Showing posts with label bariatrics. Show all posts
Showing posts with label bariatrics. Show all posts

Monday, December 13, 2010

Doctors, nurses often contribute to patients' weight problems - FierceHealthcare

Although some doctors and nurses seems to think stigma and shame can help motivate patients to lose weight, the opposite seems to be true, according to a doctor's commentary published today in the Los Angeles Times.

"People who are exposed to stigmatizing situations are more likely to engage in unhealthy eating behaviors and less likely to be physically active," said Rebecca Puhl, director of research at the Rudd Center for Food Policy and Obesity at Yale University, who was interviewed for the piece.

Indeed, most women in one study coped with stigma over their weight by eating more food or refusing to diet.

What's more, humiliating interactions may make overweight patients unwilling to seek out medical care, which means their other medical problems likely will go untreated, as well. Puhl says that healthcare providers need to adjust their expectations, pointing out that losing weight isn't just about having patients go on diets. An inability to diet down to a healthy weight isn't due to just lack of motivation, according to Puhl.

She also calls on healthcare providers to recognize that even relatively small changes in weight count as progress toward better health. Most people can't lose more than 10 percent of their body weight and keep the weight off over time, she says.

Dr. Valerie Ulene, the commentary's author and a preventive medicine specialist whose siblings tortured her when she was an overweight child, says that patients who are overweight deserve to be treated compassionately and effectively. "It's not just the right thing to do, it's the best approach for successful treatment," she writes.

To learn more:
- here's the Los Angeles Times commentary

Related Articles:
Too often, MDs blame obese patients' ills on fat
To help patients lose weight, don't call them fat
Health-conscious docs more likely to offer lifestyle advice
Conquering chronic disease with lifestyle medicine
Guest Commentary: Brad Wilson on fighting obesity

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Sunday, December 5, 2010

Medical News: FDA Panel Says Okay to Lower BMI for Lap-Band - in Primary Care, Obesity from MedPage Today

An FDA advisory committee voted 8 to 2 that Allergan's Lap-Band device is safe enough to use in patients with a BMI as low as 30.

The stomach-shrinking device is currently approved for weight loss in people who are at least 100 pounds overweight or have a body mass index (BMI) of at least 40, or a BMI of at least 35 with other comorbidities such as heart disease.

Allergan is looking for approval to lower those BMI cutoffs to 35 and 30 respectively.

If the FDA follows the advice of its advisory committee the Lap-Band could be an option for another 27 million Americans.

The Lap-Band is an adjustable silicon band that is implanted through tiny incisions around the upper stomach. It works by reducing stomach capacity and thus the amount of food the stomach can hold. Its use involves a less invasive procedure than gastric bypass or stomach stapling, but it is also less effective, FDA reviewers noted in briefing documents released in advance of Friday's meeting.

The FDA's Gastroenterology and Urology Devices Panel spent Friday discussing Allergan's single-arm study of 143 patients with the lower BMI criteria.

All 143 had significant reductions in weight and BMI after one year, with only 37% still meeting the criteria for obesity.

After one year, eight out of 10 Lap-Band recipients lost at least 30% of their excess weight, and 66% lost at least half.

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Andrew Lopez, RN
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38 Tattersall Drive, Mantua New Jersey 08051
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Thursday, September 23, 2010

Obesity, Morbidly Obese (fat), Overweight Resources 100922

Obesity, Morbidly Obese (fat), Overweight Resources 100922

http://www.nursefriendly.com/obesity/

Nurse selected resources for patients, healthcare professionals and doctors on the treatment of severe obesity. Obesity is usually defined by a Body Mass Index, BMI.

BMI Weight Status
Below 18.5 Underweight
18.5 Γ?? 24.9 Normal
25.0 Γ?? 29.9 Overweight
30.0 and Above Obese
(Source CDC)
http://www.cdc.gov/nccdphp/dnpa/bmi/adult_BMI/about_adult_BMI.htm#Interpreted

Categories of Resources include:

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