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Unlocking Weight Management in Obesity and Diabetes through New Medical Therapies

Explore the impact of the obesity and diabetes epidemic, emphasizing adiposopathy as the new disease. Discover innovative medical treatments with emphasis on lifestyle modifications, low-calorie diets, increased physical activity, and behavior therapy. Learn to identify, evaluate, and treat overweight and obesity in adults effectively. Understand the challenges of a toxic food environment and the importance of making smart food choices. This guide highlights the cumulative effects of small daily errors in energy balance and provides practical advice on selecting suitable treatment options and managing weight effectively in a modern, challenging environment.

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Unlocking Weight Management in Obesity and Diabetes through New Medical Therapies

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  1. The Obesity/Diabetes Epidemic:Adiposopathy & ‘Obesity’- The New Disease!Weight Management in Obesity and DM: Emphasis on New Medical Therapies Part 3 Stan Schwartz MD, FACP, FACE Private Practice, Ardmore Obesity Program Cardiometabolic Diabetes Center and Affiliate, Main Line Health System Emeritus, Clinical Associate Professor University of Pennsylvania

  2. A Guide to Selecting Treatment NIH/NHLBI, NAASO. The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults. Bethesda, MD: NIH, 2000.

  3. Lifestyle Modification Low-Calorie Diet IncreasedPhysical Activity Behavior Therapy

  4. The “Toxic Environment” supersized • High-Calorie Food is… • Highly palatable • Inexpensive • Heavily advertised • Near-ubiquitous Brownell KD & Horgen KB. Food Fight. New York: McGraw-Hill; 2003.

  5. Compliance, Use foods Used to Eating

  6. Cumulative Effect of Small Daily Errors in Energy Balance on Body Fat Mass Lb/yr Leads to ‘100 cal/ day = 1 lb/m’ rule My Advice: use foods patient used to eating

  7. The “Toxic Environment” • Physical Activity is… • To be avoided • Nearly unnecessary • Limited by infrastructure Brownell KD & Horgen KB. Food Fight. New York: McGraw-Hill; 2003.

  8. Burning a lot less energy (per half hour) in 2004 vs 1984

  9. So… Hard to lose weight with exercise

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