Obesity: Behavioral, Medical and Surgical Management

Published by: Apollo Managed Care Consultants

Published: Jan. 1, 2008 - 195 Pages

Table of Contents

Introduction and Definitions

Body Mass Index or BMI

Assessment

Epidemiology

Childhood and adolescent obesity

Causes/Etiologies/Risk Factors - Obesity

Calories

Resting Metabolic Rate

Genetic factors

Energy Intake

Numbers of fat cells

Decreased activity or reduced energy expenditure

Prescription Drugs

Stress, Head Trauma, Hypothalamic abnormalities

Viral infections

Endocrine diseases and abnormalities

Gastric volume and satiety

Medical intervention (or lack thereof)

Fat distribution characteristics of overweight and obesity

Complications of obesity - Health risks

Cancer

Metabolic Syndrome or Insulin Resistance Syndrome

Cardiovascular Disease

Diabetes

Increased intra-abdominal pressure

Obstructive Sleep Apnea

Adiposis dolorosa

Eye disease

Asthma

Erectile dysfunction (ED)

Pregnancy complications

Psychosocial complications of obesity

Surgery

Mortality risk of obesity in the elderly

Weight loss and ‘weight cycling’ risks

Treatment

Introduction

What is appropriate treatment for overweight and obesity?

Who should be excluded from a restricted calorie weight loss program?

Who should be targeted for weight management?

Children

Elderly

Family/social involvement

Smoking and weight control

Nutrition and diet

Time to self manage obesity care needs

Fat in the healthy diet

Carbohydrates a culprit?

Protein content of the healthy diet

Diet plans or prescriptions

Fiber

How many calories?

Low calorie diet

Very low calorie diet

Physiology of undernutrition and starvation

High complex carbohydrate vis a vis high fat diets

Prevention of diabetes

Glycemic Index

Alcohol and diabetes

Weight loss using Complementary & Alternative Medicines (CAM) including green tea

Nutrition Notes

Activity Levels and Exercise Programs

Move it and Lose it

High-intensity intervals

Aerobic exercise training heart rates by age

Exercise and diabetes

Pedometers

Notes

Behavioral aspects of overweight and obesity

What others have said

Introduction

Aerobic exercise training

Self-management

Stimulus control

Cue avoidance

Cognitive Behavioral Therapy

Cognitive Rehearsal

Cognitive Restructuring

Stress Management

Problem Solving Therapy

Group Therapy

Group Teletherapy

Internet technology for behavioral weight loss programs

Psychological Evaluation for Bariatric Surgery

Notes

Drug Therapy

Weight loss drugs commonly used in the U.S.

Safety and efficacy note

Off-label drug

Binge eating disorder (BED)

Drug Therapy Notes

Bariatric Surgery

Introduction

Bariatric surgery - clinical guideline

Medicare/BCBS Coverage Statements

Selection for surgery based on comorbid diabetes and hypertension in addition to BMI

Liposuction

Addendum

BMI Table

Height & Weight Table

Recommended average daily energy allowances for children and adults

Calculating Daily Caloric Requirements/Resting Energy Expenditure

Desired Weight - Matching Calorie Maintenance Chart

Duration of various activities to expend 150 kcalories

Burning Calories or ‘Just Do It!’

Anthropometric Measurement Protocols

12-minute Fitness Test, by age and sex

Preventive Physical Activity Regimens

Resistance Training

Recommendations for adult weight loss - a summary

Calories do count

Practical dietary therapy recommendations

Calcium requirements

Iron -rich foods

Caloric Content of Alcoholic Beverages

Notes for Healthier Eating Habits

Low calorie shopping list

Fat content of vegetable oils

Fast Foods - Nutritional Content for National Restaurant Menus

Sandwiches and Entrees

Salads

Breakfast Items

Milk, Milk Shakes, Hot Chocolate

Potato and other vegetable dishes

Desserts

Fiber Content of Foods

Exchange Diets for varying caloric intakes

Soy Protein Content of Soy Products

Vitamins and Micronutrients

Healthy diet linked to good cognitive performance

Nutritional Components of Sea Foods

Addendum Notes

References and resources

References - listed by topic

Resources

Web sites - Food and Nutrition

Web sites - Obesity

Web sites - Physical Fitness

Abstract

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