Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 47: Medical Management Of Obesity (continued)

Robert F. Kushner, MD

Overweight and obesity is the most common medical problem seen in primary care practice, affecting over 60% of adults and 15% of adolescents.1,2 Obesity, along with diet and physical inactivity, is estimated to be responsible for approximately 400,000 preventable deaths per year and is expected to soon rival cigarette smoking as the most important public health concern.3 The etiology of obesity is multifactorial, brought about by an interaction between predisposing genetic and metabolic factors and a rapidly changing environment. Interactive influences include social, behavioral…