Adam Gilden Tsai, MD, MSCE; Daniel H. Bessesen, MD
CME Objective: To review current evidence for screening, prevention, diagnosis, treatment, and practice improvement of obesity.
Funding Source: American College of Physicians.
Disclosures: Dr. Tsai, ACP Contributing Author, has nothing to disclose. Dr. Bessesen, ACP Contributing Author, reports other support from EnteroMedics/ReShape Lifesciences outside the submitted work. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-2783.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Procter & Gamble, Pfizer, and Johnson & Johnson.
With the assistance of additional physician writers, the editors of Annals of Internal Medicine develop In the Clinic using MKSAP and other resources of the American College of Physicians.
In the Clinic does not necessarily represent official ACP clinical policy. For ACP clinical guidelines, please go to https://www.acponline.org/clinical_information/guidelines/.
The role of internists in evaluating obesity is to assess the burden of weight-related disease, mitigate secondary causes of weight gain (medications, sleep deprivation), and solicit patient motivation for weight loss. Internists should assess these factors and emphasize the importance of weight loss for the individual patient. All patients wishing to lose weight should be encouraged to monitor their diet and physical activity and should be referred to high-intensity behavioral programs. Some patients with obesity may also benefit from pharmacotherapy or bariatric surgery.
Tsai AG, Bessesen DH. Obesity. Ann Intern Med. ;170:ITC33–ITC48. doi: 10.7326/AITC201903050
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Published: Ann Intern Med. 2019;170(5):ITC33-ITC48.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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