Tackling obesity - Establishing what treatment options do patients with obesity complications prefer by Hilary Craig https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv Made with ♥ en-us 2022-02-13 14:58:40 UTC 2022-04-01 13:21:17 UTC hello@padlet.com Obesity is a chronic disease hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066118563 Obesity is a chronic illness.  It is defined by the World Health Organisation (WHO) as abnormal or excessive fat accumulation, with a body mass index (BMI) that is over 30 kg/m2, which is considered a risk to health. Control of body weight at a set point, is the product of genes and the environment.  Each person has a different set point which is the regulatory system or part of the brain that maintains weight The set point is the baseline in our bodies that maintains our weight.  Some people have a higher set point, and our body’s homeostatic controls work to keep our weight within that range.  In the case of obesity, the set point or biological control fails due to external factors such as diet or the environment and consequently the body reaches for a setpoint which increases weight.]]> 2022-02-25 09:52:25 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066118563 How the gut talks to the brain hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066124377 The signalling pathways between the brain and the gut govern homeostasis. Homeostasis means the balance of the self-regulating process that maintains stability in respect to weight stability which is regulated by the gut and the brain to regulate the gut


]]> 2022-02-25 09:57:21 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066124377 Increases in chronic illnesses will increase health care costs to €5.4 billion by 2030 hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066135233 There is now a greater understanding of the complications associated with obesity and an increasing awareness of the need to provide treatment.  Treatment options such as low-calorie diets, medications or metabolic surgery that produces >10% or >15% of weight loss can make a significant health improvement to those with obesity. The incidence of the complication’s obesity such as liver disease, diabetes and cancer is increasing which has a substantial negative impact on patient’s morbidity and mortality.  These complications also adversely affect a patient’s quality of life. Keaver et al found that overweight and obesity is projected to reach levels as high as  89% and 85% in males and females by 2030. This will result in a corresponding increase in obesity related complications, and projections are that diabetes will increase by 21%, cancers by 61% and coronary heart disease (CHD) and stroke by 97%.  In Ireland these increases in chronic illnesses will increase health care costs to €5.4 billion by 2030 ]]> 2022-02-25 10:06:56 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066135233 Sociocultural assessment hold that people with obesity and obesity complications are solely responsible for their condition. hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066146296 There are multiple opinions on what obesity is.  Sociocultural assessments take the approach that people are held solely responsible for their condition. The consistent view in the media is that it is the individual’s fault portraying those with a lot of weight as unintelligent and lazy.  People with a lot of weight are often characterised as being undisciplined and solely responsible for their condition.  ]]> 2022-02-25 10:17:19 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066146296 War on Obesity is a War on fat people hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066159226 The media portray it as the War on Obesity but in fact it is often the War on fat people.  Invariably the narrative is around a self-inflicted disorder due to a lack of willpower and poor self-control.  Societal responses to date that view  the cause and solution to the obesity epidemic as  purely the responsibility of the individual have been used to justify stigmatizing people.]]> 2022-02-25 10:29:48 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2066159226 Obesity Stigma - Considerations for Public Health hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068317144 Many people with obesity complications experience weight stigma. Using weight stigma under the guise of benefiting society is not an effective strategy. In fact it creates health disparities.  When people are blamed for their disease it creates disease stigma. ]]> 2022-02-27 17:05:09 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068317144 Stigmatisation does not change the outcome for patient's with obesity complications hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068321831 Stigmatization does not change the outcome for people with obesity or obesity complications, in fact it can cause other harms such as depression, anxiety, avoidance of health care ]]> 2022-02-27 17:11:41 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068321831 Overeating doesn’t cause obesity, but obesity causes overeating hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068325582 If you think overeating causes obesity it disrupts sustainable development because you need to fundamentally reorganise society, but if you think obesity causes overeating and you address the biological drivers then it becomes a much more economically sustainable. ]]> 2022-02-27 17:17:23 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068325582 Incorporating patient preferences is essential in Chronic Disease management hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068330759 Listening and incorporating patient preferences in the treatment of obesity should be an integral part of our management of obesity.  Incorporating the patient’s perspective increases the likelihood of achieving buy-in from the patient and ensures that the aims of both the healthcare provider and the patient are aligned. ]]> 2022-02-27 17:24:52 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068330759 Finding solutions: recognising obesity as a disease. hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068347351 If obesity is recognised as a disease, then it becomes less challenging to find solutions for health care challenges in their own health contexts and systems.  Different countries have acknowledge it and others have not.]]> 2022-02-27 17:49:44 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068347351 Sustainability of Solution: Providing Treatment for obesity and obesity complications hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068359607
Investing in obesity treatment to benefit patients and deliver significant healthcare savings. Options such as surgery, medication and lifestyle programmes. Treatment and prevention programmes are needed to run in tandem in order to make some progress with this disease.

]]> 2022-02-27 18:08:58 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068359607 Benefit of Providing Treatment Options hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068369394 The benefit of pharmaceuticals in chronic illness such as diabetes has shown to improve not just weight loss but to keep some chronic illness in remission in the long term. This helps with multiple diseases and provides health gain.]]> 2022-02-27 18:23:49 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068369394 Measures of Success hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068372414 Providing treatment options helps establish the key drivers of weight gain, respects patient's autonomy, increases quality of life and provides health benefits and reduces health care complications.]]> 2022-02-27 18:28:18 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068372414 Obesity is complex we need sustainable prevention of obesity hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068376588 SPOTLIGHT is a cross-European research project and stands for sustainable prevention of obesity through integrated strategies.  Supporting obesity prevention approaches by local authorities, public health and other practitioners. ]]> 2022-02-27 18:34:27 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2068376588 Treatment options hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2070318618 Treatment choices range from lifestyle interventions, pharmacotherapy and bariatric surgery.  Obesity is a disease that is not the person's fault but like all diseases it is their responsibility.]]> 2022-02-28 21:13:25 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2070318618 Dramatics increase in chronic diseases increases hospital activity that it will become unsustainable hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2070333119 Six out of every ten in the population is overweight or obese which means that there will be a dramatic increase in chronic diseases. The national obesity strategy found that obesity-related chronic diseases are increasing hospital activity to the extent that it will become unsustainable unless real action is taken.

]]> 2022-02-28 21:25:49 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2070333119 An Integrated Approach to Tackling Obesity is Essential hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2070343576 An integrated approach to obesity is essential. We have to try to work out the best treatment for each individual as responses are different for each person.]]> 2022-02-28 21:36:04 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2070343576 Obesity is Complex hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115897893 The Foresight report states “At the heart of obesity lies a homeostatic biological system that struggles to maintain energy balance to keep the body at a constant weight from just the first few months of life”.  As such it is more complex and one solution will not meet the needs of all. The Foresight obesity system map (shown here) describes the complex drivers of obesity.]]> 2022-03-27 20:35:50 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115897893 Evidence for a set point that regulates human body weight hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115906116 Control of body weight at a set point, is the product of genes and the environment.  Each person has a different set point which is the regulatory system or part of the brain that maintains weight ]]> 2022-03-27 20:46:56 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115906116 Health Challenge: People with obesity have a high risk of developing a number of chronic illness hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115913434 Obesity is a damaging illness both clinically and psychologically.  People with obesity have a high risk of developing a number of chronic illnesses.  One literature review found that obesity is related to at least 18 co-morbidities.]]> 2022-03-27 20:55:57 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115913434 Patients with obesity often suffer bias and stigma hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115918541 In addition to  chronic health issues people with obesity often suffer with low self-esteem and depression and frequently experience stigma about their obesity. ]]> 2022-03-27 21:03:53 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115918541 Health Challenge: NAFLD is a serious complication of obesity that is on the increase hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115922377 Non-alcoholic fatty liver disease (NAFLD) is a build-up of fat in the liver in people who consume little or no alcohol. NAFLD is the most common cause of chronic liver disease and is linked with heart disease.  The prevalence of NAFLD is 80%-90% in those with obesity and 30%-50% in those with diabetes.

]]> 2022-03-27 21:09:58 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115922377 Health Challenge: Obesity has a negative effect on kidneys and can lead to the complication of CKD hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115928168 Obesity has a negative effect on the kidneys and can lead to renal disease.  The kidneys clear the body of waste and toxins and return what the body needs to the bloodstream.  Chronic kidney disease (CKD) is a disruption of this and can lead to heart failure and stroke. A high BMI is associated with an increased risk for developing end stage renal disease (ESRD)  ]]> 2022-03-27 21:19:59 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115928168 Health Challenge: Individuals with a BMi greater than 30 kg/m2 higher risk of CKD hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115931347 A meta-analysis, reviewing 5 million individuals from 40 countries, in 63 population cohorts, looked at studies published between 1970 and 2017. It established that individuals with a BMI greater than 30 kg/m2 were at a higher risk of kidney disease.]]> 2022-03-27 21:25:39 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115931347 Health Challenge: Obesity and Diabetes hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115933822 Research has established that those with a BMI of 30 kg/m2  have 28 times greater risk of developing diabetes and this risk increases to 93 times higher if the BMI is 35 or above.
Worldwide it is estimated that 9415 million people have diabetes, 90% of whom had type 2 diabetes.  A common pathology in obesity and type 2 diabetes is insulin resistance which means  insulin is no longer effective in regulating glucose levels in the body’s cells which leads to hyperglycaemia and eventually diabetes. 
 

]]> 2022-03-27 21:30:21 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115933822 Health Challenge: Obesity and diabetes impact's people's health related quality of life hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115935176 People with obesity and diabetes have a series of long-term health complications including damage to the heart, legs, bones, eyes, kidneys, feet, nerves and brain which studies show and type 2 diabetes impacts people’s health related quality of life (HRQOL)]]> 2022-03-27 21:32:46 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115935176 Determinants and Consequences of Obesity hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115947553 Prevention helps by promoting the limitation of weight gain through healthy dietary and lifestyle behaviours.  This is part of the multi factoral approach needed to tackle this disease especially as it has been show that genetic factors predispose individuals to obesity.]]> 2022-03-27 21:57:02 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115947553 Treatment Options: Lifestyle Interventions hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115953532 Lifestyle programmes for obesity are comprised of a reduced calorie diet, increasing physical activity and behavioural therapy to support adherence to diet and physical goals.
Patients who participated in intense lifestyle programmes including coaching on how to set goals, develop action plans for eating and physical activity have proven to reduce weight by 10%
]]> 2022-03-27 22:08:42 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115953532 Treatment Options: Medication hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115956152 There are a number of medications available to treat obesity.  Some medications can either help the person feel less hungry or feel fuller sooner and others make it hard for the body to absorb fat.  These medications are used to help patients achieve long term weight loss.  Often  lifestyle interventions are not sufficient to maintain long term weight loss with weight regain within 5 years from ending the intervention, so consequently medications are often in tandem  with lifestyle interventions to improve outcomes ]]> 2022-03-27 22:15:01 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115956152 Advice for Health Care Professionals in assisting to develop sustainable solutions for obesity complications hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115958052 Acting in partnership with the patients and incorporating their preferences has proven to have positive results in tackling obesity and obesity complications]]> 2022-03-27 22:18:49 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115958052 Tackling Obesity and obesity complications: how to fight the emerging crisis hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115960682 We need to reframe the question and look at holistic solutions working at prevention but providing treatments options to create sustainable solutions.]]> 2022-03-27 22:23:22 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115960682 Treatment Options: Metabolic Surgery hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115963748 Metabolic Surgery providing results that enable the reversal of some chronic illness such as diabetes. For example normal blood glucose levels within hours of a bypass operation.]]> 2022-03-27 22:29:15 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115963748 The importance of patient preferences in managing obesity and obesity complications hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115970269 Patient preferences are influenced by local culture, beliefs and attitudes. They play an essential role in the  adherence to treatment and improved treatment outcomes. Patient preferences help inform choices in clinical decisions and if incorporated, studies have found they could make interventions more effective. Increasing patient involvement in decision making, can improve health outcomes as patients become highly compliant in the agreed treatments for their health care.  ]]> 2022-03-27 22:41:39 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2115970269 The need: Obesity is a chronic illness the management of which requires a multifactorial approach hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118028948 Paul Winters, Patient at Adult Weight Management Clinic 'Obesity is a real life-threatening condition that should be treated in the same manner as any other illnesses that threaten a person͛s mortality. '
The World Health Organisation has predicted that by 2030 Ireland will be one of the most overweight countries in the EU.  The expert report from the RCPI found that healthcare costs will increase as obesity increases due to obesity complications (NCDs) such as cardiovascular disease, type 2 diabetes, NALFD etc.  In 2009 the direct and indirect costs was estimated at €1.13 billion, 35% of costs were due to hospital care and drugs with 65% due to premature mortality and those being absent due to illness. They identified that health resources were targeting the disease outcomes of obesity that they needed to be addressing prevention and treatment of obesity.  As such there is a need to focus health services to tackle the risk factors that create obesity and other chronic illnesses.


]]> 2022-03-28 21:14:16 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118028948 The importance of patient centred approaches to obesity management hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118038445 Patient centred care focuses on the patient and their health needs.  It is also the term used to empower patients to engage and participate more fully in their health care.  Patient centred care has translated into greater adherence to prescribed treatment and outcomes as well as better satisfaction with the health service engagement.  John Fastena et al outline a number of dimensions of patient centred care which include; patient preferences, values and needs, coordination and integration of care, information, education and communications, access to care and services, physical comfort, emotional support, involvement of family and friends and continuity and transition of care.  Patient centred care can improve outcomes however strategies for patient centred care for people with obesity are lacking.  Health care professionals should look at patients with obesity holistically and recognise that what might work for one patient may not work for another.  Working with the patient’s preferences, contributory factors limiting weight reduction can be identified and taken into account to help with improvement in comorbid conditions.]]> 2022-03-28 21:24:00 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118038445 The clinical importance of patient preferences hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118049981 Patient preferences are influenced by local culture, beliefs and attitudes. They play an essential role in the adherence to treatment and improved treatment outcomes. Patient preferences help inform choices in clinical decisions and if incorporated, studies have found they could make interventions more effective. Increasing patient involvement in decision making, can improve health outcomes as patients become highly compliant in the agreed treatments for their health care. When deciding which treatment options are most valuable for patients, shared decision making assists the teams to consider other aspects that have a higher relevance to each patient’s quality of life.  Providing a structure that allows both the patient and clinician to include their values and beliefs would assist in establishing the optimal approach for each patient.  This involves a partnership between health care professionals and patients and has been shown to improve the health care quality, utilisation and outcomes. ]]> 2022-03-28 21:36:26 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118049981 The impact of patient preferences on health policy hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118055916 Public health organisations have to strike a balance between the collective wellbeing, an individual’s concerns and the costs of chronic illnesses. Public health policies attempt to protect people from a disease through prevention. Public health programmes take a utilitarian approach, the greatest good for the greatest number of people.  The emphasis is on the collective and social responsibility. This can translate to taking a paternalistic approach to prevent people conducting in unhealthy behaviours and this can limit people’s choices.  Limiting choices can seem justified to prevent a disease for example the stop smoking campaigns.  In the case of obesity the primary focus is on lifestyle interventions. This is not without merit as studies have reported improvement in outcomes for patients with obesity due to patient education with 64% showing improvement in behaviours, 30% no effect and 6% showed worse behaviour.  However, this could prevent more effective treatments and therapies being contemplated as the lack of understanding about obesity can influence policies.]]> 2022-03-28 21:42:49 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118055916 Model of Care of Management of Overweight and Obesity hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118058864 2022-03-28 21:46:08 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118058864 Chronic Disease Management in Ireland hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118060691 2022-03-28 21:48:04 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2118060691 Measuring success: reducing health care complications and costs hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122253404 There are no easy solutions to obesity and obesity complications.  It is a multifactorial disease that requires a multifactorial response. The response to the obesity epidemic is not purely prevention and environmental the response has to be long term and at multiple levels including prevention, treatment, support, research and education and it must be led by the state as the primary duty bearer. ]]> 2022-03-30 20:22:08 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122253404 Success means acknowledging the management of this disease as a lifelong requirement hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122277051 Obesity needs to be treated as any other complex disease from prevention, treatment, support and education. In order to help people manage this disease health care professionals and patients need to acknowledge that this disease requires lifelong management. ]]> 2022-03-30 20:42:33 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122277051 Establishing what treatment options patients with obesity complications prefer hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122306252 Listening and incorporating patient preferences in the treatment of obesity should be an integral part of our management of obesity.  Incorporating the patient’s perspective increases the likelihood of achieving buy-in from the patient and ensures that the aims of both the healthcare provider and the patient are aligned. Furthermore, patient-centred obesity care enhances a patient’s autonomy allowing them to  decide the that suits them best based on their values and need.  For patients with obesity, this is of great importance as they often suffer with shame and discrimination around their disease, and are reluctant to seek help because of weight stigmatisation.  Healthcare providers and patients establishing the optimal obesity treatment  also have the potential to lead to better adherence to treatment plans and better health outcomes.  There are limited studies on patient preferences for the treatment of obesity and it’s complications. Therefore, developing effective treatment plans or indeed obesity health policy is a challenge without knowing what patients preferences may be. The objective of this study is to evaluate what treatments options patients with obesity and it’s complications prefer.]]> 2022-03-30 21:09:33 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122306252 Lifestyle interventions and treatment can improve outcomes hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122325580 Treatment options such as low-calorie diets, medications or metabolic surgery that produces >10% or >15% of weight loss can make a significant health improvement to those with obesity. For example often lifestyle interventions are not sufficient to maintain long term weight loss with weight regain within 5 years from ending the intervention, so consequently medications are often in tandem  with lifestyle interventions to improve outcomes.]]> 2022-03-30 21:30:28 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122325580 Working in alignment to succeed in the management of obesity hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122341493 Health care professionals should look at patients with obesity holistically and recognise that what might work for one patient may not work for another.  Working with the patient’s preferences, contributory factors limiting weight reduction can be identified and taken into account to help with improvement in comorbid conditions.]]> 2022-03-30 21:48:51 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2122341493 Economic impacts of overweight and obesity hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2124430704  The economic impacts of obesity are substantial across countries, irrespective of economic or geographical context and will increase over time if current trends continue. The cost is substantial as a number of illnesses result from it and this is likely to increase. ]]> 2022-03-31 22:42:09 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2124430704 Coordination between health care providers and patients at all levels of care and society is key to approaching obesity hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2124440309 If obesity is recognised as a disease then it becomes less challenging to find solutions for health care challenges in their own health contexts and systems.  For example the realisation that dyslidiaemia is a biological disease because of defects in the liver rather than diet has changed our approach to the disease.  To be able to correctly approach obesity then coordination between all levels of care and society is key.]]> 2022-03-31 22:56:28 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2124440309 Choice during treatment improves therapeutic success hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2124444795 In studies it has been shown that patients given choices in a control group in the their treatment options decreased their weight significantly than other subjects in a no choice group.
Choice during treatment improves therapeutic success with overweight clients.]]> 2022-03-31 23:03:02 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2124444795 Strategies for Response hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2125405808 The management of obesity is expensive however governments can combat additional drivers of obesity in multiple ways such as a tax on high sugar products.  In concert health professionals and institutions need to support multisectorial actions to address the drivers of obesity as a means to improve health.  Health and economic assessment are needed in order to mobilise multisectoral commitment. Prevention and management are the best way forward and are achievable, but this requires an integrated approach that incorporates patient’s preferences as health teams and patients work in alignment to tackle this chronic illness.  

]]> 2022-04-01 13:14:05 UTC https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2125405808 Obesity and inequities hilarycraig1 https://padlet.com/hilarycraig1/4s7dw3deobpk0rrv/wish/2125417890 The prevalence of obesity is rising across all European countries and rising quickest in low socioeconomic populations.  There are very few studies that focus on interventions that address how best to reduce inequities in obesity.

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