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[ANMCO Position paper: Obesity in adults - A clinical primer].

Authors :
Di Fusco SA
Mocini E
Gori M
Iacoviello M
Bilato C
Corda M
De Luca L
Di Marco M
Geraci G
Iacovoni A
Milli M
Navazio A
Pascale V
Riccio C
Scicchitano P
Tizzani E
Gabrielli D
Grimaldi M
Colivicchi F
Oliva F
Source :
Giornale italiano di cardiologia (2006) [G Ital Cardiol (Rome)] 2024 May; Vol. 25 (5), pp. 352-366.
Publication Year :
2024

Abstract

Obesity is a chronic and relapsing disease due to the coexistence of a patient with predisposing individual characteristics and an obesogenic environment. The recent acquisition of detailed knowledge on the mechanisms underlying the energetic homeostasis paved the way to more effective therapeutic hypotheses as compared to traditional treatments. Since obesity is a complex issue, it requires a multidisciplinary approach which is difficult to implement. However, new drugs appear promising. Currently, therapeutic success is discrete in the short term, but unsatisfying in the long term due to the high probability of body weight gain. Cardiologists play a key role in managing patients with obesity, but they are not used to manage them. The aim of this document is to summarize knowledge that clinicians need to have to appropriately manage these patients. The paper emphasizes the pivotal role of an appropriate relationship with the patient to embark on a successful treatment journey. We analyze the criteria commonly used to diagnose obesity and point out strengths and limitations of different criteria. Furthermore, we discuss the figure of the obesitologist and the role of the cardiologist. In addition, we report the main components of an effective therapeutic strategy, from educational questions to pharmacological options.

Subjects

Subjects :
Adult
Humans
Obesity complications

Details

Language :
Italian
ISSN :
1972-6481
Volume :
25
Issue :
5
Database :
MEDLINE
Journal :
Giornale italiano di cardiologia (2006)
Publication Type :
Academic Journal
Accession number :
38639127
Full Text :
https://doi.org/10.1714/4252.42300