Bariatric Times - June 2008 - (Page 15)

Bariatric Times • June 2008 Practice Management Perspective 15 Patients commonly set unrealistic “goal weights,” greatly overestimating the AMOUNT OF WEIGHT THEY CAN FEASIBLY LOSE AND MAINTAIN. not, their goals differ from those of the medical community. A modest weight loss of 10 percent is associated with significant health benefits,16, 27, 36 and many patients are only 200kcal a day short of a 20 to 30-pound weight loss over the course of a year. To succeed, they need only correct a 10-percent imbalance between energy in and energy out. The small, practical steps (see Table 1) described here can help them do just that, and in so doing, prevent obesity-related morbidity and mortality. 23. 18 months of intermittent vs. continuous exercise on aerobic capacity, body weight and composition, and metabolic fitness in previously sedentary, moderately obese females. Int J Obes Relat Metab Disord. 2000;24(5):566–572. Fabricatore AN. Behavior therapy and cognitive-behavioral therapy of obesity: is there a difference? J Am Diet Assoc. 2007;107(1):92–99. Jones LR, Wilson CI, Wadden TA. Lifestyle modification in the treatment of obesity: an educational challenge and opportunity. Clin Pharmacol Ther. 2007;81(5):776–779. Motivational Interviewing. Available at: http://motivationalinterview.org/clinical/overview.html. Miller MR, Zweben A, DiClemente CC, Rychtarik RG. Motivational enhancement therapy manual: a clinical research guide for therapists treating individuals with alcohol abuse and dependence. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism; 1992. Blackburn G. Effect of degree of weight loss on health benefits. Obes Res. 1995;3 Suppl 2:211s–216s. 28. Mulligan A, McNamara A, Boulton H, et al. Best practice updates for nursing care in weight loss surgery. Obesity. 2008, In press. 29. Brown I. Nurses’ attitudes towards adult patients who are obese: literature review. J Adv Nurs. 2006;53(2):221–232. 30. Brown I, Thompson J, Tod A, Jones G. Primary care support for tackling obesity: A qualitative study of the perceptions of obese patients. Br J Gen Pract. 2006;56(530):666–672. 31. Harvey BH, Bouwer CD. Neuropharmacology of paradoxic weight gain with selective serotonin reuptake inhibitors. Clin Neuropharmacol. 2000;23(2):90–97. 32. Wilding J. Thiazolidinediones, insulin resistance and obesity: Finding a balance. Int J Clin Pract. 2006;60(10):1272–1280. 33. Pischon T, Sharma AM. Use of beta-blockers in obesity hypertension: potential role of weight gain. Obes Rev. Nov 2001;2(4):275–280. 34. Madan AK, Tichansky DS, Speck KE, Turman KA. Internet use in the bariatric surgery patient population. Obes Surg. 2005;15(8):1144–1147. 35. Health Services/Technology Assessment Text (HSTAT). How successful are various methods for weight loss and control? What are the attributes of and barriers to successful weight loss methods/approaches? National Library of Medicine, 2007. 36. Klein S, Burke LE, Bray GA, et al. Clinical implications of obesity with specific focus on cardiovascular disease: a statement for professionals from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: Endorsed by the American College of Cardiology Foundation. Circulation. 2004;110(18):2952–2967. 24. 25. 26. 27. ACKNOWLEDGMENTS Manuscript preparation was supported by the S. Daniel Abraham Chair in Nutrition Medicine at Harvard Medical School, The Harvard Center for Healthy Living, Boston Obesity Nutrition Research Center (BONRC) P30-DK-46200, and Center for Nutritional Research Charitable Trust. The authors thank Rita Buckley for services provided in the development of the manuscript. REFERENCES 1. The Practical Guide to the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. In: National Heart L, and Blood Institute, National Association for the Study of Obesity. Bethesda, MD: National Institutes of Health 2000. National Weight Control Registry, research findings. Available at: http://www.nwcr.ws/Research/default.htm. Wadden TA, Butryn ML, Wilson C. Lifestyle modification for the management of obesity. Gastroenterol. 2007;132(6):2226–2238. Svetkey LP, Stevens VJ, Brantley PJ, et al. Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial. JAMA. 2008;299(10):1139–1148. Hiddink GJ, Hautvast JG, van Woerkum CM, et al. Information sources and strategies of nutrition guidance used by primary care physicians. Am J Clin Nutr. 1997;65(6 Suppl):1996S–2003S. Cohen MD, D'Amico FJ, Merenstein JH. Weight reduction in obese hypertensive patients. Fam Med. 1991;23(1):25–28. Ley P. Memory for medical information. Br J Soc Clin Psychol. 1979;18(2):245–255. Putnam SM, Stiles WB, Jacob MC, James SA. Patient exposition and physician explanation in initial medical interviews and outcomes of clinic visits. Med Care. 1985;23(1):74–83. Eckel RH. Preventive cardiology by lifestyle intervention: Opportunity and/or challenge? Presidential address at the 2005 American Heart Association Scientific Sessions. Circulation. 2006;113(22):2657–2661. Centers for Disease Control and Prevention. Trends in intake of energy and macronutrients–-United States, 1971–2000: MMWR. February 5, 2004. Available at www.cdc.gov/mmwr/preview/mmwrhtml/mm5304a3.htm. Last accessed March 14, 2008. Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science. 1998;280(5368):1371–1374. Rolls BJ, Roe LS, et al. Increasing the portion size of a sandwich increases energy intake. J Am Diet Assoc. 2004;104(3):367–372. Schwartz J, Byrd-Bredbenner C. Portion distortion: typical portion sizes selected by young adults. J Am Diet Assoc. Sep 2006;106(9):1412–1418. Ello-Martin JA, Roe LS, Ledikwe JH, et al. Dietary energy density in the treatment of obesity: A year-long trial comparing 2 weight-loss diets. Am J Clin Nutr. 2007;85(6):1465–1477. Ledikwe JH, Blanck HM, Khan LK, et al. Low-energy-density diets are associated with high diet quality in adults in the United States. J Am Diet Assoc. 2006;106(8):1172–1180. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults–The Evidence Report. National Institutes of Health. Obes Res. 1998;6 Suppl 2:51S–209S. Janiszewski PM, Saunders TJ, Ross R. Lifestyle treatment of the metabolic syndrome. Am J Lifestyle Medicine. 2008;2(2):99–108. Ekelund U, Franks PW, Sharp S, et al. Increase in physical activity energy expenditure is associated with reduced metabolic risk independent of change in fatness and fitness. Diabetes Care. 2007;30(8):2101–2106. Levine JA. Nonexercise activity thermogenesis–liberating the life-force. J Intern Med. 2007;262(3):273–287. Dunn AL, Marcus BH, Kampert JB, et al. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: A randomized trial. JAMA. 1999;281(4):327–334. Quinn TJ, Klooster JR, Kenefick RW. Two short, daily activity bouts vs. one long bout: are health and fitness improvements similar over twelve and twenty-four weeks? J Strength Cond Res. 2006;20(1):130–135. Donnelly JE, Jacobsen DJ, Heelan KS, et al. The effects of 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. http://motivationalinterview.org/clinical/overview.html http://motivationalinterview.org/clinical/overview.html http://www.nwcr.ws/Research/default.htm http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5304a3.htm http://www.goremedical.com http://www.goremedical.com

Table of Contents Feed for the Digital Edition of Bariatric Times - June 2008

Bariatric Times - June 2008 Endoluminal Treatment Options for Morbid Obesity: Devices and Techniques for Natural Orifice Approaches The Multidisciplinary Approach to Weight Loss: Defining the Roles of the Necessary Providers Acute Bleeding after Gastric Bypass Editorial Message Contents ASMBS: 25 Years Editorial Board Surgical Site Infection In The Morbidly Obese Patient: A Review Consultant's Corner The Link Between Sleep Loss and Obesity: Understanding the Mechanisms Responsible for Weight Gain with Sleep Deprivation Volume Matters Journal Watch Advertiser Index

Bariatric Times - June 2008

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