• Medicina · Dec 2024

    Practice Guideline

    [Clinical approach to the patient with obesity document by the Argentine Society of Medicine, the Uruguayan Society of Internal Medicine, and the International Forum of Internal Medicine].

    • María Natalia Nachón, Gustavo Bruno, Pascual Valdez, Matías Mirofsky, Andrea Vaucher, Sofía Carozzi, Monserrat Chimeno Viñas, Emilio Casariego, Luis Cámera, Natasha Smiliansky, María Cristina Jimenez, Ricardo Hidalgo, María Florencia Arcondo, Lucio Criado, Robert Díaz, Alejandro Cárdenas, Miguel Blanco, Emilio Buchaca, Helga Codina, Mariflor Vera, Diego Brosio, Ricardo Gómez Huelgas, Luis Rojas, Omar Castillo, Alejandra Gaydou, Alberto Ruiz Cantero, Carlos Nitsch, Alfredo Cabrera Rayo, Marina Curria, Cristhian Armenteros, Agustina Dutto, Hugo Zelechower, Jorge Soto, Yazmin Abuabara, Andrea Odzak, Coral Cristaldo, Sonia Indacochea Cáceda, Bismarck Pérez, Juliana Gomez, Fernando Lipovestky, and Karen Cárcamo.
    • Sociedad Argentina de Medicina, Buenos Aires, Argentina. E-mail:dra.nachon@gmail.com.
    • Medicina (B Aires). 2024 Dec 1; 84 Suppl 4: 1381-38.

    AbstractObesity is one of the non-communicable chronic diseases with the highest increase in recent decades in Latin America, affecting children, adolescents, and especially young adults. Forty percent of adults have a body mass index greater than 25 kg/m2. Numerous studies have demonstrated a relationship between obesity and cardiovascular diseases such as hypertension, coronary artery disease, heart failure, cardiac arrhythmias, diabetes, sleep apnea, and oncological diseases, among others. Weight loss in individuals with overweight and obesity has been shown to reduce the risk of developing comorbidities or improve their progression. Healthcare professionals must initiate patient care by considering their values and treatment goals, facilitating reflection, and fostering responsibility to promote long-term improvements. The initial approach, communication, and physician's attitude during the evaluation of a patient with obesity are significant determinants for successful treatment and patient health. The objective of this document is to compile the available information on the disease and present practical and summarized clinical management recommendations based on scientific evidence.

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