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Treatment strategies for overweight and obesity

Burke, LE and Wang, J (2011) Treatment strategies for overweight and obesity. Journal of Nursing Scholarship, 43 (4). 368 - 375. ISSN 1527-6546

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Abstract

Purpose: To review the health problem of overweight and obesity in adults, the available treatment options, and clinical implications for nursing. Organizing Construct: Overweight and obesity. Findings: Today, obesity is considered a pandemic that is present in developed and developing countries. Obesity, considered a chronic condition, is associated with numerous comorbid conditions (e.g., cardiovascular disease, diabetes, and some cancers). There are three approaches to the treatment of overweight and obesity: lifestyle modification, pharmacotherapy, and bariatric surgery. The most effective approach uses a combination of behavioral strategies and diet and exercise to support sustained lifestyle change. Pharmacotherapy and bariatric surgery have better outcomes when augmented by lifestyle treatment compared with either approach alone. Bariatric surgery, which is being performed increasingly more often, is reserved for those with a body mass index (BMI) of greater than or equal to 40, or a BMI of 35 to 39.9 in the presence of comorbidities. The biggest treatment challenge is the prevention of weight regain. Conclusions: The most effective treatment approach is the use of lifestyle modification, which can be delivered alone or to augment pharmacotherapy or bariatric surgery. Clinical Relevance: Similar to other chronic conditions, obesity needs ongoing management, which is a role that nursing can help fill in the clinical setting. © 2011 Sigma Theta Tau International.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Burke, LElbu100@pitt.eduLBU100
Wang, J
Date: 1 December 2011
Date Type: Publication
Journal or Publication Title: Journal of Nursing Scholarship
Volume: 43
Number: 4
Page Range: 368 - 375
DOI or Unique Handle: 10.1111/j.1547-5069.2011.01424.x
Schools and Programs: School of Nursing > Nursing
Refereed: Yes
ISSN: 1527-6546
MeSH Headings: Adult; Bariatric Surgery; Diet; Exercise; Health Behavior; Humans; Life Style; Obesity--nursing; Obesity--therapy; Overweight--nursing; Overweight--therapy; Practice Guidelines as Topic
PubMed ID: 22018175
Date Deposited: 20 Sep 2012 20:46
Last Modified: 02 Feb 2019 13:55
URI: http://d-scholarship.pitt.edu/id/eprint/14257

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