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Obesity and The Obesity Epidemic: A Provider's Viewpoint

Obesity and The Obesity Epidemic: A Provider's Viewpoint. Arlo Kahn, MD UAMS Dept. of Family and Preventive Medicine. Food Industry. Food Marketing. Worksite Environment. School Environment. Home Environment. Built Environment.

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Obesity and The Obesity Epidemic: A Provider's Viewpoint

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  1. Obesity and The Obesity Epidemic: A Provider's Viewpoint Arlo Kahn, MD UAMS Dept. of Family and Preventive Medicine

  2. Food Industry Food Marketing Worksite Environment School Environment Home Environment Built Environment

  3. 2000 Obesity Task Force Report on the impact of obesity in Arkansas • 2002 Arkansas Preventive Nutrition and Physical Activity Summit: Prioritize strategies, build coalitions, develop plans • 2008 Arkansas Obesity Policy Summit: Top 10 Policy Recommendations

  4. The Risks of Obesity • Coronary heart disease, congestive heart failure • Cancer of breast, prostate, colon, uterus, liver, kidney, pancreas, esophagus (cancer mortality 50-60% higher) • Stroke • Hypertension, diabetes mellitus, high cholesterol • Arthritis, gout • Gallbladder disease • Incontinence, poor female reproductive health • Sleep apnea, asthma, other respiratory problems

  5. Obesity Epidemic Obesity Individuals and families Clinical Services Treatment oriented (primarily) • Public Health • Policy and Programs • Prevention oriented

  6. For every complex problem there is a solution that is simple, neat, and wrong. H.L. Mencken

  7. What Can Health Care Providers Do to Treat Obesity? • Counsel • Prescribe Drugs • Surgery • Advocacy

  8. USPSTF Evidence-Based Recommendation • Offer or refer obese adults and children aged 6 years and older to comprehensive, intensive behavioral interventions to promote improvement in weight status

  9. Conclusion Given the overwhelming problem and limited resources , health care providers need good evidence to guide the treatment of obesity and its related conditions!

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