Artículos de revistas
Revista Brasileira De Medicina. , v. 64, n. SPEC. ISS., p. 41 - 49, 2007.
Obesity is an epidemic disease in many countries, including Brazil. It is a multifactor disease, which depends on the interaction between genetic, behavioral and socio-cultural factors. It is important to recognize patients on risk of developing obesity and its co-morbidities in order to define objectives and improve treatment choices. The ideal weight concept must be changed to healthy weight concept. A 5 to 10% sustained weight loss has a positive effect on obese patient's health, even if the final proposed weight was not reached. The best approach is the combination of dietetic counseling and behavior changes (including physical activity) and anti-obesity medication in selected cases. No pharmacologic treatment must be used isolated. The conventional clinical treatment frequently fails in morbidly obese patients. Bariatric surgery is a safe option on these particular cases. However, the candidate to the bariatric surgery must be followed up by a multidisciplinary assistance group, even before surgery. Treatment success depends mainly on patient motivation. As obesity is a chronic disorder, treatment should be planned on a long term basis, according to the necessity of not only lose weight but also of the maintenance of this lost weight to really prevent co-morbidities. © Copyright Moreira Jr. Editora. Todos os direitos reservados.64SPEC. ISS.4149World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Report of a World Health Organization Consultation. Geneva: World Health Organization. 2000256. WHO Obesity Technical Report Series, no 894Diretrizes brasileiras de Obesidade, Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica, 2007I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome metabólica. 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