Adult obese patient in primary care

Česká verzia

Authors: Marie Kunešová ¹; Pavla Kalousková ¹; Radka Taxová Braunerová ¹; Martina Jakoubková ¹; Hana Zamrazilová ¹; Martin Wagenknecht ¹; Petr Sucharda ²; Dana Müllerová ³; Martin Fried ⁴; Martin Haluzík ⁵; Vojtěch Hainer ¹
Authors place of work: Endokrinologický ústav, Praha ¹; 3. interní klinika 1. LF UK a VFN v Praze ²; Ústav hygieny a preventivní medicíny LF UK v Plzni ³; OB klinika, Praha ⁴; Institut klinické a experimentální medicíny, Praha ⁵
Published in the journal: Čas. Lék. čes. 2020; 159: 104-110
Category: Review Article

Summary

Overweight and obesity prevalence in middle aged subjects in the Czech Republic is more than 50 per cent, obesity is found in around 26 per cent of population. Obesity management is a long-term and time-consuming process. Early start of the treatment can prevent continuous weight gain and development of co-morbidities. General practitioners see obese patients usually as the first and they represent the first point of contact for adults with obesity. The basis of obesity management is a change of the lifestyle with added pharmacotherapy and/or bariatric/metabolic surgery. The paper presents overview of methods in obesity diagnostics and management and possibilities of their use in GPs’ daily practice.

Keywords:

Diet – pharmacotherapy – obesity diagnostics – bariatric/metabolic surgery

Zdroje

Svačina Š, Fried M, Býma S, Matoulek M. Obezita. Novelizace 2018. Doporučené diagnostické a terapeutické postupy pro praktické lékaře. Centrum doporučených postupů pro praktické lékaře, SVL ČLS JEP, 2018. Dostupné na: www.svl.cz/files/files/Doporucene-postupy/2017/DP-Obezita-2018.pdf
Lisá L, Kytnarová J, Stožický F a kol. Doporučený postup prevence a léčby dětské obezity. Česko-slovenská pediatrie 2008; 63: 501–507.
Kytnarová J, Aldhoon Hainerová I, Boženský J a kol. Obezita u dětí. Standard léčebného plánu. Česká obezitologická společnost ČLS JEP, 2011. Dostupné na: www.obesitas.cz/download/doporuceny_postup_prevence_a_lecby_detske_obezity.pdf
Durrer-Schutz D, Busetto L, Dicker D et al. European practical and patient-centred guidelines for adult obesity management in primary care. Obes Facts 2019; 12: 40–66.
Tsigos C, Hainer V, Basdevant A et al. Management of obesity in adults: European clinical practice guidelines. Obes Facts 2008; 1: 106–116.
Tsigos C, Hainer V, Basdevant A et al. Léčba obezity dospělých: Evropská doporučení pro praxi. Česká obezitologická společnost ČLS JEP, 2009. Dostupné na: www.obesitas.cz/download/doporuceni_lecba_obezity_dospelych.pdf
Fried M, Yumuk V, Oppert JM et al. Interdisciplinary European guidelines on metabolic and bariatric surgery. Obes Facts 2013; 6: 449–468.
Fried M, Yumuk V, Opert JM et al. Interdisciplinární evropská doporučení metabolické a bariatrické chirurgie. Česká obezitologická společnost ČLS JEP, 2014. Dostupné na: www.obesitas.cz/download/interdisciplinarni_evropska_doporuceni_metabolicke_a_bariatricke_chirurgie.pdf
Stav obezity v České republice. Výsledky výzkumu STEM/MARK a VZP 2013. Dostupné na: www.slideshare.net/stemmark/obezita-2013-stemmark-vzp
Kunešová M a kol. Základy obezitologie. Galén, Praha, 2016.
Hainer V a kol. Základy klinické obezitologie. Grada, Praha, 2011.
Müllerová D a kol. Obezita – prevence a léčba. Mladá fronta, Praha, 2011.
O'Keeffe M, Flint SW, Watts K, Rubino F. Knowledge gaps and weight stigma shape attitudes toward obesity. Lancet Diabetes Endocrinol 2020; 8: 363–365.
Flicker L, McCaul KA, Hankey GJ et al. Body mass index and survival in men and women aged 70 to 75. J Am Geriatr Soc 2010; 58: 234–241.
Javed AA, Aljied R, Allison DJ et al. Body mass index and all-cause mortality in older adults: a scoping review of observational studies. Obes Rev 2020; 21: e13035.
Vignerová J, Bláha P. Obezita u dětí a dorostu v České republice – dlouhodobé změny, metody sledování. In: Lisá L, Pařízková J a kol.: Obezita v dětství a dospívání. Terapie a prevence. Galén, Praha, 2007: 27–62.
WHO expert consultation. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 2004; 363: 157–163.
Yumuk V, Tsigos C, Fried M et al. European guidelines for obesity management in adults. Obes Facts 2015; 8: 402–424.
Garvey WT, Mechanick JI, Brett EM et al. American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract 2016; 22 (Suppl. 3): 1–203.
Svačina Š a kol. Klinická dietologie. Grada, Praha, 2008.
Lee CD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all-cause and cardiovasculardisease mortality in men. Am J Clin Nutr 1999; 69: 373–380.
STOB. Stop obezitě. Dostupné na: www.stob.cz
Busetto L, Dicker D, Azran C et al. Practical recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the post-bariatric surgery medical management. Obes Facts 2017; 10: 597–632.
Lean ME, Han TS, Morrison CE. Waist circumference as a measure for indicating need for weight management. BMJ 1995; 311: 158–161.

Štítky

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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