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Journal articles on the topic 'Obesity management programs'

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Published: 4 June 2021
Last updated: 1 February 2022

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1

Echols, Jennie. "Obesity Weight Management and Bariatric Surgery Case Management Programs." Professional Case Management 15, no. 1 (January 2010): 17–26. http://dx.doi.org/10.1097/ncm.0b013e3181b5ebeb.

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&NA;. "Obesity Weight Management and Bariatric Surgery Case Management Programs." Professional Case Management 15, no. 1 (January 2010): 27–28. http://dx.doi.org/10.1097/ncm.0b013e3181d06890.

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3

Hughes, Adrienne R., and John J. Reilly. "Disease Management Programs Targeting Obesity in Children." Disease Management & Health Outcomes 16, no. 4 (2008): 255–66. http://dx.doi.org/10.2165/00115677-200816040-00006.

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Ariza, Adolfo J., Jennifer Hartman, Jennifer Grodecki, Alejandro Clavier, Kamala Ghaey, Mary Elsner, Chantal Moore, Olga Ochoa Reina, and Helen J. Binns. "Linking Pediatric Primary Care Obesity Management to Community Programs." Journal of Health Care for the Poor and Underserved 24, no. 2A (2013): 158–67. http://dx.doi.org/10.1353/hpu.2013.0112.

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5

Roberts, Susan B., and Nancy Krebs. "Can Weight Management Programs in Worksites Reduce the Obesity Epidemic?" Advances in Nutrition 3, no. 5 (September 1, 2012): 730–31. http://dx.doi.org/10.3945/an.112.002634.

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6

Hofferth, Sandra L., and Sally Curtin. "Poverty, food programs, and childhood obesity." Journal of Policy Analysis and Management 24, no. 4 (2005): 703–26. http://dx.doi.org/10.1002/pam.20134.

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7

Bright, Dellyse, Katherine O’Hare, Rebecca Beesley, and Hazel Tapp. "Tipping the scales: Provider perspectives on a multi-disciplinary approach to obesity." Experimental Biology and Medicine 244, no. 2 (January 19, 2019): 183–92. http://dx.doi.org/10.1177/1535370219825639.

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Obesity is a costly and complex health issue that precipitates and/or complicates many medical conditions. Clinical recommendations include a comprehensive approach to weight loss with a combination of diet, physical activity, behavioral interventions, pharmacotherapy or surgery to achieve weight loss. Care in the primary care setting is integral in obesity management. Outside of their clinical role, primary care physicians serve as role models, educators, and promoters of healthy lifestyle practices and leaders in obesity treatment. Physician recommendations have consistently been shown to exert a powerful influence on patient behavior, but there is a substantial gap between patients who would benefit from obesity care and those receiving it. Providers, especially primary care, cite many obstacles to addressing obesity including lack of time, expertise, and resources. This review focuses on describing the feasibility and evidence for tackling obesity through provider-led multidisciplinary weight management programs. A literature search was conducted in Med Line and PubMed for published articles on multidisciplinary weight management programs that included lifestyle modification (diet and exercise), behavioral modification and a physician (MD/DO) with one or more of the following multidisciplinary team members: nutritionist/registered dietician (RD), behavioral health provider (BH), case manager (CM), pharmacist (Pharm), nursing (RN), and research staff. Relevant articles from bibliographies of systematic reviews/meta-analyses were included as well. Ten studies qualified, and we organized the articles to discuss the following three themes: diet and exercise, behavioral therapies and barriers, and facilitators for clinical weight management programs. The studies in this mini-review of multidisciplinary weight programs that included physicians reiterate the guidelines for successful treatment of obesity, with more research needed to fully understand how primary care providers can assist higher risk patient populations, particularly those of lower socioeconomic status who are disproportionally impacted by obesity. Impact statement Obesity is a major multi-faceted, chronic disease that increases the risk of morbidity and mortality of children and adults particularly impacting high-risk populations and those of lower socioeconomic status. Given provider time constraints, models of care to effectively and efficiently address obesity in primary care are key. Although physician recommendations can exert a powerful influence on behavior, providers often feel powerless to adequately address obesity due to the complexity of physical and behavioral health problems. This mini-review focuses on describing the feasibility and evidence for tackling obesity through provider-led multidisciplinary weight management programs.
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8

Gudzune, Kimberly A., and Jeanne M. Clark. "Role of Commercial Weight-Loss Programs in Medical Management of Obesity." Endocrinology and Metabolism Clinics of North America 49, no. 2 (June 2020): 275–87. http://dx.doi.org/10.1016/j.ecl.2020.02.006.

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Laudenslager, Marci, Zoobia W. Chaudhry, Selvi Rajagopal, Sasha Clynes, and Kimberly A. Gudzune. "Commercial Weight Loss Programs in the Management of Obesity: an Update." Current Obesity Reports 10, no. 2 (February 20, 2021): 90–99. http://dx.doi.org/10.1007/s13679-021-00428-y.

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10

Erbersdobler. "Epidemiology and Management of Obesity in Germany." International Journal for Vitamin and Nutrition Research 76, no. 4 (July 1, 2006): 257–59. http://dx.doi.org/10.1024/0300-9831.76.4.257.

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The prevalence of obesity is continuously increasing in Germany. Only one third of German adult inhabitants exhibits a desirable body weight. However, there is still a discrepancy between both formerly separated countries of Germany. The prevalence of obesity is higher in the eastern part, the former German Democratic Republic (DDR). Also, the increase in obesity (BMI > 30) in men and women was somewhat higher in the eastern part. The main intention of prevention of overweight is stabilizing or moderately reducing body weight by lowering energy intake and by increasing physical activity. Also therapy of obesity should be based on dietary restriction, enhanced physical activity and behavioural therapy. Therapy with drugs is only recommended if the above mentioned programs were not successful. A surgical therapy is recommended in cases with a BMI of > 40 or of > 35 with significant health implications. The governmental authorities support a lot of activities about healthy eating and physical activity partially together with groups of industry.
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11

Millimet, Daniel L., Rusty Tchernis, and Muna Husain. "School Nutrition Programs and the Incidence of Childhood Obesity." Journal of Human Resources 45, no. 3 (2010): 640–54. http://dx.doi.org/10.3368/jhr.45.3.640.

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Millimet, Daniel L., Rusty Tchernis, and Muna Husain. "School Nutrition Programs and the Incidence of Childhood Obesity." Journal of Human Resources 45, no. 3 (2010): 640–54. http://dx.doi.org/10.1353/jhr.2010.0021.

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13

Perri, Michael G., David A. McAllister, James J. Gange, Randall C. Jordan, W. George McAdoo, and Arthur M. Nezu. "Effects of four maintenance programs on the long-term management of obesity." Journal of Consulting and Clinical Psychology 56, no. 4 (August 1988): 529–34. http://dx.doi.org/10.1037/0022-006x.56.4.529.

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14

Eisenmann, Joey C. "Assessment of Obese Children and Adolescents: A Survey of Pediatric Obesity-Management Programs." Pediatrics 128, Supplement 2 (September 2011): S51—S58. http://dx.doi.org/10.1542/peds.2011-0480d.

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15

Burton, E. Thomaseo, Webb A. Smith, Idia B. Thurston, Emily Gray, Virginia Perry, Sachin Jogal, and Joan C. Han. "Interdisciplinary Management of Pediatric Obesity: Lessons Learned in the Midsouth." Clinical Pediatrics 57, no. 5 (September 14, 2017): 509–18. http://dx.doi.org/10.1177/0009922817730345.

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The Healthy Lifestyle Clinic (HLC) is an interdisciplinary weight management clinic conceived to address alarming rates of pediatric obesity and related comorbidities in the midsouth region of the United States. The clinical cohort presented is a subset of the 609 patients evaluated during the first 2 years of the HLC and comprises 380 patients with a minimum of 6 months of follow-up. The primarily non-Hispanic black (67.1%) cohort presented with severe obesity ( MzBMI = 2.52 ± 0.41) and particularly high rates of insulin resistance, among other comorbidities. This article offers insight into the challenges of intervening with a cohort of youth and their families, many with limited resources to support intensive behavioral and lifestyle changes. Our experiences implementing a weight management clinic with a diverse clinical cohort provide guidance for emerging programs and impetus to investigate environmental and cultural factors that contribute to high attrition in the treatment of pediatric obesity.
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16

Srivastava, Gitanjali, Valerie O’Hara, and Nancy Browne. "Use of Lisdexamfetamine to Treat Obesity in an Adolescent with Severe Obesity and Binge Eating." Children 6, no. 2 (February 4, 2019): 22. http://dx.doi.org/10.3390/children6020022.

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Approximately two-thirds of US children and adolescents have either obesity or overweight status, with almost 24% of adolescents (ages 12–19 years) afflicted with severe obesity, defined as >1.2 × the 95th BMI percentile for age/gender. Despite the increasing disproportionate rise in severe or extreme childhood obesity, many children in weight management programs do not achieve a healthy weight. Most often, these patients will go on to require metabolic and bariatric surgery (MBS), but challenges and limitations may prohibit MBS on adolescents. Thus, tertiary care pediatric weight management centers are compelled to treat select pediatric obesity subtypes presenting with disease progression and disability with the available adult FDA-approved therapeutic modalities, specifically pharmacotherapy, in order to alleviate the disease state and provide relief to the patient. Here, we describe a case of severe pediatric obesity where a dedicated multidisciplinary pediatric weight management team at a tertiary care center utilizes a progressive pharmacotherapeutic approach with enormous benefits to the patient, highlighting the urgent gap and clinical care needs of this special population niche of severe adolescent obesity.
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17

Maugeri, Andrea. "The Effects of Dietary Interventions on DNA Methylation: Implications for Obesity Management." International Journal of Molecular Sciences 21, no. 22 (November 17, 2020): 8670. http://dx.doi.org/10.3390/ijms21228670.

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Previous evidence from in vivo and observational research suggested how dietary factors might affect DNA methylation signatures involved in obesity risk. However, findings from experimental studies are still scarce and, if present, not so clear. The current review summarizes studies investigating the effect of dietary interventions on DNA methylation in the general population and especially in people at risk for or with obesity. Overall, these studies suggest how dietary interventions may induce DNA methylation changes, which in turn are likely related to the risk of obesity and to different response to weight loss programs. These findings might explain the high interindividual variation in weight loss after a dietary intervention, with some people losing a lot of weight while others much less so. However, the interactions between genetic, epigenetic, environmental and lifestyle factors make the whole framework even more complex and further studies are needed to support the hypothesis of personalized interventions against obesity.
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18

Merk, Wojciech, and Michał Lew-Starowicz. "Therapeutic management of obesity induced by antipsychotic drugs." Wiedza Medyczna 3, no. 1 (May 1, 2021): 1–8. http://dx.doi.org/10.36553/wm.70.

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The introduction of second-generation antipsychotic drugs (SGAs) has contributed to a more effective treatment of mental diseases and patients’ improved quality of life. Their particular superiority to first-generation antipsychotics (FGAs) includes better outcomes in treating "negative" symptoms, impact on mood and lower risk of motor side effects (1). Their increasing use, going beyond psychotic disorders, has highlighted the problem of medication-induced weight gain and obesity in patients. Obesity leads to increased cardiovascular morbidity and mortality, decreased quality of life, and poor adherence. This narrative review discusses the impact of various SGA on weight gain and related adherence to medication, as well as available pharmacological and non-pharmacological interventions to counteract these effects. Most SGA commonly cause weight gain but the risk appears to be highest with olanzapine and clozapine. The best preventative strategies are tailored antipsychotic drugs and close monitoring of body weight and other metabolic parameters. Switching from one SGA to another less likely to cause metabolic disturbances is an option but carries a risk of relapse. Non-pharmacological interventions in the form of dietary counseling, exercise programs, cognitive and behavioral strategies appear to be equally effective in both individual and group forms. Both non-pharmacological prophylaxis and intervention strategies showed little effect on weight. Of the additional weight loss medications, metformin appears to be the compound with the best documented efficacy. There is no evidence of benefit from the routine prescription of additional weight loss medications. Drawing conclusions is hampered by the high heterogeneity of research methodology, as well as the participation of other factors such as lifestyle, genetic and disease-related factors.
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19

Srivastava, Gitanjali, Chelsea Paris, Jessica Johnson, Emma Barnes, Brittany Cunningham, C. J. Stimson, Kevin D. Niswender, and Sabrina J. Poon. "Specialized Medical Weight Management Intervention for High-Risk Obesity." Journal of Health Economics and Outcomes Research 8, no. 2 (July 1, 2021): 1–5. http://dx.doi.org/10.36469/jheor.2021.24896.

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Background: Bundled payments are services rendered at pre-determined costs with the goal of providing high value care. Our institution’s Episodes of Care team partnered with its tertiary care obesity center to design a novel medical weight management bundle for employers that would collectively deliver high value obesity services. Objective: As a first step, we sought to evaluate short-term medical weight loss outcomes over 6 months at the obesity center. Methods: We retrospectively analyzed weight loss outcomes on 157 patients with commercial insurance coverage over a period of 6 months. Results: Patients ranged in age from 18-72 years, and 77.7% were female. Patients ranged in weight from 160-443 pounds, with a mean body mass index (BMI) of 42.7 kg/m2 (Class 3a severe obesity; BMI range 28.4-74.5). The prevalence of any obesity-related medical condition was 54.1%; at least a quarter of the patients had either prediabetes or Type 2 diabetes mellitus, approximately a third had hypertension, and over 8% had hyperlipidemia. Mean weight loss from the initial program start date was 6.28% (+/-0.48% standard error of mean [SEM]; 95% confidence interval [CI] 5.34-7.23%). Completers (defined as having at least 6 visits with a medical provider) achieved a higher percentage of weight loss (7.06%) from the initial program start compared to non-completers (4.68%; at least 4-5 visits with a medical provider; P<0.0158). Approximately 50% of patients were able to achieve >7% weight loss, with over 55% of patients achieving at least 3% weight loss or higher irrespective of BMI classification. Conclusions: Specialized medical weight intervention is effective in treating high-risk obesity with complications. This has implications for enhanced long-term cost savings related to employer coverage of such programs for their employees with obesity.
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20

Motevalli, Mohamad, Clemens Drenowatz, Derrick R. Tanous, Naim Akhtar Khan, and Katharina Wirnitzer. "Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies." Nutrients 13, no. 4 (April 6, 2021): 1200. http://dx.doi.org/10.3390/nu13041200.

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As a major public health concern, childhood obesity is a multifaceted and multilevel metabolic disorder influenced by genetic and behavioral aspects. While genetic risk factors contribute to and interact with the onset and development of excess body weight, available evidence indicates that several modifiable obesogenic behaviors play a crucial role in the etiology of childhood obesity. Although a variety of systematic reviews and meta-analyses have reported the effectiveness of several interventions in community-based, school-based, and home-based programs regarding childhood obesity, the prevalence of children with excess body weight remains high. Additionally, researchers and pediatric clinicians are often encountering several challenges and the characteristics of an optimal weight management strategy remain controversial. Strategies involving a combination of physical activity, nutritional, and educational interventions are likely to yield better outcomes compared to single-component strategies but various prohibitory limitations have been reported in practice. This review seeks to (i) provide a brief overview of the current preventative and therapeutic approaches towards childhood obesity, (ii) discuss the complexity and limitations of research in the childhood obesity area, and (iii) suggest an Etiology-Based Personalized Intervention Strategy Targeting Childhood Obesity (EPISTCO). This purposeful approach includes prioritized nutritional, educational, behavioral, and physical activity intervention strategies directly based on the etiology of obesity and interpretation of individual characteristics.
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21

Leermakers, Elizabeth A., Michael G. Perri, Cheryl L. Shigaki, and Pamela R. Fuller. "Effects of exercise-focused versus weight-focused maintenance programs on the management of obesity." Addictive Behaviors 24, no. 2 (March 1999): 219–27. http://dx.doi.org/10.1016/s0306-4603(98)00090-2.

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22

Davidson, Kamila, Helen Vidgen, Elizabeth Denney-Wilson, and Lynne Daniels. "How is children’s weight status assessed for early identification of overweight and obesity? – Narrative review of programs for weight status assessment." Journal of Child Health Care 22, no. 3 (February 13, 2018): 486–500. http://dx.doi.org/10.1177/1367493518759238.

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Assessment of a child’s weight status is the first step in the management of childhood overweight and obesity. We reviewed routine assessment programs to inform early and routine identification of childhood overweight and obesity to address this global health issue. Twelve electronic databases were searched (Scopus, Web of Science, Wiley, ScienceDirect, PsycINFO, PsycARTICLES, PsycEXTRA, CINAHL, Primary Search, MEDLINE, ERIC, Academic Search Elite) for universal programs for weight status assessment of children aged 4–12 in Organization for Economic Co-operation and Development – countries, which included more than one assessment and parents receiving feedback. Of 1638 papers found via database searches, and 18 additional records identified through other sources, 26 were included. Reference to five countries’ programs for weight status assessment was found in the results: Australia, Sweden, the Netherlands, the United Kingdom and the United States. All of these programs were implemented in a school setting. Lack of services, stakeholder collaboration, parental awareness and engagement and government funding need to be improved for this health check to be undertaken as a part of an ongoing program. This review is about the implementation of similar programs. Early identification of risk for overweight and obesity allows families that require help to connect with available health services.
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Ligibel, Jennifer A., Lee W. Jones, Abenaa M. Brewster, Steven K. Clinton, Larissa A. Korde, Kevin C. Oeffinger, Catherine M. Bender, et al. "Oncologists’ Attitudes and Practice of Addressing Diet, Physical Activity, and Weight Management With Patients With Cancer: Findings of an ASCO Survey of the Oncology Workforce." Journal of Oncology Practice 15, no. 6 (June 2019): e520-e528. http://dx.doi.org/10.1200/jop.19.00124.

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PURPOSE: Obesity and related factors have been linked to cancer risk and outcomes, but little information exists with regard to oncologists’ attention to these issues as a part of clinical care. METHODS: Oncology providers actively caring for patients with cancer in the United States and internationally were asked to complete an online survey about practice patterns and perceptions with regard to obesity and weight management during and after active cancer treatment. RESULTS: Nine hundred seventy-one practicing oncology providers completed the survey. The majority of respondents indicated a belief that the evidence linking obesity to cancer outcomes was strong and that weight and related factors should be addressed as a part of cancer treatment. The majority of respondents also reported that they frequently assessed body weight and related factors as well as counsel their patients to exercise, consume a healthy diet, and lose weight, if applicable. However, referral to providers and programs to support weight loss and increased physical activity occurred less frequently, and a number of barriers were identified for the incorporation of weight management and physical activity programs in the treatment of patients with cancer. CONCLUSION: In a survey of oncology providers, attention to weight management, physical activity, and diet in patients with cancer was high during and after cancer treatment but often did not result in referrals to support lifestyle change. Future work is needed to support education and training of oncology providers to facilitate referrals and overcome barriers to implementation of weight management and physical activity programs for patients with cancer.
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24

Zoeller, Robert F. "Physical Activity: Physical Activity in the Management of Osteoarthritis of the Knee and Hip." American Journal of Lifestyle Medicine 1, no. 4 (July 2007): 264–66. http://dx.doi.org/10.1177/1559827607302142.

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Symptomatic osteoarthritis (OA) affects more than 4 million adults in this country and is associated with joint degeneration, chronic pain, muscle atrophy, decreased mobility, poor balance, and physical disability. The prevalence of comorbid conditions such as heart disease, hypertension, and obesity is greater in those with symptomatic OA. Obesity is a risk factor for OA, and weight loss has been shown to reduce pain and improve physical function. The role of physical activity/inactivity in the development of OA is not clear. Limited evidence suggests that a sedentary lifestyle may increase the risk for OA, while high levels of physical activity have also been suggested to contribute to the development of OA. Regular aerobic exercise may moderate the functional decline associated with OA. Both aerobic and strength training have been reported to reduce pain and improve physical function in persons with knee and hip OA, although very few studies have specifically examined the effects of regular physical activity on the OA hip. While it is generally recommended that exercise programs for OA incorporate both aerobic and strength-training activities, no studies have been performed to evaluate the efficacy of combining these 2 modes of exercise compared with either alone. Little work has been done to determine the optimal exercise program for individuals with OA. One study suggests that exercise interventions should be performed a minimum of 3 days per week for a duration of at least 35 minutes. Exercise programs should be individualized based on the patient's preferences, abilities, limitations, and comorbidities. It is recommended that exercise programs for OA incorporate strategies designed to promote adherence. Home-based exercise appears to be as effective as supervised exercise programs.
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Rice, Kerrilynn G., Riana B. Jumamil, Sarah M. Jabour, and Jennifer Kimberly Cheng. "Role of Health Coaches in Pediatric Weight Management." Clinical Pediatrics 56, no. 2 (July 20, 2016): 162–70. http://dx.doi.org/10.1177/0009922816645515.

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This study aims to describe patients’ and families’ perspectives regarding the ideal role and responsibilities of a health coach to facilitate pediatric weight management in the primary care setting. Systematic thematic analysis of semistructured interviews with overweight children and their parents was performed. The majority of participants self-identified as racial/ethnic minorities and were Medicaid eligible. Desired health coaching elements included ( a) customized support and encouragement, including goal setting and maintenance, cultural sensitivity, and consideration of budget and lifestyle; ( b) nutritional guidance, including meal planning, assistance obtaining healthy food, and education and counseling; and ( c) linkage to resources, including social services, physical activity support, and programs for children with special health care needs. We conclude that families’ specific needs should be holistically considered in the design of health coaching programs targeting pediatric obesity. Such support may help overcome social and financial barriers to changing health behaviors related to weight management.
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Brauer, Paula, Dawna Royall, John Dwyer, A. Michelle Edwards, Tracy Hussey, Nick Kates, Heidi Smith, and Ross Kirkconnell. "Obesity services planning framework for interprofessional primary care organizations." Primary Health Care Research & Development 18, no. 02 (October 3, 2016): 135–47. http://dx.doi.org/10.1017/s1463423616000372.

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AimWe report on a formative project to develop an organization-level planning framework for obesity prevention and management services.BackgroundIt is common when developing new services to first develop a logic model outlining expected outcomes and key processes. This can be onerous for single primary care organizations, especially for complex conditions like obesity.MethodsThe initial draft was developed by the research team, based on results from provider and patient focus groups in one large Family Health Team (FHT) in Ontario. This draft was reviewed and activities prioritized by 20 FHTs using a moderated electronic consensus process. A national panel then reviewed the draft.FindingsProviders identified five main target groups: pregnancy to 2, 3–12, 13–18, 18+ years at health risk, and 18+ with complex care needs. Desired outcomes were identified and activities were prioritized under categories: raising awareness (eg, providing information and resources on weight-health), identification and initial management (eg, wellness care), follow-up management (eg, group programs), expanded services (eg, availability of team services), and practice initiatives (eg, interprofessional education). Overall, there was strong support for raising awareness by providing information on the weight-health connection and on community services. There was also strong support for growth assessment in pediatric care. In adults, there was strong support for wellness care/health check visits and episodic care to identify people for interventions, for group programs, and for additional provider education.ConclusionsJoint development by different teams proved useful for consensus on outcomes and for ensuring relevancy across practices. While priorities will vary depending on local context, the basic descriptions of care processes were endorsed by reviewers. Key next steps are to trial the use of the framework and for further implementation studies to find optimally effective approaches for obesity prevention and management across the lifespan.
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Wicklum, Sonja, Elsy Willis, Ashley Amson, K. Ashlee McGuire, Lynden Lindsay Crowshoe, Kerry McBrien, and Rita Henderson. "A Systematic Literature Review of Physical Activity-Based Health Programs for Indigenous Women: Impacts on Physical Activity Levels, Obesity, and Community Building." SAGE Open 11, no. 2 (April 2021): 215824402110168. http://dx.doi.org/10.1177/21582440211016845.

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Indigenous women experience a disproportionate burden of chronic diseases and health challenges related to obesity. The need for culturally relevant programming to support and empower women to optimize health is well established. Participatory physical activity [PA]-focused programming responsive to the sociocultural realities of Indigenous women may hold promise. However, obesity and chronic disease literature for Indigenous women focusing on PA change predominantly discusses individual behaviors, leaving a knowledge gap around the social and environmental supports needed to realize improved outcomes. We searched PubMed, Ovid MEDLINE, CINAHL, Bibliography of Native North Americans, and the University of New Mexico’s Native Health Databases for English language peer-reviewed articles on PA-based programs addressing prevention or management of obesity with Indigenous women as a primary focus. Fifteen articles, representing 13 unique programs, were included in the review. Outcome measures included program attendance and factors influencing program acceptance, PA, biochemical markers and blood pressure, weight and waist circumference measurements, the development of social supports, and nutritional knowledge acquisition. Although some studies found improvements in PA level and other outcomes, the marked variability in study design makes it difficult to draw conclusions about best practices for PA-based wellness and weight management programs for Indigenous women. However, programming that acknowledges and provides accommodation for the complex factors that influence behavior, incorporates cultural and community elements, and integrates opportunities for supportive network development may improve outcomes.
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Sturgiss, Elizabeth, Claire Deborah Madigan, Doug Klein, Nicholas Elmitt, and Kirsty Douglas. "Metabolic syndrome and weight management programs in primary care: a comparison of three international healthcare systems." Australian Journal of Primary Health 24, no. 5 (2018): 372. http://dx.doi.org/10.1071/py18021.

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Lifestyle behaviours are contributing to the increasing incidence of chronic disease across all developed countries. Australia, Canada and the UK have had different approaches to the role of primary care in the prevention and management of lifestyle-related diseases. Both obesity and metabolic syndrome have been targeted by programs to reduce individual risk for chronic disease such as type 2 diabetes. Three interventions are described – for either obesity or metabolic syndrome – that have varying levels of involvement of GPs and other primary care professionals. The structure of a healthcare system for example, financing and physical locations of primary care clinicians, shapes the development of primary care interventions. The type of clinicians involved in interventions, whether they work alone or in teams, is influenced by the primary care setting and resource availability. Australian clinicians and policymakers should take into account the healthcare system where interventions are developed when translating interventions to the Australian context.
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Kim, Woon-Ji, and Eun-Young Park. "The Effects of Obesity Management Programs for People with Intellectual Disabilities in Korea: Meta-Analysis." Journal of Special Education & Rehabilitation Science 56, no. 3 (September 30, 2017): 263–97. http://dx.doi.org/10.23944/jsers.2017.09.56.3.12.

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30

Wilkes, Abigail E., Priya M. John, Anusha M. Vable, Amanda Campbell, Loretta Heuer, Cynthia Schaefer, Lisa Vinci, et al. "Combating Obesity at Community Health Centers (COACH): A Quality Improvement Collaborative for Weight Management Programs." Journal of Health Care for the Poor and Underserved 24, no. 2A (2013): 47–60. http://dx.doi.org/10.1353/hpu.2013.0101.

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31

Constantine Samaan, M. "Management of Pediatric and Adolescent Type 2 Diabetes." International Journal of Pediatrics 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/972034.

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Type 2 diabetes (T2D) was an adult disease until recently, but the rising rates of obesity around the world have resulted in a younger age at presentation. Children who have T2D have several comorbidities and complications reminiscent of adult diabetes, but these are appearing in teens instead of midlife. In this review, we discuss the clinical presentation and management options for youth with T2D. We discuss the elements of lifestyle intervention programs and allude to pharmacotherapeutic options used in the treatment of T2D youth. We also discuss comorbidities and complications seen in T2D in children and adolescents.
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Kulik, Noel L., Erica M. Thomas, Samantha Iovan, Margaret McKeough, Stephanie Kendzierski, and Stacy Leatherwood. "Access to primary care child weight management programs: Urban parent barriers and facilitators to participation." Journal of Child Health Care 21, no. 4 (August 28, 2017): 509–21. http://dx.doi.org/10.1177/1367493517728401.

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The prevalence and comorbidities of childhood obesity among low-income urban children are a significant health issue in the United States. Programs designed to assist families are underutilized. The aim of this study is to describe barriers and facilitators relevant to intervention program participation from the perspective of parents who have children who are overweight or obese. Systematic thematic analysis of focus groups and semi-structured interviews with parents from multiple urban pediatrics and family medicine practices were used to gather data. A framework analysis approach was used and a codebook of themes was developed. Transcripts were coded independently by the research team and consensus among researchers was reached. Forty-eight parents participated in the study. Perceived barriers to participation included (1) varied referral process (lack of follow-up or varying referral experience), (2) costs (time and program fee), (3) logistics (location and program schedule), and (4) child motivation. Perceived facilitators to participation included (1) systematic referral process (in-office referral and timely follow-up), (2) program content and organization, and (3) no cost. Multiple barriers and facilitators affect weight management program participation among families, which should be specifically targeted in future obesity interventions in order to effectively reach urban, minority parents and children.
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Kuhle, Stefan, Rachel Doucette, Helena Piccinini-Vallis, and Sara F. L. Kirk. "Successful childhood obesity management in primary care in Canada: what are the odds?" PeerJ 3 (October 13, 2015): e1327. http://dx.doi.org/10.7717/peerj.1327.

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Background.The management of a child presenting with obesity in a primary care setting can be viewed as a multi-step behavioral process with many perceived and actual barriers for families and primary care providers. In order to achieve the goal of behavior change and, ultimately, clinically meaningful weight management outcomes in a child who is considered obese, all steps in this process should ideally be completed. We sought to review the evidence for completing each step, and to estimate the population effect of secondary prevention of childhood obesity in Canada.Methods.Data from the 2009/2010 Canadian Community Health Survey and from a review of the literature were used to estimate the probabilities for completion of each step. A flow chart based on these probabilities was used to determine the proportion of children with obesity that would undergo and achieve clinically meaningful weight management outcomes each year in Canada.Results.We estimated that the probability of a child in Canada who presents with obesity achieving clinically meaningful weight management outcomes through secondary prevention in primary care is around 0.6% per year, with a range from 0.01% to 7.2% per year. The lack of accessible and effective weight management programs appeared to be the most important bottleneck in the process.Conclusions.In order to make progress towards supporting effective pediatric obesity management, efforts should focus on population-based primary prevention and a systems approach to change our obesogenic society, alongside the allocation of resources toward weight management approaches that are comprehensively offered, equitably distributed and robustly evaluated.
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Chlebowski, Rowan T., Erin Aiello, and Anne McTiernan. "Weight Loss in Breast Cancer Patient Management." Journal of Clinical Oncology 20, no. 4 (February 15, 2002): 1128–43. http://dx.doi.org/10.1200/jco.2002.20.4.1128.

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PURPOSE: To systematically review and summarize evidence relevant to obesity and breast cancer clinical outcome, potential hormonal mediating mechanisms, and the current status of weight loss interventions for chronic disease management. METHODS: A comprehensive, formal literature review was conducted to identify 5,687 citations with key information from 159 references summarized in text and tables. This process included a search for all breast cancer studies exploring associations among survival or recurrence and obesity at diagnosis or weight gain after diagnosis using prospective criteria. RESULTS: On the basis of observational studies, women with breast cancer who are overweight or gain weight after diagnosis are found to be at greater risk for breast cancer recurrence and death compared with lighter women. Obesity is also associated with hormonal profiles likely to stimulate breast cancer growth. Recently, use of weight loss algorithms proven successful in other clinical settings that incorporate dietary therapy, physical activity, and ongoing behavior therapy have been endorsed by the National Institutes of Health and other health agencies. CONCLUSION: Although definitive weight loss intervention trials in breast cancer patients remain to be conducted, the current evidence relating increased body weight to adverse breast cancer outcome and the documented favorable effects of weight loss on clinical outcome in other comorbid conditions support consideration of programs for weight loss in breast cancer patients. Recommendations for the clinical care of overweight or obese breast cancer patients are offered.
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Ge. "The Status and Trends of Obesity in China." International Journal for Vitamin and Nutrition Research 76, no. 4 (July 1, 2006): 247–52. http://dx.doi.org/10.1024/0300-9831.76.4.247.

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China has witnessed a rapid economic growth over the past two decades and, as the result, the living standard of the Chinese population improved continuously. The prevalence of overweight and obesity has increased consistently in both adults and children during this period of time. The increased prevalence of obesity is associated with the increased affluence, and intense process of urbanization and less active lifestyles. To review the epidemiological information on prevalence of overweight and obesity and drawing up recommendations for developing public health policies and programs for improving the prevention and management of obesity is urgent, because it is already evident that the public health profiles in China are changing dramatically and the risks associated with excess weight gain are particularly profound.
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El Masri, Dana, Leila Itani, Hana Tannir, Dima Kreidieh, and Marwan El Ghoch. "The Relationship between Sarcopenic Obesity, Weight-Loss and Maintenance Outcomes during Obesity Management: Are Additional Strategies Required?" Clinics and Practice 11, no. 3 (August 18, 2021): 525–31. http://dx.doi.org/10.3390/clinpract11030069.

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The lack of long-term maintenance of the weight loss achieved during weight-management programs is the major cause of failure in obesity treatments. The identification of factors related to this outcome has clinical implications. Therefore, we aimed to assess the relationship between sarcopenic obesity (SO) and the weight-loss percentage (WL%). The WL% was measured at the six-month follow-up and after more than 12 months, in 46 adult participants with obesity, during an individualized weight-management program where participants were categorized as having or not having SO at the baseline. At the six-month follow-up, participants with SO did not display a significant difference in terms of WL%, when compared to those without SO (−10.49 ± 5.75% vs. −12.73 ± 4.30%; p = 0.148). However, after a longer term (i.e., >12 months), the WL% appeared to be significantly lower in the former (SO vs. non-SO) (−7.34 ± 6.29% vs. −11.43 ± 4.31%; p = 0.024). In fact, partial correlation analysis revealed a relationship between SO at the baseline and a lower WL% after more than 12 months (ρ = −0.425, p = 0.009), after controlling for age, sex, and body mass index (BMI). Participants with SO appeared to face more difficulties in maintaining the achieved WL over a longer term (>12 months follow-up) by comparison with their counterparts (i.e., non-SO). Should this finding be replicated in larger-sample studies, new strategies should be adopted for these patients in order to improve this clinical outcome, especially during the weight-maintenance phase.
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McMahan, Shari, and Graciela Amaya. "Obesity Prevention In Infants, Children And Adults: An Interdisciplinary Approach." American Journal of Health Sciences (AJHS) 3, no. 1 (December 22, 2011): 59–62. http://dx.doi.org/10.19030/ajhs.v3i1.6754.

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The Center for the Promotion of Healthy Lifestyles and Obesity Prevention, housed in the College of Health and Human Development, at California State University Fullerton promotes interdisciplinary research and community outreach in areas related to children’s health and weight management. Three research projects presented below offer a comprehensive multi-level approach that guides us in developing current and future programs that are effective for addressing obesity in infants, children, and adults. These projects range from creating and testing a telenovela, designing a healthy eating program emphasizing breakfast nutrition and physical activity, and finally looking at the role of the environment in terms of commute times and obesity patterns.
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Sharaf, Sharaf E. "Obesity self-management: knowledge, attitude, practice, and pharmaceutical use among healthy obese individuals in Saudi Arabia." International Journal of Family & Community Medicine 5, no. 4 (August 3, 2021): 110–21. http://dx.doi.org/10.15406/ijfcm.2021.05.00232.

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Introduction: Obesity is a chronic disease that is increasing in Saudi Arabia (SA) and globally. Obesity self-management among individuals is essential for managing obesity and its complications. This study aimed to conduct an obesity knowledge, attitude, and practice (KAP) assessment and prevalence of used pharmaceutical anti-obesity medications among individuals with obesity in SA. Subjects and methods: This cross-sectional study was conducted between January and April 2021. The participants completed a validated online administered questionnaire using the Survey Monkey website. Potential participants were approached in governmental hospitals, leisure centers, and shopping malls. The chi-square test was used to assess associations between categorical variables. In addition, correlations between the participants' KAP and outcome variables were measured using the Pearson correlation coefficient (r). Results: In all, 410 obese individuals (mean age 40±14 years, range 18–80 years) were surveyed. Overall, 68% of participants reported good obesity knowledge, and 63% reported a good attitude, while 72% reported poor practice. In addition, there were significant positive linear correlations between knowledge and attitude (r=0.44, P<0.001), knowledge and practice (r=0.14, P<0.01), attitude and practice (r=0.11, P<0.05), body mass index (BMI), and waist circumference (WC) (r=0.25, P<0.01), while there were significant negative linear correlations between knowledge and BMI (r=−0.20, P<0.001), attitude and BMI (r=−0.19, P<0.001), practice and BMI (r=−0.67, P<0.001), knowledge and WC (r=−0.10, P<0.05), attitude and WC (r=−0.10, P<0.05), and practice and WC (r=−0.45, P<0.001). Interestingly, 67% of participants did not use any approved pharmaceutical anti-obesity medications due to a lack of anti-obesity treatment knowledge and safety. Conclusion: The participants reported good knowledge and attitudes toward obesity, although these were not reflected in their practice levels. The lack of pharmaceutical knowledge, safety, and use of anti-obesity medications contributed directly to poor practice levels. Health authorities should establish clinical and pharmaceutical health education programs incorporating the latest pharmaceutical anti-obesity medications, including their applications and safety, for enhancing self-management and awareness among obese individuals.
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McIntosh, Heather. "Directive Art Therapy and Food Addiction: Motivational Interviewing and Adjunctive Art Therapy in Obesity Management Programs." Canadian Journal of Diabetes 37 (April 2013): S269. http://dx.doi.org/10.1016/j.jcjd.2013.03.269.

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Ligibel, Jennifer A., and Dana Wollins. "American Society of Clinical Oncology Obesity Initiative: Rationale, Progress, and Future Directions." Journal of Clinical Oncology 34, no. 35 (December 10, 2016): 4256–60. http://dx.doi.org/10.1200/jco.2016.67.4051.

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Obesity is increasingly being linked to the risk of developing and dying from cancer. In recognition of the growing contribution of obesity to cancer risk and outcomes, ASCO made obesity and cancer one of its core initiatives in 2014. The goals of this initiative included raising awareness of the relationship between obesity and cancer, providing tools and resources to oncology providers and patients to help encourage conversations regarding weight management in cancer survivors, fostering a robust research agenda, and advocating for access to evidence-based weight management programs for cancer survivors. Efforts to date have included developing patient and provider toolkits focused on weight management and physical activity, publishing a policy statement outlining ASCO’s initiatives in this area, and hosting a summit focused on obesity research in cancer populations. As ASCO has defined its priorities in the area of obesity and cancer, it has become increasingly clear that obesity is a problem that extends far beyond its impact on cancer risk and outcomes. Many groups, including those focused on heart disease, diabetes, and endocrinology, have been developing, testing, and implementing obesity prevention and treatment strategies for years. As ASCO moves forward with its obesity initiative, the next steps will focus on forging collaboration with groups working on obesity-related initiatives both within and outside of the field of cancer to learn from their efforts and to partner with them on efforts to increase the education of medical professionals; raising awareness in lay populations regarding the negative health consequences of obesity and effective strategies to foster weight loss; developing collaborative research initiatives; and working together to advocate for the societal changes that will be needed to combat the obesity epidemic in the United States and beyond.
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Borah, Bijan, James Naessens, Kerry Olsen, and Nilay Shah. "Explaining Obesity- and Smoking-related Healthcare Costs through Unconditional Quantile Regression." Journal of Health Economics and Outcomes Research 1, no. 1 (November 11, 2016): 23–41. http://dx.doi.org/10.36469/9849.

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Background: This paper assesses obesity- and smoking-related incremental healthcare costs for the employees and dependents of a large U.S. employer. Objectives: Unlike previous studies, this study evaluates the distributional effects of obesity and smoking on healthcare cost distribution using a recently developed econometric framework: the unconditional quantile regression (UQR). Methods: Results were compared with the traditional conditional quantile regression (CQR), and the generalized linear modeling (GLM) framework that is commonly used for modeling healthcare cost. Results: The study found strong evidence of association of healthcare costs with obesity and smoking. More importantly, the study found that these effects are substantially higher in the upper quantiles of the healthcare cost distribution than in the lower quantiles. The insights on the heterogeneity of impacts of obesity and smoking on healthcare costs would not have been captured by traditional mean-based approaches. The study also found that UQR impact estimates were substantially different from CQR impact estimates in the upper quantiles of the cost distribution. Conclusions: These results suggest the potential role that smoking cessation and weight management programs can play in arresting the growth in healthcare costs. Specifically, given the finding that obesity and smoking have markedly higher impacts on high-cost patients, such programs appear to have significant cost saving potential if targeted toward high-cost patients.
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Yessoufou, Akadiri, and Kabirou Moutairou. "Maternal Diabetes in Pregnancy: Early and Long-Term Outcomes on the Offspring and the Concept of “Metabolic Memory”." Experimental Diabetes Research 2011 (2011): 1–12. http://dx.doi.org/10.1155/2011/218598.

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The adverse outcomes on the offspring from maternal diabetes in pregnancy are substantially documented. In this paper, we report main knowledge on impacts of maternal diabetes on early and long-term health of the offspring, with specific comments on maternal obesity. The main adverse outcome on progenies from pregnancy complicated with maternal diabetes appears to be macrosomia, as it is commonly known that intrauterine exposure to hyperglycemia increases the risk and programs the offspring to develop diabetes and/or obesity at adulthood. This “fetal programming”, due to intrauterine diabetic milieu, is termed as “metabolic memory”. In gestational diabetes as well as in macrosomia, the complications include metabolic abnormalities, degraded antioxidant status, disrupted immune system and potential metabolic syndrome in adult offspring. Furthermore, there is evidence that maternal obesity may also increase the risk of obesity and diabetes in offspring. However, women with GDM possibly exhibit greater macrosomia than obese women. Obesity and diabetes in pregnancy have independent and additive effects on obstetric complications, and both require proper management. Management of gestational diabetes mellitus and maternal obesity is essential for maternal and offspring's good health. Increasing physical activity, preventing gestational weight gain, and having some qualitative nutritional habits may be beneficial during both the pregnancy and offspring's future life.
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Lankford, Tina, Jason Lang, Brian Bowden, and William Baun. "Workplace Health: Engaging Business Leaders to Combat Obesity." Journal of Law, Medicine & Ethics 41, S2 (2013): 40–45. http://dx.doi.org/10.1111/jlme.12108.

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Worksites are an important setting to promote healthy behaviors as 143 million adults are employed full-time and spend 8-10 hours per day at the workplace. Participation in health promotion programs have been shown to have a “dose response” relationship with health care costs, meaning health care costs decrease as employee involvement in health promotion activities in the workplace increase. Also from the employer perspective, it is important to note that obesity is a risk factor for many other chronic conditions, diabetes, heart disease, and cancer and is known to be related to increase injuries and health care costs. Motivating employees to participate in a number of wellness activities may provide benefits not only for obesity prevention but other desired outcomes such as: risk reduction, risk avoidance, reduced health costs, and improved productivity measures. Employers should be concerned as forecasts suggest that by 2030, 42% of the adult population will be obese. In fact, among employers, the costs of medical expenses and absenteeism increase as employees become more obese. The cost burden of obesity (BMI 30 or greater) ranges from $462-$2,027 among men and $1,372-$2,164 among women in comparison to normal-weight employees. However, halting this trend over the next few decades by maintaining (vs. increasing) current prevalence of obesity could potentially save billions in medical care expenditures related to obesity. Employers can be part of the solution by offering workplace wellness programs and facilitating opportunities for physical activity, access to healthier foods and beverages, and incentives for disease management and prevention to help prevent weight gain among their employees.
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Álvarez, Roberto, Jordi Torres, Garazi Artola, Gorka Epelde, Sara Arranz, and Gerard Marrugat. "OBINTER: A Holistic Approach to Catalyse the Self-Management of Chronic Obesity." Sensors 20, no. 18 (September 6, 2020): 5060. http://dx.doi.org/10.3390/s20185060.

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Obesity is a preventable chronic condition that, in 2016, affected more than 1.9 billion people globally. Several factors have been identified that have a positive impact on long-term weight loss programs such as personalized recommendations, adherence strategies, weight and diet follow-up or physical activity tracking. Recently, various applications have been developed which help patients to self-manage their condition. These apps implement either one or some of these identified factors; however, there is not a single application that combines all of them following a holistic approach. In this context, we developed the OBINTER platform, which assists patients during the weight loss process by targeting user engagement during the longer term. The solution includes a mobile application which allows users to fill out dietetic questionnaires, receive dietetic and nutraceutical plans, track the evolution of their weight and adherence to the diet, as well as track their physical activity via a wearable device. Furthermore, an adherence strategy has been developed as a tool to foster the app usage during the whole weight loss process. In this paper, we present how the OBINTER approach gathers all of these features as well as the positive results of a usability testing study performed to assess the performance and usability of the OBINTER platform.
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Leandro, Carol Góis, Eveline Viana da Silva da Fonseca, Cybelle Rolim de Lim, Mario Eugénio Tchamo, and Wylla Tatiana Ferreira-e-Silva. "Barriers and Enablers That Influence Overweight/Obesity/Obesogenic Behavior in Adolescents From Lower-Middle Income Countries: A Systematic Review." Food and Nutrition Bulletin 40, no. 4 (July 4, 2019): 562–71. http://dx.doi.org/10.1177/0379572119853926.

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Background: Overweight/obesity during adolescence in lower-middle income countries has become a public health problem with consequences in adulthood. Inadequate dietary habits, poor diet quality, sedentary behavior, and parental obesity have been reported. Objective: To describe management of obesity-like food habits and behavior of adolescents from lower-middle income countries with respect to what keeps them using this diet (barriers) and what helps them avoid it (enablers). Methods: Systematic review of the literature related to obesity and food intake of adolescents conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Results: We classified 11 eligible studies describing the barriers to and enablers of the management of obesity-like food intake and obesity lifestyle. The dual burdens of malnutrition and increased urbanization have been observed. There is preference for processed food, dietary habits, and obesity-like food intake and sedentary behavior. Barriers to managing body weight gain included mostly consumption of fast-food and snack food, less vegetable and fruit intake, skipping meals, and sedentary behavior. Enablers of managing body weight gain included changes in nutritional habits, perception of the consumption of healthy food, physical activity, and engagement in programs to change lifestyle. Conclusion: The globalization of the fast food industry has provided an obesogenic environmental stimulus for adolescents in lower-middle income countries.
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Razina, Anastasia O., S. D. Runenko, and E. E. Achkasov. "The role of physical rehabilitation in the complex treatment of obesity and overweight correction." Medical and Social Expert Evaluation and Rehabilitation 19, no. 1 (March 15, 2016): 46–53. http://dx.doi.org/10.18821/1560-9537-2016-19-1-46-53.

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In the literature review there are presented current research trends in the management of obesity and overweight correction. There was noted a multifactoriality ofpathogenesis of obesity and the needfor a multidisciplinary approach to the development of comprehensive programs, including surgical, medical and physiotherapeutic techniques. There were determined priority directions ofpathogenetic treatment process, including the correction of diet, optimization of the motor regimen and the use of aerobic physical loads. There was pointed up the necessity for precise dosing of the load for this category ofpatients, there were presented modern methods of the control of its effective and safe intensity.
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Moore, Jaime, Matthew Haemer, Nazrat Mirza, Ying Z Weatherall, Joan Han, Caren Mangarelli, Mary Jane Hawkins, Stavra Xanthakos, and Robert Siegel. "Pilot Testing of a Patient Decision Aid for Adolescents with Severe Obesity in US Pediatric Weight Management Programs within the COMPASS Network." International Journal of Environmental Research and Public Health 16, no. 10 (May 20, 2019): 1776. http://dx.doi.org/10.3390/ijerph16101776.

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Shared decision-making (SDM) is a best practice for delivering high-quality, patient-centered care when there are multiple options from which to choose. A patient decision aid (PDA) to promote SDM for the treatment of adolescent severe obesity was piloted among 12–17-year-olds (n = 31) from six pediatric weight management programs within the Childhood Obesity Multi Program Analysis and Study System (COMPASS). Medical providers used a brochure that described indications, risks, and benefits of intensive lifestyle management alone versus bariatric surgery plus lifestyle. Immediately after, patients/families completed a survey. Patient/family perceptions of provider effort to promote understanding of health issues, to listen to what mattered most to them, and to include what mattered most to them in choosing next steps averaged 8.6, 8.8, and 8.7, respectively (0 = no effort, 9 = every effort). Nearly all (96%) reported knowing the risks/benefits of each treatment option and feeling clear about which risks/benefits mattered most to them. Most (93%) reported having enough support/advice to make a choice, and 89% felt sure about what the best choice was. Providers largely found the PDA to be feasible and acceptable. This pilot will guide a more rigorous study to determine the PDA’s effectiveness to support decision-making for adolescent severe obesity treatment.
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Itani, Leila, Dima Kreidieh, Dana El Masri, Hana Tannir, and Marwan El Ghoch. "The Impact of Sarcopenic Obesity on Health-Related Quality of Life of Treatment-Seeking Patients with Obesity." Current Diabetes Reviews 16, no. 6 (June 14, 2020): 635–40. http://dx.doi.org/10.2174/1573399816666200211102057.

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Background: There is a paucity of studies on health-related quality of life (HRQoL) and sarcopenic obesity (SO). Objective: This study aimed to assess the potential association between SO and impaired HRQoL. Methods: The ORWELL 97 questionnaire was used to assess HRQoL and body composition was measured using a bioimpedance analyser (Tanita BC-418) in 130 patients with obesity, referred to the Nutritional and Weight Management outpatient clinic of Beirut Arab University in Lebanon. Participants were then categorized on the basis of the absence or presence of SO. Results: Sixty-four of the 130 participants met the criteria for SO (49.2%) and displayed significantly higher total ORWELL 97 scores than those in the group without SO (64.00 vs. 41.00, p=0.001), indicative of poorer HRQoL. Linear regression analysis showed that SO was associated with an increase in ORWELL 97 scores by nearly 24 units (β=24.35, 95% CI=11.45-37.26; p<0.0001). Moreover, the logistic regression analysis showed that SO increased the odds of clinically significant impairment of HRQoL (ORWELL 97 score ≥74.25) by nearly seven-fold (OR=7.37, 95% CI=1.92-28.39; p=0.004). Conclusion: Our findings show that the presence of SO was associated with increased impairment of HRQoL that reaches clinical significance when compared to obesity only. Future studies are needed to clarify whether this may influence clinical outcomes. If this is shown to be the case, weight management programs should incorporate additional strategies to improve HRQoL in individuals with SO.
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Silver, Michelle Pannor, and Shawna M. Cronin. "Health Care Providers’ Perspectives on Family Compliance and Behavior Change in a Childhood Obesity Program." Health Education & Behavior 46, no. 4 (February 28, 2019): 582–91. http://dx.doi.org/10.1177/1090198119831053.

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Background. Evidence suggests that children and adolescents growing up in low-income families and those with underrepresented ethnocultural backgrounds tend to have high prevalence rates of obesity and more difficulty adhering to childhood obesity interventions. However, less is known about how intergenerational, family-based approaches to lifestyle interventions for childhood obesity support sustained behavior change. Aims. The aim of this study was to explore the perspectives of health care providers regarding family adherence and behavior change in a childhood obesity program that served ethnoculturally diverse and low-income families. Method. Semistructured in-person interviews were conducted with 18 providers at one of three hospitals participating in a Canadian family-based childhood obesity program. Data were thematically analyzed using a constant comparative approach. Results. The following key themes emerged as challenges from the provider’s perspective for family adherence and behavior modification in the childhood obesity program: divergent views about obesity, complicated lives and logistical priorities, parental role modeling, and intergenerational tensions. Discussion and Conclusion. This examination of providers’ perspectives on family adherence and behavior modification relevant to the management of childhood obesity highlight the importance of tailoring childhood obesity programs to the complex and diverse needs of families from diverse backgrounds. Recommendations include methods of service delivery that address logistical challenges and are better suited to extended families, particularly grandparents.
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Sharma, Divya, and Prajakta Tilaye. "Correlation between Body Mass Index (BMI) and Chest Expansion Values in Young Adult Females: A Cross Sectional Study." International Journal of Health Sciences and Research 11, no. 7 (July 12, 2021): 17–24. http://dx.doi.org/10.52403/ijhsr.20210703.

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Worldwide, non communicable diseases such as obesity, metabolic syndrome etc. are on the rise. An increased adiposity due to obesity has several systemic adverse effects, including those on the respiratory system. Physiotherapists have an essential role in the management of obesity by means of fitness training and medically supervised exercise programs. The objective of this study was to understand the direct correlation between Body Mass Index (BMI) and chest expansion. The chest expansion was evaluated using cloth tape measurement technique at 3 reference levels- axilla, nipple and xiphisternum. Data from 59 subjects, young adult females (aged 18-24 years) was collected and analysed. A weak negative correlation was obtained, which was not statistically significant. (p > 0.05). A direct correlation may thus be difficult to establish between the two variables and other confounding factors must be considered. Key words: Body Mass Index (BMI), Chest expansion, Obesity, Correlation, Young adults, cross sectional
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