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  Subjects -> PHARMACY AND PHARMACOLOGY (Total: 575 journals)
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Obesity Facts
Journal Prestige (SJR): 1.008
Citation Impact (citeScore): 3
Number of Followers: 9  

  This is an Open Access Journal Open Access journal
ISSN (Print) 1662-4025 - ISSN (Online) 1662-4033
Published by Karger Homepage  [120 journals]
  • Medical or common knowledge' Knowledge of medical professionals on
           obesity diagnosis criteria and treatment

    • Abstract: Introduction: Proper diagnosis of obesity and effective treatment requires an interdisciplinary healthcare approach. Nevertheless, obesity remains under-identified and under-treated. Academic knowledge concerning obesity pathology, diagnosis, and treatment is advancing, it is not clear whether this translates into clinical practice. The goal of the study was to assess the knowledge of Healthcare Professionals (HCPs) on obesity, and particularly on the criteria for diagnosis as well as for conservative and surgical treatment.Methods: This cross-sectional study was conducted among active HCPs (N = 184), including physicians, nurses, physiotherapists, and paramedics who had contact with adult patients with obesity. The proprietary research survey, implemented in an online tool, was used to assess knowledge on the diagnosis and treatment of obesity and self-assessment of that knowledge. The analysis was limited to the following: body mass index (BMI) definition, BMI values, visceral obesity definition, bariatric surgery indications, choice of treatment method, role of diet and physical activity, knowledge of obesity pharmacotherapy, length of obesity pharmacotherapy, financing of bariatric procedures, and goals of bariatric treatment. The correct answers were determined according to the Polish guidelines.Results: Half of the respondents (52.2%) were doctors, 20.7% were nurses, 19.0% were physiotherapists, and 8.2% were other medical professionals. Among questions related to knowledge on obesity, 67.1% of respondents provided correct answers, with respondents answering questions concerning obesity diagnosis correctly more frequently (70.1%) than those concerning methods of treatment (64.6%). The largest number of correct answers were related to the definition of BMI and normal BMI values. The smallest number of correct answers pertained to the diagnostic criteria for visceral obesity and pharmacological treatment of obesity. There were no statistically significant impact of a responder's knowledge levels on the obesity of different HCPs. Workplace and participation in training sessions were found to have the largest impact on the level of knowledge on obesity. HCPs own assessment of their knowledge on obesity was negatively correlated with their actual level of knowledge.Conclusion: The prevalence of overweight and obesity implies that essentially every HCP has daily contact with patients with excessive body weight. Our research showed that 32.9% of HCPs did not have sufficient knowledge about how to diagnose and treat obesity.

      PubDate: Wed, 01 Feb 2023 11:05:26 +010
       
  • Weight loss history and its association with self-esteem and eating
           behaviors in adolescents and young adults with obesity

    • Abstract: IntroductionPrevious weight loss attempts in young people with obesity may have influenced their beliefs about themselves and contributed to maladaptive eating behaviors. Therefore, we aimed to investigate the association between previous weight loss with self-esteem and different eating behaviors in adolescents and young adults with obesity seeking specialty obesity care. MethodsWe performed a cross-sectional study, where a total of 224 participants with obesity, aged 16-25, self-reported the amount and the frequency of previous weight loss of 5 kg or more. Self-esteem was assessed with Rosenberg’s Self-Esteem Scale and eating behavior with the Three-Factor Eating Questionnaire-Revised21. Linear regression was used to analyze associations between the amount of weight loss (no weight loss, 5-10 kg, and>10 kg) and the frequency of weight loss>5 kg (0, 1, and>2 times) with self-esteem and eating behaviors. ResultsWe found that both those who had lost 5-10 kg and those who had lost>5 kg twice or more, had statistically significantly higher cognitive restraint eating scores β=7.03 (95%CI: 0.004 to 14.05) and β=8.32 (95%CI: 1.20 to 15.43), respectively, compared to those who reported no previous weight loss. No other statistically significant associations were found. Discussion/ConclusionPrevious weight loss in adolescents and young adults with obesity may be associated with a higher cognitive restraint eating behavior. Therefore, assessing weight loss history and eating behavior may be beneficial to better individualize obesity treatment.

      PubDate: Wed, 25 Jan 2023 09:40:49 +010
       
  • Overweight and Obesity in Brazilian Immigrants in Massachusetts, USA: A
           Time Series Analysis (2009-2020)

    • Abstract: Introduction: Obesity is considered a growing public health problem by the Brazilian Ministry of Health and a global epidemic by the World Health Organization (WHO). In 2020, the Centers for Disease Control and Prevention (CDC) estimated the prevalence of adult obesity at 31.9% in the U.S. The U.S. is one of the main destinations for Brazilian immigrants in search of better living conditions, and Massachusetts is one of the states with the highest presence of Brazilians. Changes in lifestyle and eating habits are often associated with increases in overweight and obesity in immigrants in the U.S., especially Hispanics, an official classification that does not, however, include Brazilians. The aim of this study is to describe the temporal trend of overweight and obesity in Brazilian immigrants assisted by the Cambridge Health Alliance (CHA) health care network in Massachusetts. Methods: Ecological time series study of 128,206 records of Brazilians aged between 18 and 60 years based on hospital data from 2009 to 2020. Results: Mean age was 38.9 (sd=10.6) and 61% of the sample were women. The prevalence of overweight and obesity were 38.4% and 25.4%, respectively. Obesity exhibited an increasing trend, while eutrophy and overweight decreased during the study period. Conclusion: As little is known about the health of Brazilian immigrants in the U.S., this study contributes to the literature on the subject. The observed increasing trends agree with the worldwide increase in obesity and indicate the need for future research exploring individual factors associated to immigrant acculturation.

      PubDate: Fri, 13 Jan 2023 16:55:36 +010
       
  • A large-scale observational analysis of social media data reveals major
           public misperception of the attainability of drastic weight loss by
           dieting

    • Abstract: Introduction: Diet forums in social media websites provide an opportunity to glimpse the experience of different weight loss diet strategies reported by tens of thousands of individuals. Methods: We analyzed all postings with weight information from the six major Reddit weight-loss diet forums (“subreddits”) as reported by forum participants. Results: Data were collected from January 2011 to April 2020 from all 55,900 users posting weight information. Average start BMI was in the overweight or obese range (26–34 kg/m2), and average goal BMI was in the normal range (21.5–24.5 kg/m2) for all subreddits. There is correlation between start BMI and goal BMI (R2=0.63, p
      PubDate: Fri, 23 Dec 2022 10:08:22 +010
       
  • Erratum

    • Abstract:
      Obes Facts
      PubDate: Fri, 23 Dec 2022 07:49:36 +010
       
  • Association of Body Shape Index with Cerebral Small Vessel Disease

    • Abstract: Introduction: A body shape index (ABSI) is an anthropometric index designed to reflect the influence of visceral fat. ABSI has been previously associated with various atherosclerosis, metabolic diseases, and cardiovascular diseases; however, relatively few studies have been conducted on cerebrovascular disease. In this study, we evaluated the association between ABSI and cerebral small vessel disease (cSVD) in health check-up participants.Methods: We evaluated consecutive health check-up participants between January 2006 and December 2013. As subtypes of cSVD, we quantitatively measured the volume of white matter hyperintensity (WMH) and qualitatively measured the presence of silent brain infarct (SBI) and cerebral microbleed (CMB). ABSI was calculated according to the following formula: ABSI (m11/6/kg-2/3) = waist circumference (m) / [body mass index (kg/m2)2/3 × height (m)1/2].Results: A total of 3,219 health check-up participants were assessed (median age, 56 years; male sex, 54.0%). In the multivariable analysis, ABSI was significantly associated with WMH volume (β = 0.107, 95% confidence interval [CI] = 0.013 to 0.200), SBI (adjusted odds ratio [aOR] = 1.62, 95% CI = 1.14-2.31) and CMB (aOR = 1.64, 95% CI = 1.16-2.33) after adjusting for confounders (per 100 m11/6/kg-2/3). Furthermore, ABSI showed a dose-response relationship with the burden of each cSVD pathology.Conclusions: High ABSI was associated with a higher burden of cSVD in health check-up participants. As ABSI showed close associations with all subtypes of cSVD, visceral fat may be a common risk factor penetrating cSVD pathologies.

      PubDate: Mon, 19 Dec 2022 11:48:26 +010
       
  • Integrative and collaborative approach in the chronic management of
           Obesity in Primary and Tertiary care setting: Vall Hebron-SAP Muntanya
           healthcare route

    • Abstract: Introduction: In the context of obesity pandemic, the health care providers involved in the primary care should have a significant role. Several guidelines for the management of obesity in primary care were proposed recently. In general lines, these guidelines include recommendation on the baseline assessment, therapy and algorithm for referral to specialized obesity clinic and follow-up. Nevertheless, at present there is no guideline or protocol that continuously and bidirectionally links the two settings: primary care and specialized obesity clinic. Methods: We present a model of continuous, bilateral and integrative interaction between primary care units and reference tertiary care setting in the chronic management of obesity that is already implemented in a public health system. Results: The novelty of our algorithm is that incorporates the support and continuous communication with the specialized obesity clinic of the tertiary care setting from the beginning in the management of a patient with obesity, in a bidirectional manner. Conclusion: This kind of bidirectional and continuous collaboration will help engage health care providers in the management of obesity, optimize efforts, shorten the time until proper intervention, personalize the approach and, finally, save costs for the health system.

      PubDate: Mon, 19 Dec 2022 11:46:21 +010
       
  • Association between indicators of inequality and weight change following a
           behavioural weight loss intervention

    • Abstract: Background: Weight loss through behavioural weight management interventions can have important health benefits for people with obesity. However, to maximise the health benefits, weight lost must be maintained. Evidence suggests that behavioural weight loss interventions do not exacerbate inequalities in the short-term. However, no study has yet considered whether inequalities exist in long-term weight change following intervention.Aim: To investigate if there are inequalities in weight change following weight loss intervention.Methods: We conducted a cohort analysis of data from the Weight Loss Referrals for Adults in Primary Care (WRAP) trial (N=1267). WRAP randomised participants to receive a brief intervention information booklet or vouchers for 12-weeks or 52-weeks of WW (formerly Weight Watchers) and followed them for 5-years. Multiple linear regression estimated the association between exposures (indicators of inequality) and outcome (change in weight between 1- and 5-years). Each model was adjusted for intervention group, baseline weight, weight change between baseline and 1-year, research centre, and source of the 5-year weight data. Results: Of the 1267 participants in WRAP, 708 had weight change data available. Mean weight change between 1- and 5-years was +3.30 kg (SD 9.10 kg). A 1 year difference in age at baseline was associated with weight change of 0.11kg ((95%CI 0.06, 0.16), p
      PubDate: Thu, 15 Dec 2022 11:59:45 +010
       
  • From dyspnea to skin grafting: the difficulties of managing a patient with
           extreme obesity

    • Abstract: Introduction: While the prevalence of severe obesity is increasing worldwide, caregivers are often challenged with the management of patients with extreme weight. Case report: A 30-year-old woman (weight 245 kg, body mass index 85 kg/m²) presented with dyspnea for which investigations led to suspect pulmonary embolism. The patient’s weight made it impossible to perform adapted imaging, thus, an empirical anticoagulant treatment was initiated. A hematoma of the thigh occurred as a consequence of a transient antivitamin K overdose leading to a 15 cm necrotic wound worsened by a state of malnutrition. Multidisciplinary and comprehensive care was performed including wound trimming, antibiotics, skin grafting, treatment of malnutrition, and psychological support, but with marked difficulties, due to the lack of adapted medical equipment and facilities as well as appropriate medical guidelines. Overall, 7 months of hospitalization including 4 months of physiotherapy and rehabilitation were needed before the patient could return home. Discussion: This case highlights how difficult managing patients with extreme obesity can be and points to the importance for healthcare systems to adapt to the specific needs of these patients and to design specific guidelines for treatment dosage and malnutrition prevention and treatment in this setting.

      PubDate: Thu, 15 Dec 2022 09:18:44 +010
       
  • European Association for the Study of Obesity Position Statement on
           Medical Nutrition Therapy for the Management of Overweight and Obesity in
           Adults Developed in Collaboration with the European Federation of the
           Associations of Dietitians

    • Abstract: Introduction: Obesity affects nearly 1 in 4 European adults increasing their risk for mortality and physical and psychological morbidity. Obesity is a chronic relapsing disease characterized by abnormal or excessive adiposity with risks to health. Medical nutrition therapy based on the latest scientific evidence should be offered to all Europeans living with obesity as part of obesity treatment interventions. Methods: A systematic review was conducted to identify the latest evidence published in the November 2018–March 2021 period and to synthesize them in the European guidelines for medical nutrition therapy in adult obesity. Results: Medical nutrition therapy should be administered by trained dietitians as part of a multidisciplinary team and should aim to achieve positive health outcomes, not solely weight changes. A diverse range of nutrition interventions are shown to be effective in the treatment of obesity and its comorbidities, and dietitians should consider all options and deliver personalized interventions. Although caloric restriction-based interventions are effective in promoting weight reduction, long-term adherence to behavioural changes may be better supported via alternative interventions based on eating patterns, food quality, and mindfulness. The Mediterranean diet, vegetarian diets, the Dietary Approaches to Stop Hypertension, portfolio diet, Nordic, and low-carbohydrate diets have all been associated with improvement in metabolic health with or without changes in body weight. In the November 2018–March 2021 period, the latest evidence published focused around intermittent fasting and meal replacements as obesity treatment options. Although the role of meal replacements is further strengthened by the new evidence, for intermittent fasting no evidence of significant advantage over and above continuous energy restriction was found. Pulses, fruit and vegetables, nuts, whole grains, and dairy foods are also important elements in the medical nutrition therapy of adult obesity. Discussion: Any nutrition intervention should be based on a detailed nutritional assessment including an assessment of personal values, preferences, and social determinants of eating habits. Dietitians are expected to design interventions that are flexible and person centred. Approaches that avoid caloric restriction or detailed eating plans (non-dieting approaches) are also recommended for improvement of quality of life and body image perceptions.
      Obes Facts
      PubDate: Thu, 15 Dec 2022 08:04:26 +010
       
 
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