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Clinical Management of Overweight and Obesity: by Paolo Sbraccia, Enzo Nisoli, Roberto Vettor

By Paolo Sbraccia, Enzo Nisoli, Roberto Vettor

These guidance make concepts concerning the administration of people with a physique mass index more than 25.0 kg/m2 and canopy all age teams, from childrens to the aged, in addition to numerous sufferer subsets. a number of measures to yield well-being advantages are set out, together with fit consuming plans, elevated actual job, and behavioral variations to assist sufferers to regulate weight problems. moreover, options are made at the use of bariatric surgical procedure and the recent antiobesity medications. in the course of the technique of constructing the ideas, each test was once made to make sure use of a rigorous, evidence-based procedure. the information are promoted through the Italian Society of weight problems (SIO) and have been formulated in compliance with a prespecified method overseen by way of a guidance committee. they're meant to be used via a variety of clinicians, together with basic practitioners, fundamental wellbeing and fitness care nurses, and first healthiness care pros, and may confidently end up of worth in battling the weight problems epidemic not just in Italy yet throughout Europe and in different places on this planet.

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It B. Cresci • L. Pala • I. Dicembrini Azienda Ospedaliera Universitaria Careggi, Sod Diabetologia, University of Florence, Florence, Italy © Springer International Publishing Switzerland 2016 P. Sbraccia et al. 1007/978-3-319-24532-4_4 37 38 C. Rotella et al. Therapeutic education of obesity should be guaranteed, within the team, by professionals (doctor, nurse, dietitian, community health educator) specifically qualified on the basis of a continuing training on educational activities. (Level of evidence I, Strength of recommendation A) Motivation is crucial to achieve therapeutic adherence and weight loss.

A different response to physical activity between sexes, not confirmed in other studies [58], was also observed in the Canada’s National Population Health Survey adult cohort followed over 16 years [59]. Leisure-time physical activity (LTPA) and work-related physical activity (WRPA) exerted a decreasing effect on BMI, and the effects were larger for females. 20 points in females relative to physically inactive counterparts. 28 points in females. 4 points in females relative to those reported sedentary.

According to recent estimates, elimination of physical inactivity would remove between 6 % and 10 % of the major noncommunicable diseases of CHD, type 2 diabetes, and breast and colon cancers and increase life expectancy [2, 3]. Practice of physical activity and health status are tightly linked in every age group. There is wide evidence that people with higher levels of physical activity have a lower incidence of mortality from all causes, ischemic heart disease, hypertension, cerebrovascular disease, diabetes mellitus, metabolic syndrome, colon and breast cancers, and depression [4–9].

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