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Helping primary care physicians to counsel obese patients withobesity by 123wert sdfsf
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Helping primary care physicians to counsel obese patients withobesity |
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Business,Business News,Business Opportunities
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Managing adult obesity is challenging for primary care physicians, but a new reviewpublished in CMAJ (Canadian Medical Association Journal) aims to provide an evidence-based approach to counselling patientsto help them lose weight and maintain weight loss. "Even though evidence suggests that patients are considerably morelikely to lose weight when they are advised to do so by theirprimary care physicians, most patients who are clinically obese donot receive weight-loss counselling in primary care," writes Dr.Gilles Plourde, Cliniques M dicales de Nutrition etd'Amaigrissement de Gatineau, Quebec, with coauthor. "Patients maybe told to lose weight, but they may not be given advice on how todo so successfully. There is an urgent need to find simple,effective strategies for improving weight-loss counselling inclinical practice." The Canadian Health Measures survey (2007-2009) estimates that 62%of Canadian adults are overweight, and 24% are obese.
Obesity ismost common in middle-aged adults and declines after age 65. Theeconomic costs of obesity are high, estimated at $4.6 billion in2008, and when the health costs of related diseases are included,cost estimates rise to almost $7.1 billion. Obesity is linked toincreased risks of high blood pressure , diabetes , heart disease , osteoarthritis, various cancers and other diseases. While there is no single approach that works with everyone,physicians can use the 5A model to successfully counsel patients tochange their eating habits and levels of physical activity. The 5Amodel, adapted from smoking cessation therapies, consists ofassess/ask, advise, agree, assist and arrange.
Dietary modification and caloric restriction have been shown to beeffective. Increases in physical activity and/or intensity combinedwith caloric restriction increase weight loss. As well, behaviouraltherapy to change a patient's behaviour and habit has been shown toincrease the success of dietary and exercise interventions, whichalso can help patients maintain weight loss. Many physicians do not feel trained to treat obesity and weightissues. Research indicates that regularly measuring body mass indexand waist circumference and using prompts to record can lead tobetter management of obesity.
"Adult obesity remains a public health concern in Canada," statethe authors. "Primary care physicians are in an influentialposition to provide weight-loss counselling, which can besuccessfully done using the 5A model of behavioural change andstage-specific strategies for changing lifestyles... .A sixth "A"should be added to the mnemonic: advocate - that is, to advocatefor environmental and policy changes that support healthy eatingand physical activity." Additional References Citations. I am an expert from Apparel, usually analyzes all kind of industries situation, such as men's long johns , red long johns.
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