TITLE

Recognition, diagnosis and management of obesity after myocardial infarction

AUTHOR(S)
Lopez-Jimenez, F.; Malinski, M.; Gutt, M.; Sierra-Johnson, J.; Wady Aude, Y.; Rimawi, A.A.; Mego, P.A.; Thomas, R.J.; Allison, T.G.; Kirby, B.; Hughes-Borst, B.; Somers, V.K.
PUB. DATE
January 2005
SOURCE
International Journal of Obesity;Jan2005, Vol. 29 Issue 1, p137
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE:: We investigated the documentation of obesity as a medical problem, and subsequent management recommendations, in patients after myocardial infarction (MI). DESIGN:: We performed a cross-sectional analysis of a randomly selected sample of 627 patients discharged after an MI, from five US teaching hospitals between 1/1/01 and 12/31/02. Information was extracted from clinical notes using standardized definitions. RESULTS:: Mean body mass index (BMI) was 31±13?kg/m2, which was documented in only 14%of patients and had to be calculated post hoc in the rest. Waist circumference and waist/hip ratio were not documented at all; 83%of patients were overweight, 55%obese, and 8%morbidly obese. In only 20%of patients with BMI=30?kg/m2 was the diagnosis of obesity documented either as a current medical problem, as part of past medical history or as a final diagnosis. A dietary counseling was carried out in 61%of patients with BMI=25?kg/m2 and in 61%of patients with BMI<25?kg/m2, P=0.96. Weight loss was described as part of the goals/plan at discharge in 7%of overweight and 9%of obese patients. There was no change in either the level of recognition of obesity (22 vs 19%, P=0.3) or in the proportion of obese patients for whom weight loss was described as part of the goals/plan at discharge (8 vs 10%, P=0.7) before (n=301) compared to after (n=326) the Call to Action in Obesity by the Surgeon General in December 2001. CONCLUSION:: Obesity is underecognized, underdiagnosed and undertreated in persons with acute MI.International Journal of Obesity (2005) 29, 137-141. doi:10.1038/sj.ijo.0802831 Published online 2 November 2004
ACCESSION #
15329234

 

Related Articles

  • A multidisciplinary approach to weight management. Morton, B. J. // Asia Pacific Journal of Clinical Nutrition;2005 Supplement, Vol. 14, pS106 

    Background -- Obesity is a growing problem in Australia, in the year 2000, 67% adult males and 52% adult females were either overweight or obese. A weight loss of 5-10% body weight can result in significant health benefits. Successful long term weight loss programs include behavioural...

  • Dual Intragastric Balloon: Single Ambulatory Center Spanish Experience with 60 Patients in Endoscopic Weight Loss Management. Lopez-Nava, G.; Bautista-Castaño, I.; Jimenez-Baños, A.; Fernandez-Corbelle, J. // Obesity Surgery;Dec2015, Vol. 25 Issue 12, p2263 

    Background: Many obese patients fail conventional medical management and decline bariatric surgery. Less invasive weight loss options such as intragastric balloons may provide an opportunity to reach this large number of untreated patients. The aim of this study was to investigate the safety and...

  • "I lost 25 kilos". Parry, Jessica // Dolly;Nov2005, Issue 421, p65 

    Presents a narrative of how the author was able to lose 25 kilos. Biggest challenge of being an overweight teenage; Dietician who helped the author to create a weight loss program; Information on how the author's losing of weight changed her look as well as her outlook.

  • An Open Letter to Those Concerned About Obesity.  // Software Practitioner;Sep/Oct2012, Vol. 22 Issue 5, p3 

    The article offers the author's insights concerning the problem of several people in obesity. The author says that other people are spending huge amount of money to reduce weight and treat obesity. He states that Americans are being accustomed by excessive size of food portion at every meal....

  • A Heavy Truth. Gupta, Sanjay; Abedin, Shahreen A. // Time;9/3/2007, Vol. 170 Issue 10, p56 

    The article explains that a small percentage of doctors accurately record the overweight issues of their patients, which leads the author to believe that these doctors also neglect to urge their patients to lose weight. The article claims that patients who discuss their weight issues with a...

  • Size Blind.  // Women's Health;Nov2008, Vol. 5 Issue 9, p34 

    The article discusses a research on weight loss, with reference to a study published in the "British Medical Journal." According to the study, fewer people identify themselves as overweight or obese, even though they are growing heavier. Sara Bleich, a physician at the Johns Hopkins Bloomberg...

  • Zonisamide/bupropion combo associated with 15% weight loss in obese individuals.  // Endocrine Today;11/10/2008, Vol. 6 Issue 20, p7 

    The article discusses a study of the effect of a combination of zonisamide and bupropion on obese individuals, presented at the Obesity Society Annual Scientific Meeting in Phoenix, Arizona. Results showed that 56 individuals experienced a mean weight loss of 14% and 37 individuals achieved a...

  • The Treatment of Obesity: What's New, What's Recommended. Sarwer, David B.; Wadden, Thomas A. // Journal of Women's Health & Gender-Based Medicine;May99, Vol. 8 Issue 4, p483 

    The article deals with a study which reviewed weight loss recommendations and provide suggestions for assessing patients for weight loss treatment. The prevalence of obesity in the United States has increased, with approximately one third of American men and women considered obese. Obese...

  • Retention rates and weight loss in a commercial weight loss program. Finley, C. E.; Barlow, C. E.; Greenway, F. L.; Rock, C. L.; Rolls, B. J.; Blair, S. N. // International Journal of Obesity;Feb2007, Vol. 31 Issue 2, p292 

    Objective:To evaluate and describe retention rates and weight loss in clients participating in a commercial weight loss program.Subjects:A total of 60 164 men and women ages 18–79 years who enrolled in the Jenny Craig Platinum program between May 2001 and May 2002.Methods:Retention rates,...

Share

Other Topics