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Evaluation & Management of Obesity

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Overview

Designed to be a concise, clinically useful guide to the evaluation and management of overweight and obese patients, this book will cover a range of topics that are relevant for primary care physicians, nurse practitioners/physician assistants, primary care residents, and medical students. The authors are all practicing MDs, dieticians, and PhDs who work with overweight and obese patients. They discuss practical issues that have been helpful for them when seeing these patients. It will provide focused, clinically useful information that the healthcare provider can immediately put to use in the office.

• A practical, usable handbook format

• Authors and contributors are among the major names in the field

• Latest, cutting edge information

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Editorial Reviews

From The Critics
Reviewer: Roy E. Weiss, MD, PhD (University of Chicago Medical Center)
Description: This a multiauthored focused manual provides useful summary information on the approach to obesity. Each chapter is succinctly written, no longer than 10-12 pages, and has useful figures.
Purpose: The editor's goal was to provide a balanced view of controversies in specific treatment approaches in the management of obesity. Obesity is a common and frustrating problem which is at the root of many other health problems in America, therefore a book which will allow for a rational approach to evaluation and management would be a welcome addition. Although there are no "easy solutions," this book tries to put things into perspective from the aspects of diet, exercise, medication, and surgery.
Audience: The book is intended for primary care professionals, subspecialty fellows, house officers, and medical students. Although this short version should be a prelude to a more comprehensive textbook of obesity, this will quench the thirst of a primary care physician and medical student, but probably does not go into sufficient depth to be useful for the endocrinology or gastroenterology fellow.
Features: One will find all aspects of obesity management covered to some extent in this book. There is even a chapter on the ethical use of medication for the treatment of obesity. The second to last chapter of the book is devoted to the regulation of appetite by the central nervous system. This is a well written chapter that really should be at the beginning of the book and serve as an understanding for obesity and a rational basis for its treatment. Unfortunately, the half-tone illustrations are not clear. The chapters describing diets and excercise are well done. The reader will find the objective of a pro/con discussion particularly useful in the description of "fad" diets. The chapter on surgical approaches, although brief, could have used the same approach and been referenced with trials that show the reported efficacy (or not) of the approach, complications, etc. Also lacking is a brief discussion of the genetic basis of obesity. The statement that Cushings disease is ruled out in the evaluation of obesity if <100 micrograms per 24 hours, may not be universally accepted, with newer assays having 50 as the upper limit of normal.
Assessment: The reader will find this book a useful and succinct review of obesity. It adequately covers information regarding diets, exercise, medication, and surgery so that the primary care physician can initiate therapy and then refer the patient on to a specialist if further evaluation and treatment are necessary.
Doody's Review Service
Reviewer: Roy E. Weiss, MD, PhD (University of Chicago Medical Center)
Description: This a multiauthored focused manual provides useful summary information on the approach to obesity. Each chapter is succinctly written, no longer than 10-12 pages, and has useful figures.
Purpose: The editor's goal was to provide a balanced view of controversies in specific treatment approaches in the management of obesity. Obesity is a common and frustrating problem which is at the root of many other health problems in America, therefore a book which will allow for a rational approach to evaluation and management would be a welcome addition. Although there are no "easy solutions," this book tries to put things into perspective from the aspects of diet, exercise, medication, and surgery.
Audience: The book is intended for primary care professionals, subspecialty fellows, house officers, and medical students. Although this short version should be a prelude to a more comprehensive textbook of obesity, this will quench the thirst of a primary care physician and medical student, but probably does not go into sufficient depth to be useful for the endocrinology or gastroenterology fellow.
Features: One will find all aspects of obesity management covered to some extent in this book. There is even a chapter on the ethical use of medication for the treatment of obesity. The second to last chapter of the book is devoted to the regulation of appetite by the central nervous system. This is a well written chapter that really should be at the beginning of the book and serve as an understanding for obesity and a rational basis for its treatment. Unfortunately, the half-tone illustrations are not clear. The chapters describing diets and excercise are well done. The reader will find the objective of a pro/con discussion particularly useful in the description of "fad" diets. The chapter on surgical approaches, although brief, could have used the same approach and been referenced with trials that show the reported efficacy (or not) of the approach, complications, etc. Also lacking is a brief discussion of the genetic basis of obesity. The statement that Cushings disease is ruled out in the evaluation of obesity if <100 micrograms per 24 hours, may not be universally accepted, with newer assays having 50 as the upper limit of normal.
Assessment: The reader will find this book a useful and succinct review of obesity. It adequately covers information regarding diets, exercise, medication, and surgery so that the primary care physician can initiate therapy and then refer the patient on to a specialist if further evaluation and treatment are necessary.
From The Critics
Leading authorities in obesity care, many from the Centers for Obesity Research and Education, offer a balanced approach to evaluation and management of obese patients and describe the latest treatment options and drug therapies. Some areas examined include body composition analysis, office-based counseling, diets and commercial programs, the role of meal replacements, non-prescription products, pharmacologic therapy, surgical treatment, and insurance coverage for treatment. The guide is useful for primary care physicians, subspecialty fellows, house officers, medical students, and other health professionals. Bessesen teaches in the Division of Endocrinology, Department of Medicine, at the University of Colorado Health Sciences Center. Kushner teaches medicine at Northwestern University Medical School. Annotation c. Book News, Inc., Portland, OR (booknews.com)

3 Stars from Doody
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Product Details

  • ISBN-13: 9781560534693
  • Publisher: Elsevier Health Sciences
  • Publication date: 1/25/2002
  • Edition description: New Edition
  • Pages: 190
  • Product dimensions: 5.20 (w) x 8.40 (h) x 0.70 (d)

Table of Contents

1. Defining the Scope of the Problem of Obesity
2. Office-based Obesity Care: Setting Up the Office Environment
3. Medical Evaluation of the Overweight or Obese Patient
4. Body Composition Analysis
5. Goals and Strategies to Improve Behavior-Change Effectiveness
6. Applying Stages of Change Theory to Office-Based Counseling
7. Diets
8. Commercial Programs
9. The Role of Meal Replacements in Weight Control
10. Talking to Patients About Popular Diet Books
11. Very-Low-Calorie Diets
12. Physical Activity Considerations for Management of Body Weight
13. Non-Prescription Weight-Loss Products
14. Pharmacologic Therapy
15. Ethical Consideration in the Use of Medications
16. Surgical Treatment of Obesity
17. The National Weight Control Registry
18. Primary Care Management of Pediatric Obesity
19. Insurance Coverage for Obesity Treatment
20. Obesity Web Resources for Health Professionals
21. Regulation of Appetite by the Central Nervous System
22. Obesity and the Environment
Index

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