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Weight Management
A Practitioner's Guide Dympna Pearson and Clare Grace
Amid an alarming rise in the prevalence of obesity, there has been a similar rapid expansion in the theory and evidence base surrounding its management but limited detail on the practical application of lifestyle treatments. This exciting new book provides practitioners and those studying to become healthcare professionals with a much-needed modern guide which clearly presents the latest evidence underpinning obesity interventions and how to deliver these in practice.
Written by renowned experts Dympna Pearson and Clare Grace, the book is intended as a ready reference for those working in both acute and community settings throughout the different and demanding stages of the weight management process. It explains how effective evidence-based programmes, structured to address the key components of diet and physical activity and integrated with a behavioural approach, can achieve improved outcomes. Bringing together evidence of best practice, it considers in detail the practical application of these approaches and provides clear answers to frequently encountered challenges.
Key Features
A practical guide to tackling weight management
Primary focus on lifestyle interventions in adults covering diet, exercise and behavioural therapy
Step-by-step framework of care for overweight and obese individuals
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Auteur
About the Authors Dympna Pearson is a Registered Dietitian with extensive experience of working in different clinical settings and of providing training for healthcare professionals. Her particular interests are lifestyle change in relation to diabetes, coronary heart disease and weight management. Clare Grace is a Registered Dietitian with many years of experience in the clinical management of obesity and has a particular interest in the research underpinning weight management interventions. She provides regular obesity management training for healthcare professionals and students.
Résumé
Weight Management A Practitioner's Guide Dympna Pearson and Clare Grace Amid an alarming rise in the prevalence of obesity, there has been a similar rapid expansion in the theory and evidence base surrounding its management but limited detail on the practical application of lifestyle treatments. This exciting new book provides practitioners and those studying to become healthcare professionals with a much-needed modern guide which clearly presents the latest evidence underpinning obesity interventions and how to deliver these in practice. Written by renowned experts Dympna Pearson and Clare Grace, the book is intended as a ready reference for those working in both acute and community settings throughout the different and demanding stages of the weight management process. It explains how effective evidence-based programmes, structured to address the key components of diet and physical activity and integrated with a behavioural approach, can achieve improved outcomes. Bringing together evidence of best practice, it considers in detail the practical application of these approaches and provides clear answers to frequently encountered challenges. Key Features
Contenu
Foreword xv
Acknowledgements xvi
Introduction xvii
Section 1 Background Information 1
1 Why Treat Obesity? 3
What is the scale of the obesity problem? 3
Why does it matter? 3
Obesity and early death 4
Obesity and type 2 diabetes 4
Obesity and cancer 5
Obesity and cardiovascular disease 5
Quality of life 5
Factors that increase the risk of obesity 6
Smoking cessation 6
Certain medications 7
Obesity and its causes 7
Why do practitioners need a good understanding of obesity causes? 7
What are the causes of obesity? 8
Biology and genes 9
Eating and activity behaviours 10
The obesogenic environment 10
Health benefi ts of modest weight loss 11
Conclusion 11
References 12
2 Health Professionals' Attitudes Towards Obesity and its Management 15
What does the evidence say about discrimination and weight bias in society? 16
In employment 16
In education 16
In health care 17
Where does weight bias come from? 17
Media and TV images 17
Cultural factors 18
Beliefs about the causes of obesity 18
What are the consequences of weight bias? 18
Psychological consequences 18
Social and economic consequences 18
Physical consequences 18
What is the impact of weight bias in the health care setting? 18
What can we do to reduce weight bias? 19
Conclusion 19
Reflective exercises 20
Recommendations for reducing weight bias in your practice 21
References 21
3 Treatment Options: The Evidence for What Works 24
Introduction 24
Combined approaches 24
Dietary treatments 25
Eating frequency and patterns 25
Improving the quality of the diet 25
Low-fat diets 25
The 600 kcal defi cit approach 26
Meal replacements 26
Very-low-calorie diets 27
Low-glycaemic-index diets 28
Low-carbohydrate diets 29
Fad diets 29
Physical-activity treatments 29
How much activity is needed? 30
Intensity and type of activity 31
Behaviour modification 32
An integrated approach 32
Key strategies 33
Drug treatment 36
Surgical treatment 37
Conclusion 38
References 38
Section 2 Practical Application 45
4 Preventing Overweight and Obesity 47
Prevention of overweight and obesity 47
Pre-conception and antenatal care 47
The early years 47
As life goes by 48
Medications 49
What to do? 49
If the response is negative 50
Support materials 50
Conclusion 51
References 51
5 Providing A Person-centred Weight-management Service 53
Integrating a behavioural approach 53
Working in a person-centred way 53
How to integrate a behavioural approach in practice? 54
Identifying overweight and obesity 57
Interpreting BMI 57
Planning weight-management interventions in your setting 58
Aiming for a coordinated and structured approach 58
Deciding on the duration and frequency of appointments 59
How and when to begin conversations about weight 60
Exploring whether this is the right time to begin 62
More on motivation 63
Is the patient really sure they have the time and commitment required? 63
Discussing and agreeing a way forward 64
Exploring treatment options 64
Lifestyle treatment 64
Group-based programmes 64
Commercial and self-help programmes 67 Drug treatment 67<...