Twenty years ago, a child was rarely diagnosed with type 2 diabetes, and poverty was typically associated with malnutrition rather than obesity. Now, two-thirds of adults and one-third of children present to their primary care clinicians with obesity. Obesity and its associated comorbid conditions are presenting clinicians with new demands during an increasingly shortened typical clinical encounter.
Unlike other chronic conditions, relatively few safe and effective medications are available for the treatment of obesity. Behavioral change serves as the major component of therapy and prevention of further weight gain. Many clinicians have not been trained in the application of motivational interviewing and other techniques used to lead patients to maintain a healthy diet and increased physical activity. Caroline Apovian and Carine Lenders have assembled A Clinical Guide for Management of Overweight and Obese Children and Adults to empower the clinician with the tools needed to meet the new demands presented by this major public health epidemic.
Trasande L. A Clinical Guide for Management of Overweight and Obese Children and Adults. JAMA. 2007;298(4):462-466. doi:10.1001/jama.298.4.463-a