Foreword to Part One

About two-thirds of adults in Australia have overweight or obesity, and this number is expected to increase. Obesity is regarded as a disease in its own right but it is also a major risk factor for cardiovascular disease, type 2 diabetes, some musculoskeletal conditions and even some cancers.

This is Part 1 of a three-part collection of articles on the management of overweight and obesity. Published articles from Medicine Today and its sister publication Endocrinology Today on the topic of overweight and obesity management have been collated and the articles updated by the authors. Part 1 of this collection focuses on practical lifestyle approaches – dietary change, alterations in physical activity and behaviour modification – to assist people in maintaining or losing weight. Lifestyle modification should be the central therapeutic approach in the management of obesity, and the ability to adhere in the long term to new lifestyle changes is the most important factor determining the success of any weight loss attempt. Most patients who have obesity are interested and motivated to lose weight and they want you, their healthcare professional, to help them.

Part 2 of the collection will focus on pharmacological and surgical approaches to obesity and Part 3 will focus on managing the complications of obesity.

Professor Caterson is the Boden Professor of Human Nutrition and Director of the Boden Collaboration, The University of Sydney, Sydney, NSW.



Part 1. Recognise and intervene early: diet, exercise and other lifestyle approaches

Article 1

Editorial  Obesity – what can we do at this time?

Why do healthcare professionals need to be especially aware of weight loss interventions during the COVID-19 pandemic, and help their patients to lose weight?
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Article 2

Managing obesity: focus on lifestyle approaches

Most people with obesity are interested and motivated to lose weight. This article outlines some practical lifestyle approaches to help your patients achieve and maintain weight loss.
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Article 3

Obesity in primary care. 10 practical ways to help your patients lose weight

Obesity is largely a systemic problem, but GPs can help their patients to lose weight by addressing the individual determinants of weight gain.
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Article 4

Toxic waist: practical interventions for metabolic syndrome

This opinion piece helps GPs to recognise metabolic syndrome early as a treatable disease entity in high-risk patients. Practical interventions that GPs can implement themselves are discussed. These include goal setting, motivational interviewing and food and exercise prescriptions.
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Article 5

How to investigate weight gain in an adult. ‘I’ve put on so much weight doc’

Investigations in patients who have gained weight include cardiometabolic and nutritional screening, a fitness assessment for exercise and possibly referral to a multidisciplinary obesity service.
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Article 6

Is weight loss the best treatment for type 2 diabetes?

Obesity is the main driver of type 2 diabetes and weight loss is a powerful strategy to lower blood glucose levels. This article describes the author’s own approach to weight loss in people with diabetes.
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This curated collection of articles is sponsored as an educational service by Novo Nordisk Australia.