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Obesite: aspects therapeutiques.
Scheen, André
2001In Bulletin et Mémoires de l'Académie Royale de Médecine de Belgique, 156 (10-12), p. 471-9; discussion 480-2
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Keywords :
Humans; Life Style; Obesity/rehabilitation/therapy; Patient Education as Topic
Abstract :
[en] Obesity is now recognized as a chronic disease. Its treatment implies a prolonged negative energy balance, by reducing caloric intake and/or increasing energy expenditure. In practice, three therapeutic approaches can be considered: 1) life-style modifications, combining well-balanced hypocaloric diet and regular physical exercise, the key-issue in obesity management; 2) in case of failure and as adjunct treatment, anti-obesity drugs, especially orlistat, an intestinal lipase inhibitor, and sibutramine, a central appetite regulator; and 3) in patients with extreme refractory obesity, surgical procedures consisting of gastric restriction (gastroplasty) or intestinal bypass. Anti-obesity treatments must be evaluated in the long run, in terms of efficacy/safety ratio, upon criteria of weight loss, reduction in associated risk factors, improvement of quality of life and, if possible, reduction of morbidity and mortality.
Disciplines :
Pharmacy, pharmacology & toxicology
Endocrinology, metabolism & nutrition
Author, co-author :
Scheen, André  ;  Université de Liège - ULiège > Département des sciences cliniques > Diabétologie, nutrition et maladie métaboliques - Médecine interne générale
Language :
French
Title :
Obesite: aspects therapeutiques.
Alternative titles :
[en] Obesity: therapeutic aspects
Publication date :
2001
Journal title :
Bulletin et Mémoires de l'Académie Royale de Médecine de Belgique
ISSN :
0377-8231
Publisher :
Académie Royale de Médecine de Belgique, Bruxelles, Belgium
Volume :
156
Issue :
10-12
Pages :
471-9; discussion 480-2
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 04 December 2008

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