Treatment FAQ

what is the care and treatment of obese patients.

by Nova Skiles I Published 3 years ago Updated 2 years ago
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Common treatments for overweight and obesity include losing weight through healthy eating, being more physically active, and making other changes to your usual habits. Weight-management programs may help some people lose weight or keep from regaining lost weight.

Common treatments for overweight and obesity include losing weight through healthy eating, being more physically active, and making other changes to your usual habits. Weight-management programs may help some people lose weight or keep from regaining lost weight.

Full Answer

What is the primary care approach to treating obese patients?

Types of medical treatment for obesity Prescription medicines. The most commonly prescribed medicines work by either blocking how fat is absorbed or by creating a feeling of fullness. One of the most commonly prescribed medicines is orlistat. Orlistat blocks about 30% of the fat you …

How do you deal with an obese patient?

Mar 01, 2022 · national task force on the prevention and treatment of obesity. am fam physician. 2002 jan 1;65(1):81-88.

What is the goal of obesity treatment?

Aug 08, 2012 · Emphasize fruits, vegetables, whole grains, and fat-free or low-fat milk and dairy products. Include lean meats, poultry, fish, beans, eggs, and nuts. Eat a diet low in saturated …

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Which treatment is useful for obese person?

Weight-loss medication

The most commonly used medications approved by the U.S. Food and Drug Administration (FDA) for the treatment of obesity include: Bupropion-naltrexone (Contrave) Liraglutide (Saxenda) Orlistat (Alli, Xenical)
Sep 2, 2021

What is the standard of care for obesity?

produce a 5% or greater weight loss for a clinical intervention; produce a 3% weight loss for a community-based intervention; prevent the onset or reduce the severity of obesity-associated comorbidities; and/or. support weight maintenance that is sustained over 6 months.Jun 30, 2019

What is the prevention and treatment of obesity?

The good news is that even modest weight loss can improve or prevent the health problems associated with obesity. A healthier diet, increased physical activity and behavior changes can help you lose weight. Prescription medications and weight-loss procedures are additional options for treating obesity.Sep 2, 2021

Why do obese patients get worse care?

The doctors “reported that seeing patients was a greater waste of their time the heavier that they were, that physicians would like their jobs less as their patients increased in size, that heavier patients were viewed to be more annoying, and that physicians felt less patience the heavier the patient was,” the ...Sep 25, 2016

How would you counsel an obese patients regarding diet and exercise?

Open the discussion about weight in a respectful and nonjudgmental way. Patients may be more open if they feel respected. Open the discussion about weight in a respectful and nonjudgmental way. Before asking patients if they wish to discuss their weight, mention the health risks associated with overweight and obesity.

Do eating disorders need to be treated?

These behaviors are eating disorders that need to be treated by a healthcare provider. Most people who have these disorders are usually either overweight or obese. If you have an eating disorder, it's important to be treated for it before you try to lose weight.

What are some behavioral ideas to help you lose weight?

Other behavioral ideas include serving food from the stove rather than family style, and never watching TV, reading, or doing another activity while eating.

What is the best medicine for bowel movements?

One of the most commonly prescribed medicines is orlistat. Orlistat blocks about 30% of the fat you eat as food travels through your digestive system. This medicine may cause frequent, oily bowel movements. But if you cut back on the amount of fat you eat, symptoms often get better.

How to keep weight off long term?

But to keep the weight off for the long term, you'll need to change your unhealthy habits and eating patterns. Behavior change focuses on unhealthy dietary habits. It also adds physical activity into your daily life. Obesity-related eating disorders need to be treated by a therapist, and may also need medicine.

What eating disorders can be treated with psychotherapy?

Some eating disorders that may need to be treated with psychotherapy are: Bulimia. A disorder in which a person eats compulsively and then vomits or uses water pills (diuretics), laxatives, or strenuous exercise to prevent weight gain. Feelings of guilt, shame, and depression often follow the binge.

What is binge eating disorder?

A disorder in which a person eats compulsively and then vomits or uses water pills (diuretics), laxatives , or strenuous exercise to prevent weight gain. Feelings of guilt, shame, and depression often follow the binge. Binge eating disorder. A disorder that is similar to bulimia.

What is the best medicine to reduce appetite?

Another medicine is locaserin. It boosts the amount of serotonin in the brain to reduce your appetite.

What is the goal of obesity treatment?

The goal of obesity treatment is to reach and stay at a healthy weight. This improves your overall health and lowers your risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eating and activity habits.

How to treat obesity?

Increased physical activity or exercise is an essential part of obesity treatment. Most people who are able to maintain their weight loss for more than a year get regular exercise, even simply walking.

How to diagnose obesity?

To diagnose obesity, your doctor will typically perform a physical exam and recommend some tests. These exams and tests generally include: Taking your health history. Your doctor may review your weight history, weight-loss efforts, physical activity and exercise habits, eating patterns and appetite control, what other conditions you've had, ...

What is the BMI of a person with obesity?

Your BMI is greater than 27, and you also have medical complications of obesity, such as diabetes, high blood pressure or sleep apnea. Before selecting a medication for you, your doctor will consider your health history, as well as possible side effects.

Is weight loss surgery a cure for obesity?

But weight-loss surgery isn't a miracle obesity cure. It doesn't guarantee that you'll lose all of your excess weight or that you'll keep it off long term. Weight-loss success after surgery depends on your commitment to making lifelong changes in your eating and exercise habits. Common weight-loss surgeries include:

How often should I check my BMI?

Your BMI should be checked at least once a year because it can help determine your overall health risks and what treatments may be appropriate. Measuring your waist circumference. Fat stored around your waist, sometimes called visceral fat or abdominal fat, may further increase your risk of heart disease and diabetes.

How often should waist circumference be checked?

Like the BMI measurement, your waist circumference should be checked at least once a year. Checking for other health problems. If you have known health problems, your doctor will evaluate them. Your doctor will also check for other possible health problems, such as high blood pressure and diabetes.

How to provide the best possible medical care for patients who are overweight or obese?

To provide the best possible medical care for patients who are overweight or obese, it is helpful to create an office environment that is accessible and comfortable for these patients. This includes educating staff about being respectful to patients regardless of body weight or size, and having appropriate equipment and supplies available ( Table 2). 12, 13

Why do obese patients delay medical care?

Some patients who are obese may delay medical care because of concerns about disparagement by physicians and health care staff, or fear of being weighed.

Can obesity cause shortness of breath?

However, further medical evaluation may point to medical conditions, such as sleep apnea, which, while related to obesity, can be ameliorated even in patients who are unable to lose weight.

How many people are obese in the US?

More than 60 percent of adults in the United States are overweight or obese, and obese persons are more likely to be ill than those who are not. Obesity presents challenges to physicians and patients and also has a negative impact on health status. Some patients who are obese may delay medical care because of concerns about disparagement by ...

Do obese patients get Pap smears?

Results from several studies 5 – 7 suggest that patients who are obese are less likely to receive certain preventive care services, such as pelvic examinations, Papanicolaou (Pap) smears, and physician breast examinations, than those who are not obese. It is unclear whether this is a result of patient or physician factors.

Why are patients concerned about being disparaged by physicians and/or medical staff?

Patient concerns about being disparaged by physicians and/or medical staff because of their weight may also be an issue in the lack of preventive services for obese patients, because this fear may decrease patients' willingness to seek medical care.

Is steatohepatitis more common in obese people?

Non-alcoholic steatohepatitis is also more common in patients who are obese, especially those with insulin resistance, and may lead to eventual hepatic fibrosis. 18. Some additional medical conditions are particularly associated with extreme obesity and may go unrecognized in the clinic.

What is the sensitive treatment of obese patients?

Sensitive treatment of obese patients involves attending to their needs for comfort, safety and self-esteem in the primary care setting. Obesity is best viewed as one of many chronic health conditions that afflict the populations we serve. The person, not the obesity, should be the focus of treatment.

What is Jones asked to do in the pelvic examination?

Jones is asked to slide down to the edge of the table, and she struggles to assume the required posture. At last she is in the correct position, and the doctor begins the pelvic examination. The doctor asks for a larger speculum. She can tell the doctor is having difficulty finding her cervix.

Why is primary care a negative experience?

For many obese patients, the primary care visit is a negative experience due to discriminatory behavior and a challenging physical environment. Physicians may do better to address weight loss with obese patients after establishing a trusting relationship and tackling smaller health care goals first.

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Diagnosis

Treatment

  • The goal of obesity treatment is to reach and stay at a healthy weight. This improves overall health and lowers the risk of developing complications related to obesity. You may need to work with a team of health professionals — including a dietitian, behavioral counselor or an obesity specialist — to help you understand and make changes in your eat...
See more on mayoclinic.org

Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

Lifestyle and Home Remedies

  • Your effort to overcome obesity is more likely to be successful if you follow strategies at home in addition to your formal treatment plan. These can include: 1. Learning about your condition.Education about obesity can help you learn more about why you developed obesity and what you can do about it. You may feel more empowered to take control and stick to your treat…
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Alternative Medicine

  • Numerous dietary supplements that promise to help you shed weight quickly are available. The long-term effectiveness and safety of these products are often questionable.
See more on mayoclinic.org

Coping and Support

  • Talk to your doctor or therapist about improving your coping skills and consider these tips to cope with obesity and your weight-loss efforts: 1. Journal.Write in a journal to express pain, anger, fear or other emotions. 2. Connect.Don't become isolated. Try to participate in regular activities and get together with family or friends periodically. 3. Join.Join a support group so that you can con…
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Preparing For Your Appointment

  • Talking to your doctor openly and honestly about your weight concerns is one of the best things you can do for your health. In some cases, you may be referred to an obesity specialist — if one is available in your area. You may also be referred to a behavioral counselor or dietitian.
See more on mayoclinic.org

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