ABC of obesity by Naveed Sattar; Mike Lean

By Naveed Sattar; Mike Lean

Weight problems is a highly dear and extending challenge around the world, resulting in incapacity, reproductive difficulties, melancholy and sped up metabolic and vascular ailments in a wide share of fellows, ladies and youngsters. The ABC of Obesity is a brand new advisor with a view to relief its powerful administration, addressing matters reminiscent of eating plan, workout, self-worth, drug remedy and surgical procedure. fresh proof is used to focus on widespread difficulties, winning treatments, and the commonest causes.

Written by means of major specialists, this can be a extensively available textual content and an vital advisor for all normal practitioners, junior medical professionals, nurses, and different healthcare execs who're keen on the remedy and learn of this universal

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N Engl J Med 2002;347:305-13. x Ingelsson E, Sundstrom J, Arnlov J, Zethelius B, Lind L. Insulin resistance and risk of congestive heart failure. JAMA 2005;294:334-41. x Lavie CJ, Mehra MR, Milani RV. Obesity and heart failure prognosis: paradox of reverse epidemiology? Eur Heart J 2005;26:5-7. x Song Y-M, Sung J, Davey Smith G, Ebrahim S. Body mass index and ischemic and hemorrhagic stroke. A prospective study in Korean men. Stroke 2004;35:831-6. x Murphy NF, MacIntyre K, Stewart S, Hart CL, Hole D, McMurray JJ.

An even larger proportion of the population is overweight, with increased morbidity. Virtually all the costs (personal, health, and economic) of obesity are met in adulthood and result from fat that has accumulated in adulthood, but there is a likely additional cost due to inactivity and overweight in childhood that should also be considered. Obesity is increasingly affecting younger people, with warning signs for the future from the increasing prevalence of overweight in childhood There seems to be strong biological resistance to weight loss once obesity is established.

Adapted from Bergstrom et al (see Further Reading box) Relative risk of death (95% confidence interval) Obesity is increasing at an alarming rate throughout North America and Europe and is associated with substantial morbidity and mortality. The condition has long been recognised as a risk factor for diabetes and cardiovascular disease, but not for developing cancer. A recent survey of the public by the American Cancer Society found that less than 5% of respondents were aware of the increased cancer risk associated with overweight and obesity.

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