Obesity
Key Points
Key Points
- The Task Force agrees with the opinion of prominent medical societies that current scientific evidence supports the view that obesity is a disease.
- Weight loss produces many benefits including risk factor improvement, prevention of disease, and improvements in feeling and function. Greater weight loss produces greater benefits, but modest (5%–10%) weight loss, such as that produced by lifestyle modifications and medications, has been shown to produce significant improvements in many conditions.
- Medications used for the management of conditions other than obesity can contribute to or exacerbate weight gain in susceptible individuals. Many of these conditions are also associated with obesity.
- Health care providers can help patients prevent or attenuate weight gain by appropriately prescribing medications that would promote weight loss or minimize weight gain when treating these conditions.
- Health care providers can help selected patients successfully lose weight and maintain lost weight by appropriately prescribing weight loss medications or in some cases surgical intervention as an adjunct to lifestyle change.
Diagnosis
...Diagn...
...e 1. Causes of ObesityHaving trouble vi...
...able 2. Comorbid Conditions in Obesity and...
Treatment
...Treatmen...
...ne Society (ES) recommends that diet...
...der to promote long-term weight maintenance,...
...ith uncontrolled HTN or history of hear...
...ssment of efficacy and safety at least monthly f...
...nt’s response to a weight loss medication is dee...
If medication for chronic obesity manageme...
...ith T2DM who are overweight or obese, E...
In patients with CVD who seek pharmacologic...
...nds weight-losing and weight-neutral medicat...
...se patients with T2DM requiring insulin therapy...
...mmends ACE inhibitors, angiotensin recept...
...depressant therapy is indicated, ES recommends a...
...sing weight-neutral antipsychotic alternati...
...onsidering weight gain potential i...
...BMI >27 kg/m2 with comorbidities or >...
...gests monitoring the weight and waist...
...ests the use of NSAIDs and disease-modify...
...gests the use of antihistamines with less...
...Off-Label Use...
...inst the off-label use of medications ap...
...ble 3. Drugs Associated with Weight Gain a...
...vantages and Disadvantages Associated with...
...acotherapy for Obesity in the United S...