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The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings
PURPOSE OF REVIEW: While obesity-related comorbidities are frequently addressed and treated in primary care (PC), obesity itself is undertreated. We review the current treatments for obesity and provide potential provider and system-level strategies for integrating weight management and improving lo...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300078/ https://www.ncbi.nlm.nih.gov/pubmed/34297343 http://dx.doi.org/10.1007/s13679-021-00444-y |
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author | Tucker, Shanna Bramante, Carolyn Conroy, Molly Fitch, Angela Gilden, Adam Wittleder, Sandra Jay, Melanie |
author_facet | Tucker, Shanna Bramante, Carolyn Conroy, Molly Fitch, Angela Gilden, Adam Wittleder, Sandra Jay, Melanie |
author_sort | Tucker, Shanna |
collection | PubMed |
description | PURPOSE OF REVIEW: While obesity-related comorbidities are frequently addressed and treated in primary care (PC), obesity itself is undertreated. We review the current treatments for obesity and provide potential provider and system-level strategies for integrating weight management and improving longer term obesity care within PC settings. RECENT FINDINGS: We now understand that the body develops multiple mechanisms to resist weight loss and promote weight regain, making both weight loss and weight loss maintenance challenging. Therefore, weight management often requires medically supervised interventions and should be treated on a long-term basis. However, there are multiple barriers to improving obesity care within PC settings. SUMMARY: Clinically, utilizing strategies such as a shared decision-making approach and the 5As to discuss treatment options can facilitate formulating an obesity treatment plan. Utilizing telehealth, a team-based approach, and community partnering can increase patient access to intensive behavioral interventions. Future studies should evaluate other cost-effective methods to implement obesity care into the PC setting. |
format | Online Article Text |
id | pubmed-8300078 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-83000782021-07-26 The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings Tucker, Shanna Bramante, Carolyn Conroy, Molly Fitch, Angela Gilden, Adam Wittleder, Sandra Jay, Melanie Curr Obes Rep Obesity Treatment (D Bessesen, Section Editor) PURPOSE OF REVIEW: While obesity-related comorbidities are frequently addressed and treated in primary care (PC), obesity itself is undertreated. We review the current treatments for obesity and provide potential provider and system-level strategies for integrating weight management and improving longer term obesity care within PC settings. RECENT FINDINGS: We now understand that the body develops multiple mechanisms to resist weight loss and promote weight regain, making both weight loss and weight loss maintenance challenging. Therefore, weight management often requires medically supervised interventions and should be treated on a long-term basis. However, there are multiple barriers to improving obesity care within PC settings. SUMMARY: Clinically, utilizing strategies such as a shared decision-making approach and the 5As to discuss treatment options can facilitate formulating an obesity treatment plan. Utilizing telehealth, a team-based approach, and community partnering can increase patient access to intensive behavioral interventions. Future studies should evaluate other cost-effective methods to implement obesity care into the PC setting. Springer US 2021-07-23 2021 /pmc/articles/PMC8300078/ /pubmed/34297343 http://dx.doi.org/10.1007/s13679-021-00444-y Text en © This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Obesity Treatment (D Bessesen, Section Editor) Tucker, Shanna Bramante, Carolyn Conroy, Molly Fitch, Angela Gilden, Adam Wittleder, Sandra Jay, Melanie The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings |
title | The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings |
title_full | The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings |
title_fullStr | The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings |
title_full_unstemmed | The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings |
title_short | The Most Undertreated Chronic Disease: Addressing Obesity in Primary Care Settings |
title_sort | most undertreated chronic disease: addressing obesity in primary care settings |
topic | Obesity Treatment (D Bessesen, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8300078/ https://www.ncbi.nlm.nih.gov/pubmed/34297343 http://dx.doi.org/10.1007/s13679-021-00444-y |
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