Managing obesity is challenging and new treatment involves multimodal chronic care tailored to each patient. Dietary and lifestyle management underpin all treatment options, and pharmacotherapy has an adjuvant role in aiding appetite suppression. In morbidly obese people and obese people with comorbidities, durable weight loss can be safely achieved with bariatric surgery, of which there are several surgical options with current data favouring sleeve gastrectomy.
Obesity: a rising burden of disease
Obesity (defined as a body mass index [BMI] of >30 kg/m2) is a polymorphic chronic disease that has increased in both incidence and prevalence throughout the 20th and 21st centuries.1 It has reached epidemic proportions and is now one of the most important public health issues globally.2
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