Fw: athealth.com FPN - Adult Obesity

Sat Jul 29 09:56:37 PDT 2000

This seemed like a timely issue to forward.  You can't pick up a
professional journal or popular magazine without seeing an article on
childhood or adult obesity.  One CDC comment noted that in the US there have
never been more weight loss programs available, yet we've never had more
Americans that qualify as being obese.  The health care system is struggling
with what to do about that.  CDC will be studying several weight loss
programs to determine whether they are effective.

On a personal note, my husband had two recent experiences in health care.
In one case he was refused a medical treatment because of concern for the
equipment needed.  He was sent home with the instruction to "go home, lose
five pounds, and come back."  Following surgery two weeks ago, he was told
to "lose a 'significant' amount of weight and start an exercise program
immediately," or he would face additional surgery.  As a health educator, it
was interesting to listen to someone deliver those messages.  It was equally
interesting that he was given no advice, support, or suggestions about how
to do that!  Margo

Margo Harris
Harris Training & Consulting Services
Seattle, WA
Email: margo at htcs.com
Internet: www.htcs.com
"I know God won't give me anything I can't handle.
I just wish (s)he didn't trust me so much."  Mother Theresa
----- Original Message -----
From: "John L. Miller, M.D." <fpn at athealth.com>
To: <margo at techined.com>
Sent: Friday, July 28, 2000 7:00 PM
Subject: athealth.com FPN - Adult Obesity

>
> Friday's Progress Notes
> Mental Health Information
> July 28, 2000 - Vol. 4 Issue 23
> Published by athealth.com - http://www.athealth.com
>
> Please invite your colleagues to join our leading online
> community of mental health professionals by subscribing
> to Friday's Progress Notes! Practitioners can register
> for a free subscription to the newsletter at
> http://www.athealth.com/Practitioner/Newsletter/fpn_subscribe.html
>
> This week's topic: ADULT OBESITY
>
> *********************************************************************
> 1.  Successful management of the obese patient.
> 2.  Guideline for prevention, diagnosis, and treatment of obesity.
> 3.  Overview of diagnosis, complications, and treatment.
> 4.  Binge eating disorder.
> 5.  Dietary therapy, physical activity, and behavior therapy.
> 6.  Taking a nutrition history to foster behavior change.
> 7.  Consumer guide to evaluating weight-management programs.
> 8.  Older adults and exercise.
> 9.  Childhood and adolescent obesity.
>
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> Dear Colleagues,
>
> Obesity is a serious health problem. In the US approximately
> 35% of women and 31% of men are considered obese. Obese persons
> are at higher risk for comorbid medical conditions including
> hypertension, diabetes, coronary heart disease, and sleep apnea.
> Although most studies show no differences in psychologic function
> between obese and non-obese persons, obesity is associated with
> reduced self-esteem, higher rate of disability, early retirement,
> and discrimination.
>
> If you receive this newsletter without active links, you can
> access Friday's Progress Notes on the athealth.com Web site at
> http://www.athealth.com/Practitioner/Newsletter/newsletter.cfm
>
> I hope you have a relaxing summer weekend.
> Jack
>
> John L. Miller, MD
> jlm at athealth.com
>
> *********************************************************************
> 1. AMERICAN FAMILY PHYSICIAN
> Successful Management of the Obese Patient
> http://www.aafp.org/afp/20000615/3615.html
> The authors review the treatment of obesity, including
> behavior modification and adjunctive pharmacotherapy.
>
> 2. AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS AND
> AMERICAN COLLEGE OF ENDOCRINOLOGY
> AACE/ACE Position Statement on the Prevention, Diagnosis,
> and Treatment of Obesity
> http://www.aace.com/clin/guides/obesityguide.pdf
> This guideline serves as a reference for physicians, therapists,
> and support staff dealing with the problem of obesity.
> (You will need the Adobe Reader to access this document.)
>
> 3. MERCK MANUAL
> Obesity
> http://www.merck.com/pubs/mmanual/section1/chapter5/5a.htm
> This is an overview of the epidemiology, etiology, symptoms,
> diagnosis, complications, and treatment of obesity.
>
> 4. MERCK MANUAL
> Binge Eating Disorder
> http://www.merck.com/pubs/mmanual/section15/chapter196/196c.htm
> In this disorder, bingeing contributes to excessive caloric intake.
> About 50% of obese binge eaters are depressed.
>
> 5. NATIONAL HEART LUNG AND BLOOD INSTITUTE
> Practical Guide to the Identification, Evaluation and
> Treatment of Overweight and Obesity in Adults
> http://www.nhlbi.nih.gov/guidelines/obesity/practgde.pdf
> The guide includes information on dietary therapy, physical
> activity, and behavior therapy as well as guidance on the
> appropriate use of pharmacotherapy and surgery as treatment
> options. (You will need the Adobe Acrobat Reader.)
>
> 6. AMERICAN FAMILY PHYSICIAN
> Taking a Nutrition History: A Practical Approach
> for Family Physicians
> http://www.aafp.org/afp/990315ap/1521.html
> Taking a nutrition history emphasizes that diet is an important
> part of health maintenance. The article includes a short interview
> form with specific suggestions for behavior changes.
>
> 7. NATIONAL ACADEMY PRESS
> Weighing the Options
> http://books.nap.edu/books/0309051312/html/index.html
> The authors identify 5 broad approaches to treatment used by
> do-it-yourself, nonclinical, and clinical programs and help
> consumers evaluate weight-management programs. The summary
> gives a good overview, and the appendix includes information
> on assessment instruments and provides the Dieting Readiness
> Test and the General Well-Being Schedule in their entirety.
>
> 8. NASA AND NATIONAL INSTITUTE ON AGING
> Exercise: A Guide from the National Institute on Aging
> http://weboflife.arc.nasa.gov:8080/weboflife/exerciseandaging/toc.html
> This booklet for older adults addresses the benefits of exercise
> and physical activity, how to exercise safely, and how to stay
> motivated to exercise.
>
> 9. CHILDHOOD AND ADOLESCENT OBESITY
> http://www.athealth.com/Practitioner/Newsletter/FPN_4_16.html
> Childhood and adolescent obesity is also a significant health
> problem. In May we published a Friday's Progress Notes with
> resources related to this issue.
>
> ************************ SPONSOR'S MESSAGE ************************
> WE CAN HELP YOU IMPROVE OUTCOMES WITH PATIENTS WHO OVEREAT!
> The Acoria Center's A WEIGH OUT COACHING SERVICES can complement
> the therapeutic work you do with compulsive overeaters, binge
> eaters, and people with obesity. We help professionals and
> patients achieve better results. For more information, visit
> our site at http://www.aweighout.com, call (513) 321-7202, or
> e-mail weighout at one.net. READ our featured interview at
> http://www.athealth.com/Consumer/disorders/BingeInterview.html.
>
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>
> John L. Miller, MD
> athealth.com
> http://www.athealth.com
>
> ah-fpn 2109
>
>
>
>