Mr Jones, a 54-year-old patient with diabetes, hypertension, and hyperlipidemia, comes to you as a new patient. You immediately notice that he is obese, the disorder underlying all his other health problems, and, glancing at his chart, you notice that the body mass index calculated by your nurse is 34.5. When you ask Mr Jones what guidance his previous physician had given him about losing weight, he says, “No one has said anything about that.” Should you be surprised?
In one study, 58% of obese adult patients in the previous 12 months did not receive any advice from a physician or other health professional to lose weight.1 The reasons physicians gave varied from thinking that their advice would not be heeded to fear of offending their patients. The very well-written Assessment and Management of
Adult Obesity: A Primer for Physicians is intended to provide the primary care physician with the training and tools to manage the difficult and increasingly prevalent problem of obesity.
Pisarik P. Obesity. JAMA. 2005;293(3):369–375. doi:10.1001/jama.293.3.371
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