MANAGING OBESITY

Managing Obesity

September 27th, 2009

Overall Reviews and Assessements of Treatment Options

Systematic review of the long-term effects and eco…[Health Technol Assess. 2004] – PubMed Result

Effective obesity treatments. [Am Psychol. 2007] – PubMed Result

AHRQ Clinical Aid: http://www.ahrq.gov/clinic/obesaid.pdf

NHLBI Guidelines on the Treatment of Adult Obesity NHLBI, Obesity Guidelines-Home Page

Weight-loss outcomes: a systematic review and meta…[J Am Diet Assoc. 2007] – PubMed Result

Evaluating weight programs IOM report Weighing the options: criteria for evaluating weig…[Obes Res. 1995] – PubMed Result

Goals

September 27th, 2009

5-10% is a realistic and achievable goal for weight loss Weight-loss outcomes: a systematic review and meta…[J Am Diet Assoc. 2007] – PubMed Result

What interventions should we add to weight reducin…[J Hum Nutr Diet. 2004] – PubMed Result

The weight stability approach Obesity in primary care: evidence for advising wei…[Br J Gen Pract. 2008] – PubMed Result

Do physicians support 5-10% reduction? What do physicians recommend to their overweight a…[J Am Board Fam Med. 2009 Mar-Apr] – PubMed Result

Look Ahead trial shows promising results from intensive weight loss counseling One-year weight losses in the Look AHEAD study: fa…[Obesity (Silver Spring). 2009] – PubMed Result

5% reduction needed to improve metabolic parameters Degree of weight loss required to improve adipokin…[Metabolism. 2009] – PubMed Result

Consumer Protection

September 27th, 2009

So many Americans are desperately trying to lose weight it should be no surprise that there are people willing to take advantage of them by selling untested, ineffective or unsafe products or services.

According to a survey by the Federal Trade Commission, in 2005, 30.2 million adults were victims of fraud. The largest category — affecting 4.8 million Americans — were weight loss scams. FTC Releases Consumer Fraud Survey

Some of the time, state attorneys general and local prosecutors try to prosecute cases of fraud. But most of the enforcement work has fallen to two US government agencies, the Federal Trade Commission and the Food and Drug Administration. Here are summaries of their activities

a. The FTC has asked the media to police the weight loss claims that they publish or broadcast. FTC Releases Guidance to Media on False Weight-Loss Claims following a workshop on advertising practices

b.They publish Red Flags to warn consumers against bogus weight loss web sites. Red Flag Bogus Claims

c. They have worked with Mexico and Canada to police international scams United States, Mexico, Canada (MUCH) Combat Weight Loss Fraud

d. See examples of recent regulatory enforcement Internet Marketers of Dietary Supplement for Weight Loss Agree to Pay $150,000 and FTC Targets Weight-Loss Marketers’ Allegedly Bogus ‘Free’ Sample Offers and Marketers of Weight-Loss Patch to Pay More Than $110,000 for Violating Previous FTC Settlements

The Food and Drug Administration has jurisdiction over dietary supplements (with the Federal Trade Commission as well as other dangerous weight loss products.

They have issued this guide to contaminated weight loss products Questions and Answers about FDA’s Initiative Against Contaminated Weight Loss Products

The FDA’s list of dangerous weight loss products can be found here: FDA Uncovers Additional Tainted Weight Loss Products. Some of their most recent enforcement came against products containing hydroxcut FDA Warns Consumers Not to Use Dietary Supplements Labeled Hydroxycut because of the Potential Risk of Severe Liver Injury

Types of health care frauds and how to report them are available at FDA 101: Health Fraud Awareness

Dietary Intervention

September 27th, 2009

Portion control The influence of food portion size and energy dens…[Am J Clin Nutr. 2005] – PubMed Result

Diets are not the answerMedicare’s search for effective obesity treatments…[Am Psychol. 2007] – PubMed Result

Low-carbohydrate diets, obesity, and metabolic ris…[Curr Atheroscler Rep. 2007] – PubMed Result

Comparison of a very low-carbohydrate and low-fat …[J Am Coll Nutr. 2004] – PubMed Result

Efficacy and safety of low-carbohydrate diets: a s…[JAMA. 2003] – PubMed Result

The role of dietary fat in body fatness: evidence …[Br J Nutr. 2000] – PubMed Result

Low-fat diets and energy balance: how does the evi…[Proc Nutr Soc. 2002] – PubMed Result

NIH: Very low calorie diets WIN – Publication – Very-Low-Calorie Diets

Health benefits of dietary fiber. [Nutr Rev. 2009] – PubMed Result

Position of the American Dietetic Association: hea…[J Am Diet Assoc. 2008] – PubMed Result

The Mediterranean Diet is widely promoted for its healthful outcomes which is supported in this review article Adherence to Mediterranean diet and health status:…[BMJ. 2008] – PubMed Result

Information on portion sizes Smallstep Adult and Teen; NHLBI-Portion Distortion Quiz

Routes to obesity Routes to obesity: phenotypes, food choices and ac…[Br J Nutr. 2000] – PubMed Result

High-fat and low-fat (behavioural) phenotypes: bio…[Proc Nutr Soc. 1999] – PubMed Result

Popular diets: correlation to health, nutrition, a…[J Am Diet Assoc. 2001] – PubMed Result

Dietary approaches that delay age-related diseases. [Clin Interv Aging. 2006] – PubMed Result

What are the long-term benefits of weight reducing…[J Hum Nutr Diet. 2004] – PubMed Result

Total calories available: http://www.cnpp.usda.gov/Publications/FENR/V16N2/fenrv16n2.pdf

Diets of Americans need improvement: http://www.cnpp.usda.gov/Publications/FENR/V16N1/FENRV16N1.pdf

Want to see what folks eat? This is not for weaklings! This is why you’re fat.

Heard of the DASH diet? Here it is: Lowering Your Blood Pressure With DASH, NHLBI

Need Help with portion control? See: http://hp2010.nhlbihin.net/portion/servingcard7.pdf

Take the portion distortion test: NHLBI-Portion Distortion Quiz

Volume Substitutions: Fruits & Veggies More Matters » Volume Comparisons

What Fruits and Vegetables are in Season and how to prepare them: Fruits & Veggies More Matters » What’s In Season? Winter

Type of vegetarian diet, body weight, and prevalen…[Diabetes Care. 2009] – PubMed Result

Vegetarian diets and weight status. [Nutr Rev. 2006] – PubMed Result

Physical Activity

September 27th, 2009

The first thing to realize is how much exercise is needed to burn calories. Don’t get discouraged but it takes a lot of time. See: Lighten Up and Get Moving! | The Calorie Control Council

Physical activity patterns and prevention of weigh…[Int J Obes (Lond). 2009] – PubMed Result

Pedometer-based walking programs show modest weight loss A meta-analysis of pedometer-based walking interve…[Ann Fam Med. 2008 Jan-Feb] – PubMed Result

Using pedometers to increase physical activity and…[JAMA. 2007] – PubMed Result

Exercise alone of minimum use Effects of a popular exercise and weight loss prog…[Nutr Metab (Lond). 2009] – PubMed Result, especially it would seem, among women Exercise is not an effective weight loss modality …[J Am Coll Nutr. 1993] – PubMed Result

Exercise in weight management of obesity. [Cardiol Clin. 2001] – PubMed Result

American College of Sports Medicine position stand…[Med Sci Sports Exerc. 2001] – PubMed Result

Treatment and prevention of obesity: what is the r…[Nutr Rev. 2006] – PubMed Result

Physical activity considerations for the treatment…[Am J Clin Nutr. 2005] – PubMed Result

Exercise for overweight or obesity. [Cochrane Database Syst Rev. 2006] – PubMed Result

Regular exercise trumps metabolic drive to regain after weight loss Regular Exercise Attenuates the Metabolic Drive to…[Am J Physiol Regul Integr Comp Physiol. 2009] – PubMed Result

US self-reported physical activity Prevalence of Self-Reported Physically Active Adults — United States, 2007

Prevalence of adult physical activity Prevalence of Regular Physical Activity Among Adults — United States, 2001 and 2005

Physical activity may matter a lot less than you thought. Study compares energy expenditure between Chicago and Nigerian women Energy expenditure does not predict weight change …[Am J Clin Nutr. 2009] – PubMed Result

Physical activity is associated with risk factors …[J Am Diet Assoc. 2008] – PubMed Result

Physical activity decreases cardiovascular disease…[Am J Prev Med. 2004] – PubMed Result

Active Commuting Active commuting and cardiovascular disease risk: …[Arch Intern Med. 2009] – PubMed Result

Physical activity, obesity and cardiovascular dise…[Handb Exp Pharmacol. 2005] – PubMed Result

Drug Therapy

September 27th, 2009

Long-term pharmacotherapy for obesity and overweig…[Cochrane Database Syst Rev. 2004] – PubMed Result

Long-term pharmacotherapy for overweight and obesi…[Int J Obes Relat Metab Disord. 2003] – PubMed Result

NIH: WIN – Publication – Prescription Medications for the Treatment of Obesity

Update on sibutramaine The use of sibutramine in the management of obesit…[Vasc Health Risk Manag. 2009] – PubMed Result

Update on orlistat Obesity management: update on orlistat. [Vasc Health Risk Manag. 2007] – PubMed Result

Drug therapy for weight loss in type 2 diabetes

Exenatide shows weight loss effect in patients with diabetes Effect of antiobesity medications in patients with…[Diabetes Obes Metab. 2009] – PubMed Result; Exenatide use in the management of metabolic syndr…[Endocr Pract. 2008] – PubMed Result; Metabolic effects of two years of exenatide treatm…[Clin Ther. 2007] – PubMed Result

Long term weight loss in patients with type 2 diabetes Long-term effectiveness of lifestyle and behaviora…[Am J Med. 2004] – PubMed Result

Pharmacotherapy for weight loss in adults with typ…[Cochrane Database Syst Rev. 2005] – PubMed Result

Efficacy of pharmacotherapy for weight loss in adu…[Arch Intern Med. 2004] – PubMed Result

Long term weight loss in pre-diabetes Long-term non-pharmacological weight loss interven…[Cochrane Database Syst Rev. 2005] – PubMed Result

Bariatric Surgery

September 27th, 2009

Centers of Excellence Programs Surgical Review Corporation

NIH: WIN – Publication – Bariatric Surgery for Severe Obesity

An unique, new study found that maternal weight loss from bariatric surgery may improve cardiometabolic  risks in infants which is sustained into adulthood.Effects of Maternal Surgical Weight Loss in Mother…[J Clin Endocrinol Metab. 2009] – PubMed Result

 

Health Outcomes of Gastric Bypass Patients Compare…[Obesity (Silver Spring). 2009] – PubMed Result

Two-year changes in health-related quality of life…[Surg Obes Relat Dis. 2009 Mar-Apr] – PubMed Result

Health and health-related quality of life: differe…[Surg Obes Relat Dis. 2008 Sep-Oct] – PubMed Result

Review of meta-analytic comparisons of bariatric s…[Surg Obes Relat Dis. 2008 May-Jun] – PubMed Result

Change in predicted 10-year cardiovascular risk fo…[Obes Surg. 2009] – PubMed Result

Complications and Costs for Obesity Surgery Declining

Bariatric surgery and reduction in morbidity and m…[Int J Obes (Lond). 2008] – PubMed Result

Bariatric Surgery in Adolescents

An update on 73 US obese pediatric patients treate…[J Pediatr Surg. 2008] – PubMed Result

Bariatric surgery for severely obese adolescents. [J Gastrointest Surg. 2003] – PubMed Result

Best practice updates for pediatric/adolescent wei…[Obesity (Silver Spring). 2009] – PubMed Result

Childhood Weight Management

September 27th, 2009

Effectiveness of weight management programs in chi…[Evid Rep Technol Assess (Full Rep). 2008] – PubMed Result

AHRQ Screening recommendations for childhood obesity Screening and interventions for childhood overweig…[Pediatrics. 2005] – PubMed Result

AHRQ Screening recommendations for childhood obesity Screening and interventions for childhood overweig…[Pediatrics. 2005] – PubMed Result

Effectiveness of weight management programs in chi…[Evid Rep Technol Assess (Full Rep). 2008] – PubMed Result

AHRQ: Behavior modification for children Behavioral Modification Programs Help Obese Children Manage Their Weight