Clinical Guidelines on the Identification Evaluation and Treatment of Overweight and Obesity in Adults 1st Edition by Nih ISBN 1588080021 9781588080028 by Nih Nhlbi 9781588080028, 1588080021 instant download after payment.

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Product details:

ISBN 10: 1588080021 
ISBN 13: 9781588080028
Author: Nih 

Clinical Guidelines on the Identification Evaluation and Treatment of Overweight and Obesity in Adults 1st Table of contents:

Chapter 1: Introduction and Scope

1. Purpose and Objectives of the Guidelines:

   • Why these guidelines are needed (public health burden, clinical impact)

   • Target audience (primary care providers, specialists, allied health professionals)

   • Goal: To provide evidence-based recommendations for clinical practice

2. Definition of Overweight and Obesity in Adults:

   • Body Mass Index (BMI) Classification (WHO/standard categories)

   • Waist Circumference and Abdominal Adiposity

   • Limitations of BMI and the Importance of Individualized Assessment

   • Defining "Healthy Weight"

3. Epidemiology and Public Health Impact:

   • Global and National Prevalence Rates

   • Associated Comorbidities (Cardiovascular Disease, Type 2 Diabetes, Cancer, etc.)

   • Economic Burden of Overweight and Obesity

4. Guideline Development Methodology:

   • Evidence Review Process (Systematic Reviews, Meta-Analyses)

   • Grading of Recommendations (e.g., GRADE system, strength of evidence)

   • Conflict of Interest Policy

   • Expert Panel Consensus Process

Chapter 2: Identification and Initial Evaluation

5. Routine Screening and Assessment:

   • When and How to Screen Adults for Overweight and Obesity

   • Recommended Measurement Techniques (BMI, Waist Circumference)

   • Documentation in Electronic Health Records

6. Comprehensive Initial Evaluation:

   • Medical History: Comorbidities, medications, previous weight loss attempts, family history.

   • Physical Examination: Vital signs, signs of obesity-related complications.

   • Laboratory Assessment:

     • Core Labs: Fasting glucose/HbA1c, lipid panel, liver enzymes, kidney function.

     • Targeted Labs (as indicated): Thyroid function, vitamin deficiencies, specific hormone levels.

   • Assessment of Lifestyle and Behavioral Factors: Diet, physical activity, sleep, stress, mental health.

   • Readiness to Change Assessment: Motivational interviewing techniques.

Chapter 3: Treatment Approaches: Lifestyle Interventions

7. Nutritional Interventions:

   • Principles of Energy Deficit: Calorie reduction strategies.

   • Dietary Patterns: Low-calorie, low-carbohydrate, Mediterranean, plant-based, etc. (Evidence for each).

   • Meal Replacement Programs: Role and efficacy.

   • Nutritional Counseling: Role of registered dietitians/nutritionists.

   • Addressing Dietary Quality and Micronutrients.

8. Physical Activity Interventions:

   • Types and Intensity of Physical Activity: Aerobic, strength training.

   • Duration and Frequency Recommendations.

   • Sedentary Behavior Reduction.

   • Tailoring Activity Plans: Individual capabilities and preferences.

   • Role of Physical Therapists/Exercise Physiologists.

9. Behavioral Interventions:

   • Core Behavioral Strategies: Self-monitoring, goal setting, stimulus control, problem-solving, cognitive restructuring.

   • Stress Management and Sleep Hygiene.

   • Addressing Emotional Eating and Psychological Factors.

   • Group vs. Individual Behavioral Therapy.

   • Technology-Based Interventions: Apps, online platforms.

Chapter 4: Treatment Approaches: Pharmacotherapy

10. Indications for Pharmacotherapy:

    • BMI thresholds for consideration.

    • Role in conjunction with lifestyle interventions.

    • Contraindications and Precautions.

11. Approved Pharmacological Agents:

    • Detailed review of each approved medication (mechanism of action, efficacy, side effects, drug interactions, contraindications).

    • Prescribing considerations and monitoring.

    • Duration of treatment and discontinuation criteria.

12. Off-Label Use and Emerging Pharmacotherapies:

    • Discussion of medications used off-label for weight management (with caution).

    • Brief overview of drugs in development.

Chapter 5: Treatment Approaches: Bariatric Surgery

13. Indications for Bariatric Surgery:

    • BMI thresholds and presence of comorbidities.

    • Failed non-surgical weight loss attempts.

    • Patient selection criteria and contraindications.

14. Types of Bariatric Procedures:

    • Sleeve Gastrectomy, Roux-en-Y Gastric Bypass, Adjustable Gastric Band, Biliopancreatic Diversion with Duodenal Switch (brief description, mechanism of action, efficacy, risks).

15. Pre-Operative Evaluation and Preparation:

    • Multidisciplinary team approach (surgeon, dietitian, psychologist, etc.).

    • Nutritional and behavioral optimization.

16. Post-Operative Management and Follow-Up:

    • Nutritional deficiencies and supplementation.

    • Monitoring for complications and comorbidity resolution.

    • Long-term lifestyle adjustments and behavioral support.

    • Management of weight regain.

Chapter 6: Special Populations and Considerations

17. Older Adults:

    • Benefits and risks of weight loss in the elderly.

    • Considerations for sarcopenic obesity.

18. Adults with Specific Comorbidities:

    • Type 2 Diabetes, Cardiovascular Disease, Kidney Disease, Mental Health Conditions.

    • Tailoring treatment to co-existing conditions.

19. Pregnancy and Pre-Conception:

    • Weight management considerations before, during, and after pregnancy.

20. Racial, Ethnic, and Cultural Considerations:

    • Health disparities and culturally sensitive care.

    • Addressing social determinants of health.

21. Weight Stigma and Bias:

    • Recognizing and mitigating bias in clinical practice.

    • Patient-centered language and respectful communication.

Chapter 7: Long-Term Management and Maintenance

22. Weight Maintenance Strategies:

    • The challenge of weight regain.

    • Importance of ongoing support and monitoring.

    • Behavioral strategies for maintenance.

23. Relapse Prevention and Management:

    • Identifying triggers for weight regain.

    • Developing coping mechanisms.

    • Intensifying interventions when needed.

24. Role of the Healthcare Team in Long-Term Care:

    • Collaborative care and interdisciplinary approaches.

    • Patient-centered medical home model.

Chapter 8: Future Directions and Research Needs

25. Emerging Therapies and Technologies:

    • New pharmacological agents, device-based therapies.

    • Digital health solutions, AI in weight management.

26. Personalized Medicine in Obesity Management:

    • Genetics, metabolomics, gut microbiome.

    • Tailoring interventions based on individual biological profiles.

27. Policy and Public Health Implications:

    • The role of broader societal interventions.

    • Collaboration between clinical care and public health efforts.

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