Foreword to Part Three

Obesity is associated with a range of complications, which can be categorised under three main headings – metabolic, mechanical and psychosocial complications.

Part 3 of this Obesity Awareness Collection covers obesity associated with cardiovascular issues, osteoarthritis, COPD, reproductive and lower urinary tract complications in men, and male infertility. All of these conditions are precipitated or made worse by obesity.

Often in the rush to manage a specific well-recognised disease or condition, the management of the underlying condition – obesity – gets forgotten. We should put the treatment of obesity much higher up on our priority list when managing our patients. We need to diagnose obesity now, set out a management plan and follow up with patients. There are a range of interventions that can be used in addition to the usual lifestyle modifications, which have been discussed in Parts 1 and 2 of this Collection. Obesity treatment helps control disease, improves quality of life, is cost-effective and is wanted!

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



Part 3. Metabolic, mechanical and psychosocial complications: remission is possible

Article 1

Editorial  Obesity – when treating, remember to manage the underlying cause as well

Obesity is associated with a range of metabolic, mechanical and psychosocial complications. Often in the rush to manage a specific well-recognised disease or condition, the management of the underlying condition – obesity – gets forgotten.
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Article 2

The cardiac complications of obesity

Obesity is a powerful risk factor for cardiovascular events. However, patients can remodel their hearts and improve health outcomes by losing weight.
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Article 3

Obesity – a growing issue for male fertility

Obesity is associated with endocrine dysregulation and poorer sexual function, which can impair male fertility. Weight loss may improve fertility outcomes, as well as conferring longer-term health benefits.
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Article 4

Complexities in managing obesity in COPD

Coexisting COPD and obesity presents both diagnostic and management challenges. However, strategies to help patients safely lose weight, maintain lean muscle mass and improve exercise tolerance are available.
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Article 5

Obesity in men: reproductive and lower urinary tract complications

Obesity in men has important implications for reproductive and lower urinary tract function, as well as risk of chronic disease.
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Article 6

Youth, obesity and worn knees: a trifecta of trouble

Osteoarthritis and knee pain are anticipated associations with morbid obesity. A multidisciplinary program aimed at normalising body mass and maintaining muscle tone is likely to reduce knee pain and improve lifespan.
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This curated collection of articles is sponsored as an educational service by Novo Nordisk Australia.