The Challenge of Treating Obesity and Overweight Proceedings of a Workshop—in Brief (2017) / Chapter Skim
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The Challenge of Treating Obesity and Overweight: Proceedings of a Workshop--in Brief
The Challenge of Treating Obesity and Overweight: Proceedings of a Workshop--in Brief
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THE TREATMENT OF OBESITY AND OVERWEIGHT IN ADULTS Health care providers use three general modalities to treat obesity in adult patients: lifestyle interventions, pharmacotherapy, and bariatric surgery. Susan Yanovski, co-director of the Office of Obesity Research at the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health, summarized what is known about the efficacy for each of these modalities in achieving and maintaining weight loss to improve health in turn to lay the groundwork for subsequent discussions at the workshop.
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THE TREATMENT OF SEVERE OBESITY IN ADULTS Treating severe obesity requires experienced teams, including bariatric surgeons, gastroenterologists, obesity medicine specialists, registered dieticians, psychologists, and support staff, said Louis Aronne, the Sanford I Weill Professor of Metabolic Research at Weill Cornell Medicine.
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"I consider the outcome that I got very successful in terms of lifestyle intervention and changing how I move and how I eat." One thing she noted is that her social relationships "completely changed for me after bariatric surgery." She derives value from talking with other people about their experiences and providing support, she said. "Peer support is a very important part of aftercare with weight loss surgery." THE TREATMENT OF SEVERE OBESITY IN CHILDREN AND ADOLESCENTS Multidisciplinary care and family support can help young people lose weight and maintain weight loss, observed parent advocate Nikki Highfield, whose son had severe obesity in fifth grade, but lost weight and excelled on his junior high school basketball team.
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The certificate, which was designed for registered dietician nutritionists, physician assistants, nurse practitioners, clinical exercise physiologists, licensed behavioral psychologists or therapists, and licensed clinical social workers, held its first examination just a few weeks before the workshop. PAYMENT CONSIDERATIONS Health care payers consider a number of factors when deciding whether to cover a medical treatment, explained Don Bradley, associate consulting professor in the Department of Community and Family Medicine at Duke University.
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, said the ongoing activity in health policy "presents a lot of opportunities to move forward on legislation, in particular in a bipartisan manner." More legislators are coming to understand the impact of patients with multiple chronic conditions on the federal budget, state budgets, the social safety net, and the importance of access to high-quality care to improve patient outcomes. "We have to have serious conversations about these issues so that we can get at the cost drivers and focus on the growing patient group that is driving a lot of the higher costs and worse outcomes," said Gallivan.
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SPONSORS: This workshop was partially supported by the Academy of Nutrition and Dietetics; Alliance for a Healthier Generation; American Academy of Pediatrics; American College of Sports Medicine; American Council on Exercise; American Heart Association; American Society for Nutrition; Bipartisan Policy Center; Blue Cross Blue Shield of North Carolina Foundation; The California Endowment; ChildObesity180/Tufts University; Edelman; General Mills Foundation; Greater Rochester Health Foundation; Health Partners; Healthy Weight Commitment Foundation; The JPB Foundation; Kaiser Permanente; The Kresge Foundation; Mars, Inc.; National Recreation and Park Association; Nemours; Nestlé Nutrition; Nestlé USA; Novo Nordisk; The Obesity Society; Partnership for a Healthier America; Reebok, International; The Reinvestment Fund; Robert Wood Johnson Foundation; Salud America! ; Weight Watchers International, Inc.; and YMCA of the USA.
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