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 Vol. 14 No. 3, September 2005
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AAP Grand Rounds 14:31-32 (2005)
© 2005 American Academy of Pediatrics

COMBINED INTERNAL MEDICINE-PEDIATRICS

Guidelines for the Treatment of Obesity

Source: Snow V, Barry P, Fitterman N, et al for the Clinical Efficacy Assessment Subcommittee of the American College of Physicians. Pharmacologic and surgical management of obesity in primary care: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2005;142:525–531.[Abstract/Free Full Text]

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 Subcommittee’s 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 . . . [Full Text of this Article]

Brett Robbins, MD, FAAP
University of Rochester Medical Center, Rochester, NY