Latest & greatest articles for obesity

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Top results for obesity

181. Walkable neighborhoods and obesity: Evaluating effects with a propensity score approach Full Text available with Trip Pro

Walkable neighborhoods and obesity: Evaluating effects with a propensity score approach Research investigating the connection between neighborhood walkability and obesity often overlooks the issue of nonrandom residential selection.We use propensity score methods to adjust for the nonrandom selection into residential neighborhoods in this cross-sectional, observational study. The sample includes 103,912 women residing in Salt Lake County, Utah age 20 or older. We measured percentage living (...) in neighborhoods with more walkability, area level measures of neighborhood characteristics, and obesity (body mass index (BMI) > 30).Our findings confirm previous work that observes an association between living in more walkable neighborhoods and lower obesity. After adjusting for nonrandom selection, the odds of being obese when living in a less walkable neighborhood increase. Specifically, the odds ratio for being obese without the propensity score correction is 1.12. After adjusting for nonrandom selection

2017 SSM - population health

182. Effects of Bariatric Surgery in Obese Patients With Hypertension: The GATEWAY Randomized Trial (Gastric Bypass to Treat Obese Patients With Steady Hypertension) Full Text available with Trip Pro

Effects of Bariatric Surgery in Obese Patients With Hypertension: The GATEWAY Randomized Trial (Gastric Bypass to Treat Obese Patients With Steady Hypertension) Recent research efforts on bariatric surgery have focused on metabolic and diabetes mellitus resolution. Randomized trials designed to assess the impact of bariatric surgery in patients with obesity and hypertension are needed.In this randomized, single-center, nonblinded trial, we included patients with hypertension (using ≥2 (...) . Waist circumference, body mass index, fasting plasma glucose, glycohemoglobin, low-density lipoprotein cholesterol, triglycerides, high-sensitivity C-reactive protein, and 10-year Framingham risk score were lower in the gastric bypass than in the control group.Bariatric surgery represents an effective strategy for blood pressure control in a broad population of patients with obesity and hypertension.URL: https://clinicaltrials.gov. Unique identifier: NCT01784848.© 2017 The Authors.

2017 EvidenceUpdates

183. Naltrexone?bupropion for managing overweight and obesity

Naltrexone?bupropion for managing overweight and obesity Naltre Naltrex xone–bupropion for managing one–bupropion for managing o ov verweight and obesity erweight and obesity T echnology appraisal guidance Published: 12 December 2017 nice.org.uk/guidance/ta494 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guidance represent the view of NICE (...) . Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Naltrexone–bupropion for managing overweight and obesity (TA494) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 17Contents Contents 1 Recommendations 4 2 The technology 5 3 Committee discussion 6

2017 National Institute for Health and Clinical Excellence - Technology Appraisals

184. A Medically Supervised Pregnancy Exercise Intervention in Obese Women: A Randomized Controlled Trial Full Text available with Trip Pro

A Medically Supervised Pregnancy Exercise Intervention in Obese Women: A Randomized Controlled Trial To evaluate whether an intensive, medically supervised exercise intervention improved maternal glycemia and gestational weight gain in obese pregnant women when compared with routine prenatal care.This randomized controlled trial compared a medically supervised exercise intervention with routine prenatal care. The primary outcome was a reduction in mean maternal fasting plasma glucose (...) of gestation, excessive gestational weight gain greater than 9.1 kg was lower in the exercise group, 23.5% compared with 45.2% in the control group (P<.05).An intensive, medically supervised exercise intervention for obese women from early pregnancy did not improve maternal glycemia. Pregnant women who are obese, however, should be advised to exercise because it attenuates excessive gestational weight gain.International Standard Randomised Controlled Trials (ISRCTN) registry, ISRCTN 31045925.

2017 EvidenceUpdates

185. Simulation of Growth Trajectories of Childhood Obesity into Adulthood. Full Text available with Trip Pro

of the height in meters) of 35 or higher in adults and 120% or more of the 95th percentile in children.Given the current level of childhood obesity, the models predicted that a majority of today's children (57.3%; 95% uncertainly interval [UI], 55.2 to 60.0) will be obese at the age of 35 years, and roughly half of the projected prevalence will occur during childhood. Our simulations indicated that the relative risk of adult obesity increased with age and BMI, from 1.17 (95% UI, 1.09 to 1.29) for overweight (...) 2-year-olds to 3.10 (95% UI, 2.43 to 3.65) for 19-year-olds with severe obesity. For children with severe obesity, the chance they will no longer be obese at the age of 35 years fell from 21.0% (95% UI, 7.3 to 47.3) at the age of 2 years to 6.1% (95% UI, 2.1 to 9.9) at the age of 19 years.On the basis of our simulation models, childhood obesity and overweight will continue to be a major health problem in the United States. Early development of obesity predicted obesity in adulthood, especially

2017 NEJM

186. Excessive Weight Gain, Obesity, and Cancer: Opportunities for Clinical Intervention Full Text available with Trip Pro

of Public Health, George Washington University, Washington, DC. Richardson Lisa C LC Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia. eng CC999999 Intramural CDC HHS United States Journal Article United States JAMA 7501160 0098-7484 AIM IM JAMA. 2018 Jun 19;319(23):2442 29922821 Humans Neoplasms etiology Obesity complications epidemiology Overweight complications epidemiology Prevalence United States epidemiology Weight Gain 2017 10 4 6 0 2017 12 (...) Excessive Weight Gain, Obesity, and Cancer: Opportunities for Clinical Intervention 28973170 2017 12 13 2018 11 28 1538-3598 318 20 2017 Nov 28 JAMA JAMA Excessive Weight Gain, Obesity, and Cancer: Opportunities for Clinical Intervention. 1975-1976 10.1001/jama.2017.15519 Massetti Greta M GM Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia. Dietz William H WH Redstone Global Center for Prevention and Wellness, Milken Institute School

2017 JAMA

187. Disease burden and costs from excess alcohol consumption, obesity, and viral hepatitis: fourth report of the Lancet Standing Commission on Liver Disease in the UK. Full Text available with Trip Pro

to families, and the documented increase in alcohol consumption since removal of the above-inflation alcohol duty escalator. Alcoholic liver disease will shortly overtake ischaemic heart disease with regard to years of working life lost. The rising prevalence of overweight and obesity, affecting more than 60% of adults in the UK, is leading to an increasing liver disease burden. Favourable responses by industry to the UK Government's soft drinks industry levy have been seen, but the government cannot (...) Disease burden and costs from excess alcohol consumption, obesity, and viral hepatitis: fourth report of the Lancet Standing Commission on Liver Disease in the UK. This report contains new and follow-up metric data relating to the eight main recommendations of the Lancet Standing Commission on Liver Disease in the UK, which aim to reduce the unacceptable harmful consequences of excess alcohol consumption, obesity, and viral hepatitis. For alcohol, we provide data on alcohol dependence, damage

2017 Lancet

188. The Perceptions of Medical School Students and Faculty Toward Obesity Medicine Education: Survey and Needs Analysis Full Text available with Trip Pro

The Perceptions of Medical School Students and Faculty Toward Obesity Medicine Education: Survey and Needs Analysis Recent trends in obesity show that over two-thirds of US adults are considered at least overweight (body mass index, BMI≥25 kg/m2) and of those, about one-third are categorized as obese (BMI≥30 kg/m2). Physicians can address the health impacts of obesity; yet research has suggested that physicians-in-training frequently fail to recognize obesity, are not properly educated (...) , Endocrinology, and Wellness courses. Student knowledge about basic skills, such as measuring waist circumference, varied widely. About half of the students did not feel knowledgeable about recommending weight loss treatments. Most students did not feel prepared to provide interventions for patients in various categories of overweight/obesity, patients with psychosocial issues, obesity-related comorbidities, or failed weight loss attempts. However, most students did feel that it was their role as health

2017 JMIR medical education

189. Metabolic Concomitants of Obese and Nonobese Women With Features of Polycystic Ovarian Syndrome Full Text available with Trip Pro

Metabolic Concomitants of Obese and Nonobese Women With Features of Polycystic Ovarian Syndrome Polycystic ovarian syndrome (PCOS) is often associated with obesity and diabetes.The present study measured body fat distribution and metabolic risk factors in women with features of PCOS.Cross-sectional, multiethnic study of cardiovascular risks.General community.145 PCOS and 344 non-PCOS women.Body composition by dual x-ray absorptiometry; abdominal fat masses measured by magnetic resonance imaging (...) and hepatic triglyceride by magnetic resonance spectroscopy.Body composition, liver fat content, homeostatic model assessment for insulin resistance (HOMA-IR), revised, and metabolic syndrome components.PCOS women had a higher free androgen index compared with the non-PCOS women. Nonobese PCOS and non-PCOS women had a similar body fat content and distribution, HOMA-IR, and hepatic triglyceride content. Obese PCOS women had a similar total body fat percentage compared with their non-PCOS counterparts (41.4

2017 Journal of the Endocrine Society

190. An experimental therapeutics test of whether adding dissonance-induction activities improves the effectiveness of a selective obesity and eating disorder prevention program Full Text available with Trip Pro

, and excess body fat, and an obesity education video-control condition.College students at risk for both outcomes because of weight concerns (N=364, 72% female) were randomized to condition, completing pretest, posttest, and 6, 12 and 24-month follow-up assessments.Project Health participants showed significantly smaller increases in measured body mass index (BMI) through 2-year follow-up than both Healthy Weight participants and controls (both d=-0.18), and significantly lower onset of overweight/obesity (...) over 2-year follow-up than Healthy Weight participants and controls (13 vs 21% and 22%). Healthy Weight and Project Health participants showed significantly greater eating disorder symptom reductions than controls through 2-year follow-up. Healthy Weight and Project Health participants showed marginally lower eating disorder onset over follow-up than controls (3 and 3% vs 8% respectively).The reduced increases in BMI and future overweight/obesity onset for Project Health relative to both an active

2017 EvidenceUpdates

191. Nutrition and Exercise Rehabilitation in Obesity hypoventilation syndrome (NERO): a pilot randomised controlled trial (Abstract)

Nutrition and Exercise Rehabilitation in Obesity hypoventilation syndrome (NERO): a pilot randomised controlled trial Respiratory management of obesity hypoventilation syndrome (OHS) focusses on the control of sleep-disordered breathing rather than the treatment of obesity. Currently, there are no data from randomised trials of weight loss targeted rehabilitation programmes for patients with OHS.A 3-month multimodal hybrid inpatient-outpatient motivation, exercise and nutrition rehabilitation

2017 EvidenceUpdates

192. Parents’ perceptions of reasons for excess weight loss in obese children: a peer researcher approach Full Text available with Trip Pro

Parents’ perceptions of reasons for excess weight loss in obese children: a peer researcher approach This study reports on the process of conducting participatory research by training peer researchers to conduct interviews and analyse data collected with parents of overweight children. The methodology was chosen as a means of (a) encouraging participation among a hard-to-engage group (i.e., parents of overweight children), and (b) generating novel insights and challenging academic/health (...) professional assumptions through the involvement of parents in the interpretation of findings.Four parents (all female) were recruited as peer researchers and trained in research processes, ethics, and interview skills over three half-day workshops. The intended interviewees were parents of children identified as obese through the National Child Measurement Programme (NCMP) at the start of primary school (age 4-5) but who had lost their excess weight by age 10-11; little is currently known about how

2017 Research involvement and engagement

193. Obesity and risk of monoclonal gammopathy of undetermined significance and progression to multiple myeloma: a population-based study Full Text available with Trip Pro

, 2.66; 95% confidence interval, 1.17-6.05). To conclude, obesity was not associated with MGUS. However, we found overweight/obesity to be a risk factor for progression from MGUS to MM and other LP diseases, suggesting that obesity plays a role in the transformation of MGUS to MM. (...) Obesity and risk of monoclonal gammopathy of undetermined significance and progression to multiple myeloma: a population-based study All multiple myeloma (MM) cases are preceded by the premalignant state monoclonal gammopathy of undetermined significance (MGUS). Results from previous studies show a positive association between obesity and MM; however, the association between obesity and MGUS is controversial. The aims were to determine (1) if obesity is associated with an increased risk of MGUS

2017 Blood advances

194. Prevalence of diabetes mellitus and its relation with obesity in Turaif (Saudi Arabia) in 2017 Full Text available with Trip Pro

Prevalence of diabetes mellitus and its relation with obesity in Turaif (Saudi Arabia) in 2017 The significant increase in the prevalence of obesity over past decades caused the concomitant rise in the incidence of glucose intolerance and diabetes.To determine the prevalence of diabetes among Saudi nationals in Turaif, Kingdom of Saudi Arabia and to examine the association between diabetes and obesity in the studied population.This study was conducted during the period from May 01 to May 31

2017 Electronic physician

195. Vitamin D receptor gene polymorphisms as a risk factor for obesity in Saudi men Full Text available with Trip Pro

March 2016 through March 2017. Three hundred Saudi male students (from applied medical sciences in Taif University, Taif, Saudi Arabia) were classified according to BMI into lean, overweight and obese groups. For each individual, blood glucose, cholesterol, HDL-C, LDL-C, insulin and 25-(OH) vitamin D were measured. In addition, Apal, BsmI and TaqI genotypes were performed for each individual from March 2016 through March 2017, through computer-based search of the following databases: PubMed, Web (...) Vitamin D receptor gene polymorphisms as a risk factor for obesity in Saudi men The prevalence of obesity and vitamin D deficiency in Saudi Arabia has increased recently. Decreased physical activity might play a role in obesity. Previous studies showed an association between low vitamin D level and its receptor polymorphism with obesity development.To determine association of low vitamin D level and its receptor polymorphism with obesity in Saudi men.This case control study was carried out from

2017 Electronic physician

196. Obesity in individuals with schizophrenia: a case controlled study in Scotland Full Text available with Trip Pro

Obesity in individuals with schizophrenia: a case controlled study in Scotland Despite extensive clinical concern about rates of obesity in patients with schizophrenia, there is little evidence of the extent of this problem at a population level.To estimate levels of obesity in a national population sample by comparing patients with schizophrenia with matched controls.We calculated levels of obesity for each patient with schizophrenia from the national Primary Care Clinical Informatics Unit (...) database (n=4658) matched with age, gender and neighbourhood controls.We demonstrated a significant increased obesity hazard for the schizophrenia group using Cox regression analysis, with odds ratio (OR) of 1.94 (95% CI 1.81-2.10) (under the assumption of missing body mass index (BMI) indicating non-obesity) and OR=1.68 (95% CI 1.55-1.81) where no assumptions were made for missing BMI data.People with schizophrenia are at increased risk of being obese compared with controls matched by age, gender

2017 BJPsych open

197. Association between insulin resistance and preeclampsia in obese non-diabetic women receiving metformin Full Text available with Trip Pro

Association between insulin resistance and preeclampsia in obese non-diabetic women receiving metformin To examine whether the reduced incidence of preeclampsia in non-diabetic obese pregnant women treated with metformin is mediated by changes in insulin resistance.This was a secondary analysis of obese pregnant women in a randomised trial (MOP trial). Fasting plasma glucose and insulin were measured in 384 of the 400 women who participated in the MOP trial. Homeostasis model assessment (...)  = 0.643).Reduced incidence of preeclampsia in non-diabetic obese pregnant women treated with metformin is unlikely to be due to changes in insulin resistance.

2017 Obstetric medicine Controlled trial quality: uncertain

198. The impact of the speed of food intake on gastroesophageal reflux events in obese female patients. (Abstract)

The impact of the speed of food intake on gastroesophageal reflux events in obese female patients. Obesity increases the risk of gastroesophageal reflux disease (GERD). The majority of the reflux attacks occur postprandially. The influence of the speed of food intake on gastroesophageal reflux events is unclear in obese patients. To determine the influence of the speed of food intake on intraesophageal reflux events in obese patients with and without GERD. A total of 26 obese female patients (...) . There was no effect of the speed of food intake in either the patients with or without GERD. In contrast to the general belief, this study suggested that the speed of food intake does not influence the number of refluxes in obese female patients with or without GERD.© 2016 International Society for Diseases of the Esophagus.

2017 Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus Controlled trial quality: uncertain

199. Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Full Text available with Trip Pro

Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Underweight, overweight, and obesity in childhood and adolescence are associated with adverse health consequences throughout the life-course. Our aim was to estimate worldwide trends in mean body-mass index (BMI) and a comprehensive set of BMI categories that cover underweight to obesity (...) for children and adolescents (referred to as moderate and severe underweight hereafter), 2 SD to more than 1 SD below the median (mild underweight), 1 SD below the median to 1 SD above the median (healthy weight), more than 1 SD to 2 SD above the median (overweight but not obese), and more than 2 SD above the median (obesity).Regional change in age-standardised mean BMI in girls from 1975 to 2016 ranged from virtually no change (-0·01 kg/m2 per decade; 95% credible interval -0·42 to 0·39, posterior

2017 Lancet

200. Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition

Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition Guideline Updates for the Integrated Management of Childhood Illness (IMCI)GUIDELINE Assessing and managing children at primary health-care facilities to prevent overweight and obesity (...) in the context of the double burden of malnutrition UPDATES FOR THE INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)Guideline: assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition. Updates for the Integrated Management of Childhood Illness (IMCI) ISBN 978-92-4-155012-3 © World Health Organization 2017 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial- ShareAlike

2017 World Health Organisation Guidelines