期刊
PROGRESS IN CARDIOVASCULAR DISEASES
卷 56, 期 4, 页码 465-472出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.pcad.2013.09.005
关键词
Obesity; Diet; Lifestyle; Pharmacology; Bariatric surgery
Obesity is one of the most serious and prevalent non-communicable diseases of the 21st century. It is also a patient-centered condition in which affected individuals seek treatment through a variety of commercial, medical and surgical approaches. Considering obesity as a chronic medical disease state helps to frame the concept of using a three-stepped intensification of care approach to weight management. As a foundation, all patients should be counseled on evidence-based lifestyle approaches that include diet, physical activity and behavior change therapies. At the second tier, two new pharmacological agents, phentermine-topiramate and lorcaserin, were approved in 2012 as adjuncts to lifestyle modification. The third step, bariatric surgery, has been demonstrated to be the most effective and long-term treatment for individuals with severe obesity or moderate obesity complicated by comorbid conditions that is not responsive to non-surgical approaches. By using a medical model, clinicians can provide more proactive and effective treatments in assisting their patients with weight loss. (C) 2014 Elsevier Inc. All rights reserved.
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