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	Institution: CLOCKSS  | My Account | E-mail Alerts | Access Rights | Sign In Vol. 8 No. 2, March 1999   Archives  •  Online Features Clinical Review  This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (34)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Obesity  • Surgery  • Bariatric Surgery  • Gastrointestinal/ Upper Foregut  • Alert me on articles by topic Treating the Obese Patient Suggestions for Primary Care Practice Drew A. Anderson, PhD; Thomas A. Wadden, PhD Arch Fam Med. 1999;8:156-167. Obesity is a major health problem in America. Weight loss is associated with improvements in obesity-related health complications, but patients and practitioners are frequently disappointed by the long-term results of weight control efforts. Recent research has yielded new findings concerning the causes of obesity, as well as new goals for obesity treatment. Traditionally, the goal of therapy has been reduction to ideal weight. Several scientific bodies, however, now recommend a more modest 5% to 15% reduction in initial weight. Current options for weight loss include behavioral or pharmacological management provided during primary care visits, self-help and commercial programs, hospital-based interventions, and bariatric surgery. Regardless of the approach selected, long-term care usually is required to facilitate the maintenance of weight loss. From the Department of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia. Dr Anderson is now with the Department of Psychology, University at Albany–State University of New York, Albany. RELATED ARTICLE The Archives of Family Medicine Continuing Medical Education Program Arch Fam Med. 1999;8(2):107-109. FULL TEXT   THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES Physical activity, diet and behaviour modification in the treatment of overweight and obese adults: a systematic review Soderlund et al. The Journal of the Royal Society for the Promotion of Health 2009;129:132-142. ABSTRACT   State of the Art Reviews: Relationship Between Diet/ Physical Activity and Health O'Neil and Nicklas AMERICAN JOURNAL OF LIFESTYLE MEDICINE 2007;1:457-481. ABSTRACT   Discussing childhood overweight and obesity with parents: a health communication dilemma Mikhailovich and Morrison J Child Health Care 2007;11:311-322. ABSTRACT   Obese women and the relation between cardiovascular risk profile and hormone therapy, glucose tolerance, and psychosocial conditions. Lidfeldt et al. Diabetes Care 2006;29:2477-2482. ABSTRACT | FULL TEXT   Interpreting current physical activity guidelines and incorporating them into practice for health promotion and disease prevention. Slack Am J Health Syst Pharm 2006;63:1647-1653. FULL TEXT   Weight Management Using Lifestyle Modification in the Prevention and Management of Type 2 Diabetes: Rationale and Strategies The American Diabetes Association et al. Clin. Diabetes 2005;23:130-136. FULL TEXT   Weight Management Through Lifestyle Modification for the Prevention and Management of Type 2 Diabetes: Rationale and Strategies: A statement of the American Diabetes Association, the North American Association for the Study of Obesity, and the American Society for Clinical Nutrition Klein et al. Diabetes Care 2004;27:2067-2073. FULL TEXT   Weight Loss Counseling Revisited Serdula et al. JAMA 2003;289:1747-1750. FULL TEXT   Underdiagnosis of Obesity at a Community Health Center Lemay et al. J Am Board Fam Med 2003;16:14-21. ABSTRACT | FULL TEXT   Obese Patients' Perceptions of Treatment Outcomes and the Factors That Influence Them Foster et al. Arch Intern Med 2001;161:2133-2139. ABSTRACT | FULL TEXT   Weight Control in the Physician's Office Ashley et al. Arch Intern Med 2001;161:1599-1604. ABSTRACT | FULL TEXT   Obese Women's Perceptions of Their Physicians' Weight Management Attitudes and Practices Wadden et al. Arch Fam Med 2000;9:854-860. ABSTRACT | FULL TEXT   A Pilot Study Examining Patient Response to a Weight Loss Workbook Designed to Be Used in a Family Medicine Outpatient Setting Lewis et al. Arch Fam Med 2000;9:759-764. ABSTRACT | FULL TEXT   Invited Review: The Medical Management of Obesity and the Role of Pharmacotherapy: An Update Apovian Nutr Clin Pract 2000;15:5-12. ABSTRACT   Teaching Case: Weight-Reduction Surgery: A Viable but Often Overlooked Option Guenter Nutr Clin Pract 2000;15:23-25. ABSTRACT   HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | PHYSICIAN JOBS | HELP CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP   © 1999 American Medical Association. All Rights Reserved.