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AAP Grand Rounds 14:31-32 (2005)
© 2005 American Academy of Pediatrics
| The first 20% of the full text of this article appears below. |
Obesity is emerging as one of the largest public health concerns in the United States. The mainstay of treatment includes calorie restriction and increased physical activity, but medications and surgical interventions are increasingly employed. In this clinical practice guideline, the Clinical Efficacy Subcommittee of the American College of Physicians reviewed all the evidence relating to the use of medications and surgical procedures to treat obesity. They relied most heavily on 2 accompanying meta-analyses.1,2 The Subcommittees practice guideline first recommends counseling about diet and exercise accompanied by determination of a goal for weight loss and a time frame for achieving it. Pharmacologic therapy should be offered if the target weight loss is not achieved with a reasonable trial of diet and exercise. They
| University of Rochester Medical Center, Rochester, NY |
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