Asking patients about their performance in daily activities including personal care, mobility and interactions with the built and social environment will provide valuable information about facilitators and barriers to engagement in daily activities, including treatment recommendations. This can help heal...
Obesity is a chronic, progressive and relapsing disease, characterized by the presence of abnormal or excess adiposity that impairs health and social well-being.
Screening for obesity should be performed regularly by measuring body mass index (BMI) and waist circumference.
The clinical assessment of ob...
Be aware of the links between mental illness and obesity, and ensure you manage the weight gain side-effects of medications used in the treatment of mental illness.
Be aware that mental illness can impact obesity management efforts, and screen patients for potential mental illnesses that need to be a...
Regular physical activity induces a wide range of health benefits in adults across all BMI categories, even in the absence of weight loss.
Aerobic and resistance exercise can favour the maintenance or improvements in cardiorespiratory fitness, mobility, strength and muscle mass during weight management...
All obesity management interventions involve behaviour on the part of the individual living with obesity (e.g., eating, activity, medication adherence), so behavioural change supports should be incorporated into all obesity management plans. This requires a shift in the patient-provider relationship from...
Criteria for selection of appropriate candidates for bariatric surgery have been established to minimize surgical complications and to maximize the benefit of these important and limited procedures.
The preoperative workup should evaluate a patient’s medical, nutritional, mental and functional health...
Bariatric surgery should be considered for patients with severe obesity (body mass index (BMI) ≥ 35 kg/m2) and obesity-related diseases, or BMI ≥ 40 kg/m2 without obesity-related diseases.
Bariatric surgery could be considered for patients with obesity (BMI ≥ 30 kg/m2) with severe obesity-related d...
The management of obesity through technological means has shown benefits in recent years. These include treatment and follow-up strategies delivered through portable devices (e.g., mobile phones), web-based platforms (e.g., websites) and wearable tracking devices (e.g., pedometers).
Technology-based inte...
This chapter addresses the management of weight related to three phases of a woman’s reproductive years – preconception, during pregnancy and postpartum – for adult women with obesity. Although these reproductive periods are addressed separately, it is important to consider that these phases re...
Exploring obesity within the context of multiple co-occurring health, socioeconomic, environmental and cultural factors, and situating these within policy/jurisdictional structures specific to Indigenous populations (e.g., federal versus provincial health funding), can facilitate emerging opportunities f...
