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Home » Long Term Weight Loss » Obesity- The new addiction – Times of India

Any kind of addiction needs both medical and behavioral interventions. Obesity even today is not commonly looked upon as a disease. People who have weight issues are not treated well and often made fun off. As with the most chronic diseases it is important that obesity is also treated with care and proper involvement of health professionals. Obesity is not only an epidemic it may even be considered as an addiction which is very difficult to get rid of. Obesity management needs all sorts of intervention from drugs to diet to exercise to surgery to behavioral support. Although studies done so far have no conclusive outcome on behavior being a modality for reasonable and sustainable weight loss but further studies in this direction will definitely show the way.

Endocrine Society released new guidelines on the treatment of obesity which includes the following:

1. Diet, exercise, and behavioral modification to be a part of all obesity management protocols.

2. Obesity management to be followed for anyone with Body Mass Index (BMI) of 25 kg/m 2 or higher.

3. Drugs may be used in patients where weight loss routine adherence is an issue.

4. To make weight loss doable and to promote long-term weight maintenance, approved weight loss medication can be used.

5. Anti-diabetic medications that promote weight loss (such as Glucagon-Like Peptide-1 [GLP-1] analogs or Sodium-Glucose-Linked Transporter-2 [SGLT-2] inhibitors should be used for obese diabetics.

6. In hypertensive patients use of Angiotensin-Converting Enzyme (ACE) inhibitors, Angiotensin Receptor Blockers (ARBs), and calcium channel blockers are preferred.

7. Oral contraception recommended over injectables in women with a BMI of 27 kg/m 2 or more.

With these guidelines, recently a study published in Preventive Medicine, looked at the role of behavioral intervention to manage obesity. This study looked at research published in the month of February 2016 across various databases and identified twelve studies representing 1862 participants with a mean BMI of 37.5-48.3 kg/m 2 and a mean age of 30-54 years. The study looked at both behavioral and pharmacological interventions both together and independently. The evaluated data was not able to clearly establish the relationship of behavioral intervention as a sustainable modality in reducing weight over a period of 12 months. The authors of this study suggest a more scalable study on interventions in weight management to be undertaken. In such a situation where obesity is becoming a real challenge to mankind we really need to broaden our understanding of this condition and tackle it effectively so that those suffering because of this can lead a healthy and better lifestyle.

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Obesity- The new addiction - Times of India

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Home » Long Term Weight Loss » Obesity- The new addiction – Times of India