Treatment of the Obese Patient


Treatment of the Obese Patient is a timely and informative text for all health care providers challenged with helping patients manage weight. This volume includes insight into recent scientific advances in obesity research and provides the most up-to-date reviews of current treatment issues and strategies. The volume is divided into two parts. Part 1 covers new discoveries in the physiological control of body weight, as well as the pathophysiology of obesity. Expert authors discuss pathways that control food ...
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Treatment of the Obese Patient is a timely and informative text for all health care providers challenged with helping patients manage weight. This volume includes insight into recent scientific advances in obesity research and provides the most up-to-date reviews of current treatment issues and strategies. The volume is divided into two parts. Part 1 covers new discoveries in the physiological control of body weight, as well as the pathophysiology of obesity. Expert authors discuss pathways that control food intake, energy expenditure, and peripheral nutrient metabolism, including a look at the emerging evidence of the role of adipose tissue as an endocrine organ. Part 2 covers issues central to clinical management. Authors in this section discuss polycystic ovarian syndrome, diabetes, energy density, glycemic index, low-carbohydrate diets, the role of physical activity, and novel approaches to pharmacotherapy, surgery, and management of micronutrient deficiencies in the postbariatric patient. An essential, practical text that sorts, synthesizes, and interprets the latest information on obesity-related topics, Treatment of the Obese Patient is an essential volume for clinical endocrinologists and other health care providers.
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Editorial Reviews

Doody's Review Service
Reviewer: Silvana Pannain, MD (University of Chicago Medical Center)
Description: This collection of chapters composed by over 40 contributing authors describes the physiology of energy homeostasis and body weight control, the pathophysiology of obesity, and the management of the obese patient in clinical practice. The book satisfies the need for both a comprehensive resource for researchers and a concise and pragmatic guideline for physicians.
Purpose: The intent was to assemble in a single book an up-to-date review of obesity-related topics, from recent scientific advances in obesity research to current treatment issues and strategies. The book is unique since the authors are not only experts in the field, but also clinicians who are able to translate the current knowledge into clinical practice. Therefore, it is a comprehensive reference for both researchers interested in the physiology of body weight control and pathophysiology of obesity and the breakthrough research (described in Part 1) and for practicing clinicians who have taken on the difficult task of the clinical management of the obese patient (discussed in Part 2). These are important objectives in light of the expanding obesity epidemic and the need for more researchers and physicians involved in its understanding and management.
Audience: The authors state that the intended audience includes all healthcare providers managing patients with weight problems. I would add that it is also suitable for students and researchers looking for a comprehensive review of the physiology of energy homeostasis and appetite control and the pathophysiology of obesity.
Features: Part 1 thoroughly covers the new discoveries in the mechanisms that control food intake, energy expenditure, and peripheral nutrient metabolism. It reviews among others the neuroregulation of appetite, the role of gut peptides as peripheral signals to the brain, and the role of adipokines, peripheral nutrients, insulin, and "ectopic fat" in obesity-related metabolic deregulation. Part 2 summarizes a well rounded variety of topics related to the management of obesity, including the socioeconomic aspects of obesity, the office assessment of the obese patient and the patient with polycystic ovary syndrome, the main dietary approaches, and the role of physical activity in weight management. Because each chapter is thoroughly written and referenced, this book also serves as an excellent starting point for students, researchers, and practitioners who need a guide to the primary published literature. Also, the practical chapter dedicated to the assessment of the obese patient is a useful resource for practitioners who have taken a step further in their everyday practice and are now engaged in a more active and systematic role in evaluating and treating the patient with a weight problem.
Assessment: This is unique among reviews on obesity management in that it covers a number of different areas, and does so in a thorough and streamlined way. It is easy to navigate and to retrieve information. Because each chapter functions independently, I would recommend this book to a large audience that includes researchers, trainees in nutrition, students, and practitioners. Given that the obesity epidemic represents one of the most significant threats to the health of our nation, this broad and diverse review is merited and should stimulate and engage researchers and clinicians who have undertaken the challenge of understanding and managing obesity. I'm not aware of any other book which covers in such a comprehensive manner the current knowledge of obesity and the patient with a weight problem.
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Product Details

  • ISBN-13: 9781617377495
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 11/9/2010
  • Series: Contemporary Endocrinology Series
  • Edition description: Softcover reprint of hardcover 1st ed. 2007
  • Edition number: 1
  • Pages: 444
  • Product dimensions: 0.92 (w) x 7.00 (h) x 10.00 (d)

Meet the Author

An internationally recognized expert in the care of overweight and obese patients, Dr. Kushner helps patients manage their weight with state-of-the art approaches including diet, exercise, behavioral change, pharmacotherapy and bariatric surgery. He is past President of The Obesity Society (TOS), the American Board of Physician Nutrition Specialists (ABPNS) and the American Society for Parenteral and Enteral Nutrition (ASPEN). Dr. Kushner serves on the editorial boards of two prominent journals, Obesity and the Journal of the American Dietetic Association. He has authored numerous articles, reviews, books and book chapters. Among his recent books are Counseling Overweight Adults: The Lifestyle Patterns Approach and Toolkit, the American Medical Association’s Assessment and Management of Obesity, Dr. Kushner’s Personality Type Diet, Treatment of the Obese Patient and Fitness Unleashed: A Dog and Owner’s Guide to Losing Weight and Gaining Health Together.

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Table of Contents

Treatment of the Obese Patient

Contemporary Endocrinology

Table of Contents

Section One: Physiology & Pathophysiology

Chapter 1 Neuroregulation of appetite

Ofer Reizes

Stephen C. Benoit

Deborah J. Clegg

Chapter 2 Gut peptides

Vian Amber

Steve Bloom

Chapter 3 New biology of endocannabanoids

Stephen C. Woods PhD

Daniela Cota

Chapter 4 Obesity and adipokines

Nicole H. Rogers, MS

Martin S. Obin, PhD

Andrew Greenberg, MD

Chapter 5 Free fatty acids, insulin resistance and ectopic fat

David E. Kelley MD

Chapter 6 Critical Importance of the Perinatal Period in the Development of Obesity

Barry E. Levin, MD

Chapter 7 Body composition in obesity

Jennifer L. Kuk, MSc

Robert Ross, PhD

Chapter 8 Energy expenditure and obesity

Eric Ravussin, PhD

Leanne M. Redman, Ph.D.

Section Two: Clinical management

Chapter 9 Socioeconomics of obesity

Roland Sturm, PhD

Yuhua Bao, PhD

Chapter 10 Assessment of the obese patient

Daniel H. Bessesen, MD

Chapter 11 Polycystic Ovarian Syndrome

Richard Legro, MD

Romana Dmitrovic, M.D.

Chapter 12 Weight management in diabetes prevention: Translating DPP into clinical practice

F. Xavier Pi-Sunyer, M.D.

Chapter 13 Energy Density and weight regulation

Jenny H. Ledikwe, PhD

Heidi M. Blanck, PhD

Mary K Serdula, PhD

Jennifer D. Seymour, PhD

Beth C. Tohill, PhD

Barbara J. Rolls, Ph.D.

Chapter 14 Glycemic index, diabetes and obesity

David S. Ludwig, MD, PhD

Cara B. Ebbeling, PhD

Chapter 15 Update on low carbohydrate diets

Gary D. Foster, Ph.D.

Angela P. Makris, Ph.D., R.D.

Chapter 16 Physical activity and obesity

John M. Jakicic, Ph.D.

Amy D. Otto, PhD, LDN

Kristen Polzien, PhD

Kelli Ann Davis, MS

Chapter 17 Strategies for behavior change: motivational interviewing

Ken Resnicow, PhD

Abdul R. Shaikh, MHSc.

Chapter 18 Weight loss drugs: current and on the horizon

George A. Bray, M.D.

Frank L. Greenway, M.D.

Chapter 19 Surgical approaches and outcomes

George L. Blackburn, M.D., Ph.D.

Vivian Sanchez

Chapter 20 Management of the post-bariatric surgical patient

Robert F. Kushner, MD

Chapter 21 Lessons from the National Weight control registry

James O. Hill, PhD

Holly R. Wyatt, MD

Suzanne Phelan, PhD

Rena R. Wing, PhD

Chapter 22 Pediatric obesity

Lawrence D. Hammer, M. D.

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