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dc.typeArtigo de periódicopt_BR
dc.titleObesity [obesidade]pt_BR
dc.contributor.authorGeloneze B.pt_BR
dc.contributor.authorErmetice M.N.pt_BR
dc.contributor.authorGeloneze S.R.pt_BR
unicamp.authorGeloneze, B., LIMED - Laboratório de Investigação em Metabolismo e Diabetes, Universidade Estadual de Campinas - UNICAMP, Rua Camargo Paes. 251 - Jd. Guanabara, CEP 13073-350 - Campinas - SP, Brazilpt_BR
unicamp.authorErmetice, M.N., LIMED - Laboratório de Investigação em Metabolismo e Diabetes, Universidade Estadual de Campinas - UNICAMPpt_BR
unicamp.authorGeloneze, S.R., LIMED - Laboratório de Investigação em Metabolismo e Diabetes, Universidade Estadual de Campinas - UNICAMPpt_BR
dc.description.abstractObesity is an epidemic disease in many countries, including Brazil. It is a multifactor disease, which depends on the interaction between genetic, behavioral and socio-cultural factors. It is important to recognize patients on risk of developing obesity and its co-morbidities in order to define objectives and improve treatment choices. The ideal weight concept must be changed to healthy weight concept. A 5 to 10% sustained weight loss has a positive effect on obese patient's health, even if the final proposed weight was not reached. The best approach is the combination of dietetic counseling and behavior changes (including physical activity) and anti-obesity medication in selected cases. No pharmacologic treatment must be used isolated. The conventional clinical treatment frequently fails in morbidly obese patients. Bariatric surgery is a safe option on these particular cases. However, the candidate to the bariatric surgery must be followed up by a multidisciplinary assistance group, even before surgery. Treatment success depends mainly on patient motivation. As obesity is a chronic disorder, treatment should be planned on a long term basis, according to the necessity of not only lose weight but also of the maintenance of this lost weight to really prevent co-morbidities. © Copyright Moreira Jr. Editora. Todos os direitos reservados.en
dc.relation.ispartofRevista Brasileira de Medicinapt_BR
dc.identifier.citationRevista Brasileira De Medicina. , v. 64, n. SPEC. ISS., p. 41 - 49, 2007.pt_BR
dc.description.issuenumberSPEC. ISS.pt_BR
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