Obesity: Behavioral, Medical and Surgical Management

Published by: Apollo Managed Care Consultants

Published: Feb. 1, 2009 - 199 Pages

Table of Contents

Preface - important information to read

Obesity quips and quotes

Table of Contents

Quotable Quotes

Introduction and Definitions

Body Mass Index or BMI

Assessment

Epidemiology

Childhood and adolescent obesity - also refer to treatment section (update 7-05, 11-06, 1-09)

Causes/Etiologies/Risk Factors - Obesity

Calories

Resting Metabolic Rate

Genetic factors (update 6-07)

Energy Intake

Numbers of fat cells

Decreased activity or reduced energy expenditure

Prescription Drugs

Depression (New 11-06)

Stress, Head Trauma, Hypothalamic abnormalities

Viral infections

Endocrine disorders/hormones (update 7-05, 11-05)

Gastric volume and satiety

Medical intervention (or lack thereof)

Fat distribution characteristics in overweight and obesity (update 10-06)

Complications of obesity - Health risks

Cancer

Metabolic Syndrome or Insulin Resistance Syndrome 10 Cardio-cerebrovascular Disease (update 6-07)

Hypertension (New 7-05,update 9-05)

Diabetes (update 9-05, 12-05)

Gout 14 Kidney stone formation

Increased intra-abdominal pressure; Reflux (GERD)

Obstructive Sleep Apnea (update 6-05)

Adiposis dolorosa

Eye disease

Asthma

Gout

Erectile dysfunction (ED) (new 7-04)

Pregnancy complications (new 12-05)

Psychosocial complications of obesity

Surgical complications (Update 10-06)

Mortality risk of obesity in the elderly

Oral contraceptives (OC) more likely to fail in obese women (New 2-05)

Dementia risk related to obesity in middle age (New 5-05)

Stroke risk (New 5-05)

Osteoarthritis/Knee injuries (New 5-05, update 11-06)

Weight loss and ‘weight cycling’ risks

Premature death (New 10-05)

Treatment - Introduction

What is appropriate treatment for overweight and obesity?

Weight loss goals and goal-setting

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

Who should be targeted for weight management?

Children and adolescents (update 8-05, 6-06, 1-09)

Pre-pregnancy/Pregnancy (New 2-07)

Elderly

Family/social involvement

Smoking and weight control

Nutrition and diet

Introduction

Time to self manage obesity care needs (update 10-06)

Which popular diet for weight loss? (update 6-06, 1-08)

Fats in the healthy diet (update 5-08)

Transfats

Nutrient density

Carbohydrates a culprit? (refer to the following glycemic index section in this chapter)

Protein content of the healthy diet (update 4-06)

Satiety - meeting the need to feel full

Diet plans or prescriptions

Fiber 33 o Calcium

How many calories?

Low calorie diet

Very low calorie diet

Physiology of undernutrition and starvation

High complex carbohydrate vis a vis high fat diets (update 11-06)

Nutritional management of children and adolescents (New 6-06)

Nutritional management of the elderly overweight and obese

Prevention of diabetes

Glycemic Index w/table (update 10-07)

Alcohol and diabetes

Weight loss using Complementary & Alternative Medicines (CAM) including green tea (New 1-05)

Family coaching (new 1-08)

Nutrition Notes

Activity Levels and exercise

Move it and Lose it (update 12-08)

High-intensity intervals (New 1-07)

Aerobic exercise training - heart rates by age

Exercise and diabetes (update 8-06)

Pedometers (New 12-07)

Notes

Behavioral aspects of overweight and obesity

What others have said

Introduction

Behavioral disorders affecting obese individuals

Self-management (update 5-08)

Behavioral therapy strategies

Stimulus control

Cue avoidance

Cognitive Behavioral Therapy

Cognitive Rehearsal

Cognitive Restructuring

Stress Management

Problem Solving Therapy

Group Therapy

Group Teletherapy (New 3-06)

Internet technology for behavioral weight loss programs

Psychological Evaluation for Bariatric Surgery

Notes (update 1-09)

Drug Therapy

Weight loss drugs commonly used in the U.S.

Safety and efficacy (update 4-06)

Weight Control - relationship to diabetes treatment

Off-label drugs used for obesity (update 5-06)

Binge Eating Disorder (BED) (New 4-07)

Weight loss complementary and alternative medicines

Drug Therapy Notes

Bariatric Surgery

Introduction (update 5-06)

Bariatric surgery - clinical guideline (update 9-07)

Medicare/BCBS Coverage Statements (update 10-05, 11-05, 2-06)

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

Complications of bariatric surgery (New 7-06)

Liposuction & Lipectomy (update 5-07)

Notes

Addendum

BMI table

Height and Weight Table (New 11-06)

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; Desserts

Potato and other vegetable dishes; Note on fast foods effect on health.

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 (update 12-08)

Resources

Web sites - Food and Nutrition

Web sites - Obesity

Web sites - Physical Fitness

How to make those needed changes to lose weight

Fat Notes/Jokes

Apollo’s publication list

Abstract

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