Clinical Management of Overweight and Obesity: by Paolo Sbraccia, Enzo Nisoli, Roberto Vettor

By Paolo Sbraccia, Enzo Nisoli, Roberto Vettor

These instructions make thoughts in regards to the administration of people with a physique mass index more than 25.0 kg/m2 and canopy all age teams, from little ones to the aged, in addition to a number of sufferer subsets. quite a number measures to yield wellbeing and fitness merits are set out, together with fit consuming plans, elevated actual job, and behavioral differences to assist sufferers to control weight problems. moreover, strategies are made at the use of bariatric surgical procedure and the hot antiobesity medicines. during the strategy of constructing the thoughts, each try out used to be made to make sure use of a rigorous, evidence-based process. the ideas are promoted through the Italian Society of weight problems (SIO) and have been formulated in compliance with a prespecified strategy overseen by way of a guidance committee. they're meant to be used by way of quite a lot of clinicians, together with common practitioners, basic future health care nurses, and first healthiness care pros, and should with a bit of luck end up of worth in struggling with the weight problems epidemic not just in Italy yet throughout Europe and somewhere else on the earth.

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Ekelund U, Ward HA, Norat T, Luan J, May AM, Weiderpass E et al (2015) Physical activity and all-cause mortality across levels of overall and abdominal adiposity in European men and women: the European Prospective Investigation into Cancer and Nutrition Study (EPIC). Am J Clin Nutr 101(3):613–621 11. American College of Sports Medicine (1998) American College of Sports Medicine Position Stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults.

Its importance is recognized for the first time in 1972 by the work of L. Miller [1], which becomes a continuous process integrated in health care. Therapeutic education is an essential part in the management of chronic patients. Its purpose is to implement the knowledge about the disease and its management and to change the associated behaviors in order to achieve a better management of the disease itself. Moreover, education allows us to understand and Recommendations and Grades of Evidence The techniques of behavioral therapy, in addition to lifestyle modification, are more effective in the treatment of obese patients compared to intervention on lifestyle only.

However, there are no randomized, controlled clinical trials that are specific, adequate, and of sufficient duration to allow defining the required amount. Considering these limitations, at the present state of knowledge, weight maintenance (weight gain <3 %) can be associated to the practice of at least 60 min of walking per day at moderate intensity (about 5–6 km). In line with NICE recommendations, the advice to people who have been obese and have lost weight is that they may need to do 60–90 min of activity a day to avoid regaining weight [41].

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