Health And Treatment Strategies in Obesity (Advances in Psychosomatic Medicine, Vol. 27)

Obesity has been predicted to become the number one health problem worldwide in the next decade. Important progress has been made to discover the causes of obesity. In this volume, recent advances in the etiology of obesity, including its pathophysiology and the current nutritional treatment of obesity as well as medications used to treat obesity, are reviewed. Special attention is given to bariatric surgery. This surgical option for the treatment of obesity including reconstructive surgery associated with massive weight loss is discussed in detail. Several nutritional strategies and diets are also reviewed. The psychosocial aspects of obesity, cognitive behavior therapy and interpersonal therapy for people suffering from binge eating disorder that help sustain the benefits of bariatric surgery over long term are also discussed. This publication gives physicians and healthcare workers, including nurses, social workers and psychologists, valuable information for dealing with their patients and making them aware of the latest advances in obesity research. Cover......Page 1 Contents......Page 6 Preface......Page 8 Abstract......Page 10 Energy Homeostasis in the Context of Evolution and Gene-Environment Interactions......Page 11 The Energy Homeostasis System......Page 12 Leptin as an Adiposity Signal......Page 13 Leptin-Related Mutations in Murine and Human Obesity......Page 14 Leptin Signal to the Central Nervous System......Page 15 Arcuate Nucleus and Neuropeptide Systems for Regulation of Energy Balance......Page 16 Hypothalamic Neurons as Metabolic Integrators......Page 19 Role of Neuronal Energy State in Hypothalamic Metabolic Sensing: AMPK......Page 20 Effects of C75 on Hypothalamic Neuropeptides......Page 21 Regulated Variable: Adipose Tissue, a Focus on Fat Metabolism......Page 22 References......Page 24 Abstract......Page 33 Behavioral Modifications......Page 36 Dietary Modification......Page 39 Popular Diets......Page 40 Physical Activity......Page 42 Bariatric Surgery......Page 43 Postoperative Dietary Modifications......Page 45 Conclusion......Page 47 References......Page 48 Abstract......Page 51 Sibutramine......Page 52 Orlistat......Page 54 Selective Serotonin Reuptake Inhibitors (SSRIs)......Page 55 Zonisamide......Page 56 On the Horizon: Rimonabant......Page 57 References......Page 58 Abstract......Page 62 Patient Selection......Page 63 Operative Procedures......Page 64 Gastric Bypass......Page 65 Laparoscopic Adjustable Gastric Banding......Page 66 Duodenal Switch with Biliopancreatic Diversion......Page 67 Outcomes and Complications......Page 68 References......Page 69 Abstract......Page 70 Reconstructive Surgical Principles......Page 72 Combined Abdomen, Thigh or Buttocks Lift or the Lower Body Lift......Page 74 Breast Augmentation/Breast Lift (Mastopexy)......Page 77 Arm Lift (Brachioplasty)......Page 78 Conclusions......Page 79 References......Page 80 Abstract......Page 82 Etiology of Obesity......Page 83 Psychiatric Illness and Obesity......Page 85 Stigma......Page 86 Treatment of Depression in Obese Patients......Page 87 Psychotherapy......Page 88 Psychiatric Evaluation of Patients Prior to Bariatric Surgery......Page 89 Conclusion......Page 92 References......Page 93 Abstract......Page 95 Etiology......Page 97 Cognitive Behavior Therapy......Page 98 Phase II......Page 99 Techniques......Page 100 References......Page 101 B......Page 103 L......Page 104 T......Page 105 Z......Page 106