A practical approach to treatment of the obese patient
S. Z. Yanovski
Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Md.
Obesity is one of the most common conditions encountered by primary care
physicians, yet both physicians and patients are often frustrated by
current approaches to its management. Recent advances in our understanding
of obesity enable the physician to evaluate the contributions of biologic
and environmental factors to the patient's obesity, to determine the degree
of medical risk posed by the obesity, and to establish realistic goals for
treatment. The chronic and relapsing nature of obesity requires ongoing
support and vigilance. An individualized approach to obesity management,
based on careful evaluation of biologic, psychologic, and social factors,
can be successfully developed and implemented by the office-based primary
care physician.
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