The 2013 American Heart Association/American College of Cardiology/The Obesity Society Guideline for the Management of Overweight and Obesity in Adults What Is New About Diet, Drugs, and Surgery for Obesity?

摘要

An obese, 55-year-old man with metabolic syndrome meeting all 5 of the Adult Treatment Plan III National Cholesterol Education Program criteria,1 including hypertension, type 2 diabetes mellitus, atherogenic dyslipid-emia with low high-density lipoprotein cholesterol, elevated triglycerides, and abdominal obesity with a high waist circumference, is having trouble losing weight on his own through lifestyle intervention. He has hired a personal trainer and is working out 3 times a week but has lost no weight. He enjoys eating out with his wife or his business associates 3 to 4 times per week. This is where he reports consuming most of his excess calories in both food and alcohol. He takes 7 medications to control his obesity-related comorbidities.