Weight History in Clinical Practice: The State of the Science and Future Directions
| Autor: | Domenica Rubino, Srividya Kidambi, Katherine H. Saunders, Marsha B. Novick, Robert F. Kushner, John A. Batsis, Florencia Halperin, Angela Golden, W. Scott Butsch, Scott Kahan, Ava Port, Taraneh Soleymani, Sriram Machineni, Nicola Davis, Linda Shapiro Manning |
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| Rok vydání: | 2019 |
| Předmět: |
Counseling
Gerontology Endocrinology Diabetes and Metabolism Decision Making MEDLINE Medicine (miscellaneous) 030209 endocrinology & metabolism Overweight 03 medical and health sciences 0302 clinical medicine Endocrinology Patient-Centered Care Humans Medicine Medical history Obesity 030212 general & internal medicine Mortality Practice Patterns Physicians' Duration (project management) Medical History Taking Nutrition and Dietetics business.industry Body Weight medicine.disease Clinical research Life course approach Body-Weight Trajectory Morbidity medicine.symptom business Health care quality |
| Zdroj: | Obesity. 28:9-17 |
| ISSN: | 1930-739X 1930-7381 |
| DOI: | 10.1002/oby.22642 |
| Popis: | Eliciting a weight history can provide clinically important information to aid in treatment decision-making. This view is consistent with the life course perspective of obesity and the aim of patient-centered care, one of six domains of health care quality. However, thus far, the value and practicality of including a weight history in the clinical assessment and treatment of patients with obesity have not been systematically explored. For these reasons, the Clinical Committee of The Obesity Society established a task force to review and assess the available evidence to address five key questions. It is concluded that weight history is an essential component of the medical history for patients presenting with overweight or obesity, and there are strong and emerging data that demonstrate the importance of life stage, duration of exposure to obesity, maximum BMI, and group-based trajectory modeling in predicting risk for increased morbidity and mortality. Consideration of these and other patient-specific factors may improve risk stratification and clinical decision-making for screening, counseling, and management. Recommendations are provided for the key elements that should be included in a weight history, and several needs for future clinical research are outlined. |
| Databáze: | OpenAIRE |
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