When 'One Size' Doesn't Fit All

Director, UNC Physicians Network Weight Management Program, UNC Family Medicine, Hillsborough, North Carolina 0

Instead, a more personalized and nuanced approach that considers many factors — such as the comorbidities and the patient's values and circumstances — is necessary for better long-term outcomes. In our initial assessment, we use a standard template to perform a comprehensive evaluation of their medical, lifestyle, and social and familial factors that have contributed to their weight gain and the impact of weight gain on their functioning and the quality of life. ), oral crowding, liver enlargement, central vs general adiposity, mobility impairments, and other related signs and symptoms. This thorough assessment lays the groundwork for tailored management approaches.

Lifestyle modification alone works well to prevent obesity and to treat mild overweight status without any comorbidities. But for patients with well-established obesity with multiple comorbidities, pharmacotherapy plus lifestyle intervention should be the initial treatment.

After regular follow-up visits for over a year, Mary lost 30 pounds and had a 2-inch reduction in her waist circumference. Her A1c is now 5.4 and her BMI is 23. She mostly packs her lunch and focuses on food quality . She engages in regular physical activity. Mary has internalized these healthy eating and physical activity habits, and understands that these changes are not temporary fixes but long-term lifestyle changes needed to maintain weight loss and stay healthy.

Obese Body Mass Index BMI Surgery Weight Management Weight Loss Sleep Apnea Sleep Apnoea Sleep Disturbance Abnormal Sleep Pattern Sleep Disorder Somnipathy North Carolina Exercise Physical Activity Metabolism Metabolic Quality Of Life QOL Health Related Quality Of Life Health-Related Quality Of Life HRQOL Diabetes Mellitus Type 2 Diabetes Mellitus Type Ii Type 2 Diabetes

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