ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Management Of Adult Obesity In Primary Care
Dr.Nihal ALADAĞa
aAile Hekimliği AD, Kocaeli Üniversitesi Tıp Fakültesi, KOCAELİ
Obesity is a multifactorial disease negatively affecting the quality and duration of life. It is the result of a chronic imbalance between caloric intake and energy expenditure. Obesity is a major and independent risk factor for cardiovascular diseases and often coexistant with cardiovascular risk factors such as hypertension, dislipidemia, insulin resistance and hiperinsulinemia. Both in developed and developing countries, among all socioeconomic and age groups the prevalence of obesity is gradually increasing. Obesity and related comorbidities cause greater health care utilization and, in turn, lead to more expenditure. Obesity, which accounts for approximately 280.000 adult deaths per year in the United States, is, after smoking, the second most frequant cause of preventable mortality. The number of patients attending primary care units for weight management is increasing parallel to the prevalence of obesity. Thus, in most cases, obesity is diagnosed by the primary care physician. The primary care physician holds a unique position in the management of obesity, which should include preventive care as well as diagnosis, treatment and follow-up. The primary care physician should identify patients who are at risk and educate them about the importance of maintaining a healthy body weight. Management of obesity in primary care begins with accepting obesity as a chronic disease. For successful management of obesity, a systematic approach including assesment of risk factors is essential.Keywords: Obesity, primary care, case managementTurkiye Klinikleri J Med Sci 2004, 24:508-517
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