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Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults - The Evidence Report (Paperback)
Loot Price: R396
Discovery Miles 3 960
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Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults - The Evidence Report (Paperback)
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Loot Price R396
Discovery Miles 3 960
Expected to ship within 10 - 15 working days
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An estimated 97 million adults in the United States are overweight
or obese, a condition that substantially raises their risk of
morbidity from hypertension, dyslipidemia, type 2 diabetes,
coronary heart disease, stroke, gallbladder disease,
osteoarthritis, sleep apnea and respiratory problems, and
endometrial, breast, prostate, and colon cancers. Higher body
weights are also associated with increases in all-cause mortality.
Obese individuals may also suffer from social stigmatization and
discrimination. As a major contributor to preventive death in the
United States today, overweight and obesity pose a major public
health challenge. Overweight is here defined as a body mass index
(BMI) of 25 to 29.9 kg/m and obesity as a BMI of 30 kg/m or
greater. However, overweight and obesity are not mutually
exclusive, since obese persons are also overweight. A BMI of 30 is
about 30 lb. overweight and equivalent to 221 lb. in a 6'0" person
and to 186 lb. in one 5'6." The number of overweight and obese men
and women has risen since 1960; in the last decade the percentage
of people in these categories has increased to 54.9 percent of
adults age 20 years or older. Overweight and obesity are especially
evident in some minority groups, as well as in those with lower
incomes and less education. Obesity is a complex multifactorial
chronic disease that develops from an interaction of genotype and
the environment. Our understanding of how and why obesity develops
is incomplete, but involves the integration of social, behavioral,
cultural, physiological, metabolic and genetic factors. While there
is agreement about the health risks of overweight and obesity,
there is less agreement about their management. Some have argued
against treating obesity because of the difficulty in maintaining
long-term weight loss and of potentially negative consequences of
the frequently seen pattern of weight cycling in obese subjects.
Others argue that the potential hazards of treatment do not
outweigh the known hazards of being obese. The intent of these
guidelines is to provide evidence for the effects of treatment on
overweight and obesity. The guidelines focus on the role of the
primary care practitioner in treating overweight and obesity.
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