Obesity constitutes a strong risk factor for the development of chronic kidney disease. This review examines the epidemiology, clinicopathologic presentation, and proposed mechanisms for chronic kidney disease in the obese patient. Obesity-associated nephropathy displays a continuum that evolves from glomerulomegaly to glomerulosclerosis and from mild to severe proteinuria in the…
Obesity and being overweight are associated with many comorbid conditions and are major contributing factors to cardiovascular disease. The increased proportion of overweight and obese people in Western societies has been attributed largely to behaviors that include sedentary lifestyle and dietary excess. Women are at particular risk during perimenopause, when hormones change and metabolism slows….
Objectives: Cross-sectional and longitudinal studies have demonstrated that short sleep periods increase the likelihood of obesity in children. This study was designed to identify other less-clearly defined sleep and behavioral patterns associated with changes in body mass index (BMI) in obese children referred for interventions. Methods: We retrospectively reviewed the…
The chart said the chief complaint was cough. I entered the examination room to find an obese 19-year-old girl named Danielle who looked mildly uncomfortable and coughed intermittently. I introduced myself as a medical student and began taking the history. Two weeks ago, Danielle had resolved to lose weight and…
Objectives: To evaluate the real-world use of various weight loss techniques and to compare the effectiveness of nontraditional methods with diet and exercise in helping nongeriatric adults lose weight. Methods: A cross-sectional analysis of the 2005–2010 National Health and Nutrition Examination Survey was performed. Adult, nonpregnant participants aged 20 to…
At a prevalence of 36%, obesity is one of the most common diseases in the United States, competing for dominance with hypertension1,2 and tobacco use. Costs and morbidity related to obesity are astronomical. Clinician provision of effective counseling of patients for tobacco cessation has been suboptimal3; this also is true…
To the Editor:The article by Tobias et al provided new insight into the relation between body mass index (BMI) and mortality in people with incident type 2 diabetes mellitus.1 Their study suggested that a linear relation exists between BMI and mortality in nonsmokers (increasing BMI associated with increased hazard ratio…
A special series of articles on the topic of obesity is initiated in this issue of the Southern Medical Journal. This public health issue has been popularly termed an ‘‘epidemic’’ in the United States, and that can be understood in the context of motivating public health and healthcare professionals, as…
Objectives: A physician’s advice is among the strongest predictors of efforts toward weight management made by obese patients, yet only a minority receives such advice. One contributor could be the physician’s failure to recognize true obesity. The objectives of this study were to assess physicians’ ability to recognize obesity and…
Objectives: The purpose of the study was to examine potential differences between two approaches to defining adolescent weight misperception. Specifically, weight status perception was compared with self-reported weight status and actual weight status (based on body mass index percentiles calculated from self-reported and actual weights and heights, respectively). Furthermore, the…
I appreciate the letter from Drs Santhanam and Masannat regarding their analysis of the National Health and Nutrition Examination Survey data from 2011–2012 with respect to the relation between mortality and body mass index (BMI) in individuals with diabetes mellitus and the effect of hypertension. The National Health and Nutrition…
Objectives: The dietary habits of baby boomers (people born between 1946 and 1964) undoubtedly will have a substantial impact on their future health; however, dietary information regarding the intake of key chronic disease–related nutrients is lacking for this generation. The objective of this study was to compare the dietary intake…
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