Thierry H Le Jemtel1, Rohan Samson2, Suzanne Oparil3. 1. Section of Cardiology, John W. Deming Department of Medicine, Tulane University School of Medicine, New Orleans, LA, USA. lejemtel@tulane.edu. 2. Section of Cardiology, John W. Deming Department of Medicine, Tulane University School of Medicine, New Orleans, LA, USA. 3. Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Abstract
PURPOSE OF REVIEW: Although obesity is a disease, most patients with obesity do not undergo effective treatment nor adhere to long-term care. We examine the barriers that patients with obesity confront when searching for effective treatment and propose an integrated care model of adiposity-related chronic diseases in a cardio-renal metabolic unit. RECENT FINDINGS: The current care of obesity is fragmented between primary care providers, medical specialists and metabolic bariatric surgeons with little or no coordination of care between these providers. The current care of obesity heavily focuses on weight loss as the primary aim of treatment thereby reenforcing the weight stigma and turning patients away from effective therapy like metabolic bariatric surgery. An interdisciplinary cardio-renal metabolic unit that, besides weight loss, emphasizes prevention/remission of adiposity-related chronic diseases may deliver thorough and rewarding care to most patients with obesity.
PURPOSE OF REVIEW: Although obesity is a disease, most patients with obesity do not undergo effective treatment nor adhere to long-term care. We examine the barriers that patients with obesity confront when searching for effective treatment and propose an integrated care model of adiposity-related chronic diseases in a cardio-renal metabolic unit. RECENT FINDINGS: The current care of obesity is fragmented between primary care providers, medical specialists and metabolic bariatric surgeons with little or no coordination of care between these providers. The current care of obesity heavily focuses on weight loss as the primary aim of treatment thereby reenforcing the weight stigma and turning patients away from effective therapy like metabolic bariatric surgery. An interdisciplinary cardio-renal metabolic unit that, besides weight loss, emphasizes prevention/remission of adiposity-related chronic diseases may deliver thorough and rewarding care to most patients with obesity.
Authors: Cynthia L Ogden; Cheryl D Fryar; Crescent B Martin; David S Freedman; Margaret D Carroll; Qiuping Gu; Craig M Hales Journal: JAMA Date: 2020-09-22 Impact factor: 56.272
Authors: George Mawardi; Elizabeth B Kirkland; Jingwen Zhang; Devin Blankinship; Marc E Heincelman; Andrew D Schreiner; William P Moran; Samuel O Schumann Journal: Clin Obes Date: 2019-02-27
Authors: Sadiya S Khan; Hongyan Ning; John T Wilkins; Norrina Allen; Mercedes Carnethon; Jarett D Berry; Ranya N Sweis; Donald M Lloyd-Jones Journal: JAMA Cardiol Date: 2018-04-01 Impact factor: 14.676
Authors: Kevin M Pantalone; Todd M Hobbs; Kevin M Chagin; Sheldon X Kong; Brian J Wells; Michael W Kattan; Jonathan Bouchard; Brian Sakurada; Alex Milinovich; Wayne Weng; Janine Bauman; Anita D Misra-Hebert; Robert S Zimmerman; Bartolome Burguera Journal: BMJ Open Date: 2017-11-16 Impact factor: 2.692