Medical evaluation of the obese individual
| Autor: | Julie L. Roth, Robert F. Kushner |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent business.industry Health Status Mental Disorders Medical evaluation Primary care Overweight medicine.disease Obesity Risk Assessment Psychiatry and Mental health Intervention (counseling) medicine Humans Observational study Diagnosis code medicine.symptom Intensive care medicine business Life Style Reimbursement |
| Zdroj: | The Psychiatric clinics of North America. 28(1) |
| ISSN: | 0193-953X |
| Popis: | Overweight and obesity are the most common medical problems seen in primary care practice, affecting over 60% of adults and 15% of adolescents [1]. Obesity affects at least nine organ systems, and it is linked to the most prevalent and costly medical problems seen in daily practice. Thus, treatment and control of obesity have the potential to have a significant impact on several chronic diseases. Yet despite the importance of screening and evaluating for obesity and the recommendation to do so from multiple organizations [2–8], detection and counseling rates among physicians remain low [9–11]. Several observational studies show that physicians are more likely to discuss weight problems with their patients only after they have developed moderate-to-severe obesity or associated comorbidities [12]. Reasons for this delayed action include lack of education and training in obesity management, time restraints, lack of reimbursement for obesity as a diagnostic code, and clinician attitudes of futility and lack of perceived benefit and reward. The ill fortune of this clinical inertia toward obesity care is that the most successful treatment is likely to be early intervention and prevention, before development of more severe obesity and comorbid conditions. According to Kristeller et al [13], three factors are necessary for physicians to intervene: adequate recognition of obesity as a medical problem, willingness to provide intervention, and adequate skills or resources to do so. For psychiatrists, the need to recognize obesity and the weight gain that occurs as a consequence of medications is important for several reasons. Patients are at risk of developing obesity-related silent |
| Databáze: | OpenAIRE |
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