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Query: UMLS:C0028754 (obesity)
 124,988 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The weight loss of 16 obese patients (greater than 130% ideal body weight) who participated for three months in a comprehensive, multidisciplinary weight reduction program was studied. Patients were divided into two groups based on the reported time of onset of their obesity. Childhood-onset obesity was defined in this study as marked weight gain by the age of 11. Adult-onset obesity was defined as weight gain occurring at 18 years of age or later. Each group of patients consisted of two males and six females. The childhood-onset obesity group lost significantly more weight than the adult-onset obesity group during this three-month period (19.45 +/- 3.6% versus 16.17 +/- 2.8%). This preliminary study suggests that patients with childhood-onset obesity tend to lose more weight in a comprehensive multidisciplinary weight reduction program than patients with adult onset obesity.
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PMID:Childhood versus adult onset obesity in a comprehensive, multidisciplinary weight reduction program. 718 50

Prevention of obesity at all ages is a matter of considerable concern for health professionals. A review of current theories of the etiology of obesity provides the basis for discussion of preventive measures at critical developmental stages throughout the life cycle. Good nutrition during pregnancy, breast feeding, and avoiding early introduction of solid foods are advocated to avoid obesity during infancy. For the young child, healthy eating habits and sufficient physical exercise are prescribed to prevent the accumulation of excess weight. Psychological and social difficulties make weight loss difficult for obese adolescents. The advantages and disadvantages of diet, anorectic drugs, exercise, and behavior modification are discussed. Adult-onset obesity is often easier to prevent and treat than is juvenile-onset obesity. Intervention is basically the same as that for adolescents. The role of health professionals is clear: encouragement of behavior consistent with sound nutrition and good health before excess weight is gained, early recognition of overweight individuals, and assistance in the choice of corrective measures.
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PMID:Obesity: prevention is the treatment. 1026 99

Blacks are known to have higher blood pressure levels, a higher prevalence of hypertension, and higher body weights than whites. However, the interrelationships of these and other cardiac risk factors have not been analyzed in an obese population. We compared blood pressure (BP) and lipid levels in 174 obese blacks and 939 obese white patients who were entering a weight loss program; we also assessed the effects of weight loss on these factors. Prevalence of treated hypertension was similar in blacks and whites (28% vs. 25%, respectively). In patients not taking BP medication, black women weighed more (108 kg) than white women (102 kg) and black and white males' weights were similar (135 kg vs. 131 kg). Systolic and diastolic BP were similar in black and white women; black males had similar SBP but a significantly lower DBP than white males (83 mmHg vs. 89 mmHg, respectively). Lipid levels were similar in black and white women except black women had lower triglycerides (1.30 mmol/L) than white women (1.58 mmol/L, p < 0.05); and black males compared to white males had significantly lower total cholesterol (4.76 mmol/L vs. 5.56 mmol/L), LDL-cholesterol (3.15 mmol/L vs. 3.52 mmol/L) and triglycerides (1.31 mmol/L vs. 2.17 mmol/L, p < 0.05). Adult-onset obesity adversely affected a number of cardiovascular risk factors in whites, but not in blacks. Blacks lost significantly less weight (-13 kg) than whites (-19 kg). However, controlling for the difference in weight loss, blacks sustained comparable improvement in lipids and blood pressure, except for TC/HDL-C (whites improved significantly more, -0.36 kg/m2, than blacks, 0.03 kg/m2). Thus, the impact of obesity on cardiovascular risk factors seems ameliorated in blacks compared to whites.
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PMID:Comparison of cardiovascular risk factors in obese blacks and whites. 1635 24