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Institutional Subscription. Free Shipping Free global shipping No minimum order. Covers all aspects of endocrinology and metabolism Incorporates perspectives from experts working within the domains of biomedicine e. Imperial College London, UK.
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Environmental and Policy Approaches: Alternative Methods. A Comprehensive Approach to Obesity Prevention.
Review quote "This unique and comprehensive textbook on obesity has a distinctly international flavor and should be considered mandatory reading for any medical subspecialist or primary care physician who takes care of patients who are obese. Clinical Obesity provides easily acessible, updated information together with some predictions about future developments, which will prove very interesting for both clinicians and scientists working in this exciting field.
It is written by active clinicians and scientists and offers solid dogmatic advice rather than being a text with every fact referenced. I have enjoyed having it on my desk and will continue to thumb through it. About Ian D. He is also the Deputy Warden of the School of Medicine. Professor Kopelman has a long-standing interest in diabetes care and initiated a district-wide scheme for integrated care in East London. He established an Obesity Clinic at the Royal London Hospital in that now has a national reputation and receives referrals from around the United Kingdom.
The clinic focuses particularly on patients with extreme obesity and those with lesser degrees of obesity but who have developed complications as a consequence of the condition. Professor Kopelman's major research interest is in the field of obesity, in particular endocrine aspects and possible genetic determinants.
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He is also interested in the pathophysiology of associated complications and their management. He is chairman of the Royal College of Physicians Committee on Nutrition and chaired the College's Working Party on the management of obesity with particular reference to drug therapy. He also chaired the College's Working Party on nutritional care of patients that resulted in the publication of a report entitled 'Nutrition and Patients - a Doctor's Responsibility" Professor Ian Caterson is a recognised international expert on obesity.
Research areas include insulin resistance, the cause and consequences of obesity and the foetal origins of disease. As well he is an acknowledged expert on the Metabolic Syndrome and is looking at better definitions of this syndrome and whether there are specific ethnic differences.
Dietz's research has focused on the epidemiology of childhood obesity, the clinical consequences of childhood and adolescent obesity, optimal dietary therapy for overweight children and adolescents, and the implications of reduced energy expenditure for the development of overweight in children and adolescents. He is the author of over publications in the scientific literature, and the editor of three books, including A Guide to Your Child's Nutrition. Learn about new offers and get more deals by joining our newsletter.
As a result, all patient needs may not be identified and treated. This may affect care planning, staffing, and reimbursement. In addition, the interrelationship among comorbidities may not be addressed clinically. Thus, interventions often are not designed or assessed for their impact on all health risk factors. Another issue to consider is that children of obese parents are at high risk for obesity, yet affected family members are treated separately.
As a result, obese family members may not be identified or receive treatment or counseling in a timely manner.loilanfernbubb.tk
Physical Activity and Obesity-2nd Edition - Claude Bouchard, Peter Katzmarzyk
Also, there is a chance some family members will sabotage efforts of other family members to reduce weight. Finally, it must be recognized that children live in communities. Community programs can help address patient needs at the local level, but clinicians are often not familiar with those programs. What are the food and activity environments at the community level? Research : 1 Multigenerational assessments should be conducted to obtain information on children and adults, as well as family perceptions, in families that are being treated for obesity.
A developmental approach to obesity prevention considers the extent to which the events that occur during early human development affect obesity-related consequences over a lifetime. It follows the developmental timeline of obesity to better understand differences at different development stages and examines what can be done to alter these events in a developmentally appropriate manner.
The prenatal and early childhood periods are important periods for prevention of chronic disease throughout life, because both behaviors and physiology may be patterned and programmed early in life. A number of developmental factors can predict childhood obesity.
Some studies suggest an interaction between lower birth weight and higher BMI in adulthood. Those who have the highest weight gain in the first 4 months of life have elevated risk of disease in adulthood. Those who gain the most weight in the first 6 months of life have the highest blood pressures, especially if they were born small.
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Appropriate interventions have not been studied in detail within a developmental framework. A number of prebirth cohort studies exist that could help to evaluate the prenatal period. Key things to consider are fetal nutrition or the entire embryonic supply line, including maternal diet and physical activity; fetal metabolism; maternal periconception health; maternal gestational weight gain; breast-feeding; and sleep during infancy.
Interventions to prevent pediatric obesity may need to start before pregnancy and continue throughout gestation and the postpartum period for both the mother and child. Pregnancy may be an optimal time to start, because women may be more willing to change their behavior at that time.
In addition, pregnant women receive frequent clinical care. How can knowledge of child development influence the design and effectiveness of preventive and treatment interventions? Research : 1 Prevention studies in pregnant women should be taken advantage of to prevent childhood obesity. The origin of childhood obesity involves diverse factors from both a biological and an environmental perspective. Therefore, health promotion and obesity prevention in the community are shared responsibilities between many entities, organizations, and interests, including health-delivery organizations, public health agencies, other public and private entities, and the people of the community.
The Institute of Medicine has recommended an ecological model for public health interventions wherein the individual is viewed within the larger context of family, community, and society.
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The obesity epidemic and the public health threat it represents mandate application of this social ecological model in which the healthcare community plays an integral role in the clinical setting and members serve as advocates for programs in communities that help teach and support healthy behaviors. Stakeholders include those who are involved with implementing the initiatives, those who are impacted by the initiatives, those with inherent interest in the issue, and necessary partners, including funders. In the end, addressing childhood obesity across sectors among many stakeholders can create the kinds of changes that are more effective, sustainable, and efficient than might be accomplished by acting alone.
All interventions require an investment of resources.
Smoking, nutrition, alcohol, physical activity (SNAP)
Evaluation is a key component of any intervention with engaged stakeholders, and it is important to include stakeholders in evaluation planning. The stakeholders can change over time as programs and policies are developed and implemented. Partnerships can be formed horizontally across sectors and vertically from practitioners to decision makers.
There are currently only a few models that target multilevel, multisector change around childhood obesity that include involvement from the healthcare sector.
In Somerville, multiple stakeholders were engaged, including children, parents, teachers, school food service providers, city departments, policy makers, healthcare providers, before- and after-school programs, restaurants, and the media. They addressed childhood obesity in a comprehensive way and demonstrated that a community-based environmental intervention decreased BMI z score in children at high risk for obesity.
Data from the assessment are forthcoming. In these types of interventions, providers leverage their expertise by working as advocates to form alliances and lobby for policy change to maximize health in families, schools, and communities.
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