Thursday, October 4, 2018

I have changed my blog title to Chronic Disease of Obesity



I have written a book that explains Chronic Obesity in detail and how to maintain weight loss in the reduced obese.  It was published in Feb 2018 link


The article below has very old advice

" For weight loss maintenance, prescribe face-to-face
or telephone-delivered weight loss maintenance
programs that provide regular contact (monthly or
more frequent) with a trained interventionist† who
helps participants engage in high levels of physical
activity (i.e., 200-300 minutes/week), monitor body
weight regularly (i.e., weekly or more frequent), and
consume a reduced-calorie diet (needed to maintain
lower body weight).

A (Strong) CQ4 I A"


"NIH 1998:
Obesity Is a Chronic Disease"
"Obesity is a complex chronic disease.

This much has been clear since 1998
when the NIH first issued guidelines on diagnosis, evaluation, and treatment.
But ignorance dies hard.
Even people who should know better persist in thinking
that obesity is simply a bad choice or a behavior."
QUOTE FROM
ConscienHealth Article link below

Does the USPSTF Understand What Chronic Means?

My editorial review of ConscienHealth article here

The article above prompted me to change the name of my blog
from
 THE TUBBY TRAVELER FROM TOPEKA 
 to 
 CHRONIC DISEASE OF OBESITY


 My comments in purple
Some important quotes from the Guidelines 2013 below.

2013 AHA/ACC/TOS Guideline link

1/ "The Panel did not choose a CQ that dealt with various aspects of
pharmacotherapy for a comprehensive evidence assessment,

since at the time the CQs were chosen there
was only 1 approved medication (orlistat) for weight loss."


2/ "Prescribe a diet to achieve reduced calorie intake for
obese or overweight individuals who would benefit
from weight loss, as part of a comprehensive lifestyle
intervention. Any 1 of the following methods can be
used to reduce food and calorie intake:


a. Prescribe 1,200–1,500 kcal/day for women
and
1,500–1,800 kcal/day for men
(kcal levels areusually adjusted for the individual’s body
weight);

b. Prescribe a 500 kcal/day or 750 kcal/day energy deficit;
or

c. Prescribe one of the evidence-based diets that
restricts certain food types
such as
1-high-carbohydrate foods,
2- low-fiber foods, or
3-high-fat foods

in order to create an energy
deficit by reduced food intake.
A (Strong) CQ3 I A"

3)
4f. Advise overweight and obese individuals who have
lost weight to participate long-term (≥1 year) in a
comprehensive weight loss maintenance program.
A (Strong) CQ4 I A


4)
4g. For weight loss maintenance, prescribe face-to-face
or telephone-delivered weight loss maintenance
programs that provide regular contact (monthly or
more frequent) with a trained interventionist† who
helps participants engage in high levels of physical
activity (i.e., 200-300 minutes/week), monitor body
weight regularly (i.e., weekly or more frequent), and
consume a reduced-calorie diet (needed to maintain
lower body weight).
A (Strong) CQ4 I A



Selecting Patients for Bariatric Surgical Treatment for Obesity
(Bariatric Surgical Treatment for Obesity)

5)
5a. Advise adults with a BMI greatly than 40 or BMI greater than 36 with
obesity-related comorbid conditions who are
motivated to lose weight and who have not
responded to behavioral treatment with or without
pharmacotherapy with sufficient weight loss to
achieve targeted health outcome goals that bariatric
surgery may be an appropriate option to improve
health and offer referral to an experienced bariatric
surgeon for consultation and evaluation.
A (Strong) CQ5 IIa§ A

6)
5b. For individuals with a BMI <35 b="" is="" there=""> insufficient

evidence to recommend for or against undergoing
bariatric surgical procedures.
N (No Recommendation)
CQ5 N/A N/A


7)
5c. Advise patients that choice of a specific bariatric
surgical procedure may be affected by patient
factors, including age, severity of obesity/BMI,
obesity-related comorbid conditions, other operative
risk factors, risk of short- and long-term
complications, behavioral and psychosocial factors,
and patient tolerance for risk as well as provider
factors (surgeon and facility).
E (Expert Opinion)


8)
4f. Advise overweight and obese individuals who have
lost weight to participate long-term (≥1 year) in a
comprehensive weight loss maintenance program.

A (Strong) CQ4 I A

9)
4g. For weight loss maintenance, prescribe face-to-face
or telephone-delivered weight loss maintenance
programs that provide regular contact (monthly or
more frequent) with a trained interventionist† who
helps participants engage in high levels of physical
activity (i.e., 200-300 minutes/week), monitor body
weight regularly (i.e., weekly or more frequent), and
consume a reduced-calorie diet (needed to maintain
lower body weight).
A (Strong) CQ4 I A

My book:  The Chronic Disease of Obesity (link to buy book or digital version)

was published in Feb 2018. 

To my knowledge there is no other book with this title. 














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