Obesity and its cardiometabolic comorbidities are on a skyrocketing trajectory with ominous public health implications. Focusing on primary care as a microcosm of the broader obesity crisis, this review discusses considerations for the prevention and management of obesity and its associated risks.
Guzman S., in consultation with the American Academy of Family Physicians Panel on Obesity. Practical Advice for Family Physicians to Help Overweight Patients: An American Family Physician Monograph. Leawood, Kan: American Academy of Family Physicians ; 2003.
2.
National Institutes of Health.The practical guide: identification, evaluation and treatment of overweight and obesity in adults. Available at: www.nhlbi.nih.gov. Accessed July 16, 2007.
3.
Ogden C., Carroll M., Curtin L., McDowell MA, Tabak CJ, Flegal KMPrevalence of overweight and obesity in the United States, 1999-2004. JAMA.2006;295:1549-1555.
4.
Tyler C., Johnston C., Foreyt J.Lifestyle management of obesity. Am J Lifestyle Med.2007;1:423-429.
Hill J.Obesity treatment: does one size fit all?Am J Clin Nutr.2005;81:1253-1254.
7.
Hill J., Astrup A.What diets should we be recommending for obesity?Obes Rev . 2003;4:77-78.
8.
Mann T., Tomiyama A., Westling E., Lew AM, Samuels B., Chatman J.Medicare's search for effective obesity treatments: diets are not the answer . Am Psychol.2007;62:320-333.
9.
Field A., Aneja P., Austin S., Shrier LA, de Moor C., Gordon-Larsen P. Race and gender differences in the association of dieting and gains in BMI among young adults. Obesity. 2007;15:456-464.
10.
Terre L., Poston W., Foreyt J.Overview and the future of obesity treatment. In: Goldstein D, ed. The Management of Eating Disorders and Obesity. 2nd ed. Totowa, NJ: Humana Press; 2005:161-179.
11.
Van Wye G., Dubin J., Blair S., DiPietro L.Weight cycling and 6-year weight change in healthy adults: the Aerobics Center Longitudinal Study. Obesity. 2007;15:731-739.
12.
Rudelle S., Ferruzzi M., Cristiani I., et al. Effect of a thermogenic beverage on 24-hour energy metabolism in humans. Obesity. 2007;15:349-355.
13.
Hoek J., Gendall P.Advertising and obesity: a behavioral perspective. J Health Commun. 2006;11:409-423.
14.
Jeffery R., Utter J.The changing environment and population obesity in the United States. Obes Res.2003;11:12S-22S.
15.
Lowe M.Self-regulation of energy intake in the prevention and treatment of obesity: is it feasible?Obes Res.2003;11:44S-59S.
16.
Schwartz M. , Brownell K.Actions necessary to prevent childhood obesity: creating the climate for change. J Law Med Ethics. 2007;35:78-89.
17.
Ashe M., Feldstein LM, Graff S., Kline R., Pinkas D., Zellers L.Local venues for change: legal strategies for healthy environments. J Law Med Ethics.2007;35:138-147.
18.
Faith M., Fontaine K., Baskin M., Allison DBToward the reduction of population obesity: macrolevel environmental approaches to the problems of food, eating, and obesity. Psychol Bull.2007;133:205-226.
19.
Gostin L.Law as a tool to facilitate healthier lifestyles and prevent obesity. JAMA.2007;297:87-90.
20.
Kim D., Kawachi I.Food taxation and pricing strategies to “thin out” the obesity epidemic. Am J Prev Med.2006;30:430-437.
21.
Alderman J., Smith JA, Fried EJ, Daynard RAApplication of law to the childhood obesity epidemic. J Law Med Ethics. 2007;35:90-112.
22.
Desjardins E. , Schwartz A.Collaborating to combat childhood obesity . Health Af. 2007;26:567-571.
23.
Newby P.Introduction: moving forward the discussion on childhood obesity. J Law Med Ethics.2007;35:7-9.
24.
Peterson K., Fox M.Addressing the epidemic of childhood obesity through school-based interventions: what has been done and where do we go from here?J Law Med Ethics. 2007;35:113-130.
25.
Savage J., Fisher J., Birch L.Parental influence on eating behavior: conception to adolescence. J Law Med Ethics. 2007;35:22-34.
26.
Yin Z., Gutin B., Johnson M., et al. An environmental approach to obesity prevention in children: Medical College of Georgia FitKid Project year 1 results. Obes Res.2005;13:2153-2161.
27.
Zeitler P.Editorial: school-based intervention to reduce obesity and diabetes risks: seven small steps for a big problem. J Clin Endocrinol Metab.2007;92:422-424.
28.
Terre L., Poston W., Foreyt J.Eating disorders. In: Mash E, Barkley R, eds. Treatment of Childhood Disorders . 3rd ed. New York, NY: Guilford; 2006:778-829.
29.
Schwartz M. , Chambliss H., Brownell K., Blair SN, Billington C.Weight bias among health professionals specializing in obesity. Obes Res.2003;11:1033-1039.
30.
Teachman B. , Brownell K.Implicit anti-fat bias among health professionals: is anyone immune?Int J Obes.2001;25:1525-1531.
31.
McInnis K., Franklin B., Rippe J.Counseling for physical activity in overweight and obese patients. Am Fam Physician.2003;67:1249-1256.
32.
Rippe J., McInnis K., Melanson K.Physician involvement in the management of obesity as a primary medical condition . Obes Res.2001;9:302S-311S.
33.
Terre L., Hunter C., Poston W., Haddock K., Stewart SATreatment of obesity in the primary care setting: are we there yet?Eat Disord.2007;15:135-143.
34.
Powell L., Calvin J., Calvin J.Effective obesity treatments. Am Psychol.2007;62:234-246.
35.
Alberti G., Zimmet P., Shaw J., et al. Type 2 diabetes in the young: the evolving epidemic: the International Diabetes Federation Consensus Workshop. Diabetes Care.2004;27:1798-1811.
36.
Risser J., Wash P., Nieto L.Does prior authorization of sibutramine improve medication compliance or weight loss?Obes Res.2005;13:86-92.
37.
Williams B.The obese hypertensive: the weight of evidence against B-blockers. Circulation. 2007;115:1973-1974.
38.
Daubenmier J. , Weidner G., Sumner M., et al. The contribution of changes in diet, exercise, and stress management to changes in coronary risk in women and men in the Multisite Cardiac Lifestyle Intervention Program. Ann Behav Med.2007;33:57-68.
39.
Petersen M. , Harper A.Weight loss strategies: a change of focus is required. Obes Rev.2004;5:239-240.
40.
Hill J.Understanding and addressing the epidemic of obesity: an energy balance perspective . Endocr Rev.2006;27:750-761.
41.
Lean M., Lara J., Hill J.ABC of obesity: strategies for preventing obesity. BMJ.2006;333:959-962.
42.
Browerman S. , Bellman M., Saltsman P., et al. Implementation of a primary care physician network obesity management program. Obes Res.2001;9:321S-325S.
43.
Adams A., Quinn R., Prince R.Low recognition of childhood overweight and disease risk among Native-American caregivers. Obes Res.2005;13:146-152.
44.
Bish C., Blanck H., Serdula M., Marcus M., Kohl HW Iii, Khan LKDiet and physical activity behaviors among Americans trying to lose weight: 2000 Behavioral Risk Factor Surveillance System. Obes Res.2005;13:596-607.
45.
Gorin A., Phelan S., Hill J., Wing RRMedical triggers are associated with better short-and long-term weight loss outcomes. Prev Med.2004;39:612-616.
46.
Taveras E., Sobol A., Hannon C., Finkelstein D., Wiecha J., Gortmaker SLYouths' perceptions of overweight-related prevention counseling at a primary care visit. Obesity. 2007;15:831-836.
47.
Brown W., Williams L., Ford J., Ball K., Dobson AJIdentifying the energy gap: magnitude and determinants of a 5-year weight gain in midage women. Obes Res. 2005;13:1431-1441.
48.
Phelan S., Hill JO, Lang W., Dibello JR, Wing RRRecovery from relapse among successful weight maintainers. Am J Clin Nutr.2003;78:1079-1084.
49.
Levine JA, Vander Weg MW, Hill JO, Klesges RC. Non-exercise activity thermogenesis. Arterioscler Thromb Vasc Biol. 2006;26:729-736.
50.
Cox T., Malpede C., Desmond R., et al. Physical activity patterns during weight maintenance following a low-energy density dietary intervention. Obesity. 2007;15:1226-1232.
51.
Phelan S., Wyatt H., Hill J., Wing RRAre the eating and exercise habits of successful weight losers changing?Obesity. 2006;14:710-726.
52.
Raynor HA, Jeffery RW, Phelan S., Hill JO, Wing RRAmount of food group variety consumed in the diet and long-term weight loss maintenance. Obes Res.2005;13:883-890.
53.
Vickers KS, Nies MA, Patten CA, Dierkhising R., Smith SAPatients with diabetes and depression may need additional support for exercise . Am J Health Behav. 2006;30:353-362.
54.
Dallman M., Pecoraro N., la Fleur S.Chronic stress and comfort foods: self-medication and abdominal obesity. Brain Behav Immun.2005;19: 275-280.
55.
Laitinen J. , Ek E., Sovio U.Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med.2002;34:29-39.
56.
Pendleton V. , Victor R., Willems E., et al. Negative stress and the outcome of treatment for binge eating. Eat Disord. 2001 ;9:351-360.
57.
Yin Z., Davis C., Moore J., Treiber FAPhysical activity buffers the effects of chronic stress on adiposity in youth . Ann Behav Med.2005;29:29-36.
58.
Astrup A., Hill J., Rossner S.The cause of obesity: are we barking up the wrong tree?Obes Rev. 2004;5:125-127.
59.
Baranowski T., Cullen KW, Nicklas T., Thompson D., Baranowski J.Are current health behavior change models helpful in guiding prevention of weight gain efforts?Obes Res.2003;11:23S-43S.
60.
Peters J.Combating obesity: challenges and choices. Obes Res.2003;11:7S-11S.