
Authors: Mariana Lazo; Steven F Solga; Alena Horska; Susanne Bonekamp; Anna Mae Diehl; Frederick L Brancati; Lynne E Wagenknecht; F Xavier Pi-Sunyer; Steven E Kahn; Jeanne M Clark Journal: Diabetes Care Date: 2010-07-27 Impact factor: 19.112
Authors: Gary D Foster; Kelley E Borradaile; Mark H Sanders; Richard Millman; Gary Zammit; Anne B Newman; Thomas A Wadden; David Kelley; Rena R Wing; F Xavier Pi-Sunyer; David Reboussin; Samuel T Kuna Journal: Arch Intern Med Date: 2009-09-28
Authors: Rena R Wing; Dale S Bond; Isaias Noel Gendrano; Thomas Wadden; Judy Bahnson; Cora E Lewis; Frederick Brancati; Stephen Schneider; Abbas E Kitabchi; Brent Van Dorsten; Raymond C Rosen Journal: Diabetes Care Date: 2013-06-11 Impact factor: 19.112
Authors: Leonardo Nogara; Nariman Naber; Edward Pate; Marcella Canton; Carlo Reggiani; Roger Cooke Journal: Proc Natl Acad Sci U S A Date: 2016-10-31 Impact factor: 11.205
Authors: Enrique Albert Pérez; Victoria Mateu Olivares; Rosa María Martínez-Espinosa; Mariola D Molina Vila; Manuel Reig García-Galbis Journal: Nutrients Date: 2018-07-06 Impact factor: 5.717
Authors: S R Reethesh; Piyush Ranjan; Charu Arora; G S Kaloiya; Naval K Vikram; Sada N Dwivedi; Viveka P Jyotsna; Manish Soneja Journal: Indian J Endocrinol Metab Date: 2019 Jan-Feb
Authors: Miguel A Sánchez-Garrido; Sara J Brandt; Christoffer Clemmensen; Timo D Müller; Richard D DiMarchi; Matthias H Tschöp Journal: Diabetologia Date: 2017-07-21 Impact factor: 10.122