Information

The cornerstone of obesity treatment involves consuming fewer calories than are expended to mobilize and oxidize endogenous triglycerides as fuel. At a minimum, all obesity treatment regimens must emphasize changes in lifestyle behaviors that promote decreasing energy intake and increasing levels of physical activity.  This includes those regimens that employ the use of pharmacologic agents or bariatric surgical procedures.

Through the use of case studies, this program looks at clinical results achieved through the use of unique approaches to weight management at three different institutions.  The first is a lifestyle patterns approach which uses behavior modification techniques.  The second approach involves the use of a very low calorie diet (VLCD) in obese patients who have type 2 diabetes.  The third approach concerns the under recognized and frequently ignored problem of weight regain in patients who have undergone bariatric surgical procedures.

Disclaimers
This program was prepared from presentations given at the Clinical Management of Obesity Roundtable Luncheon that took place on November 16, 2004 at the 2004 NAASO Annual Scientific Meeting.  None of the members of the Editorial Board of Obesity Online were in attendance at this live program, nor did they have advance knowledge of the content of these presentations.

The unique approaches and results described in these presentations represent the experience of the individual presenters and their affiliated institutions.  Their inclusion in this CME activity does not represent an endorsement of these approaches by NAASO, The Obesity Society, or the members of the Editorial Board of Obesity Online.  Participants should carefully evaluate these proceedings before making a determination as to the potential applicability of these approaches in their clinical practice.

During this program, some presenters make reference to copyrighted publications and to specific trademarked pharmaceutical products.  Their mention in this CME activity does not represent an endorsement of these publications or products by NAASO, The Obesity Society, or the members of the Editorial Board of Obesity Online.  Participants should carefully evaluate these proceedings before making a determination as to the potential applicability of these materials in their clinical practice.

Upon completion of this CME activity, participants should be able to:

• Describe the elements of a lifestyle patterns approach for weight management in obese patients
• Identify the elements of an approach for weight management in obese patients with type 2 diabetes using a very low calorie diet
• Describe the causes of and approaches for management of weight regain in patients who have undergone bariatric surgical procedures

This CME activity is designed to meet the educational needs of primary care physicians (general medicine, internal medicine, family practice), specialists in obesity and diabetes, and other healthcare professionals providing healthcare services to obese patients.

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME). The Obesity Society is accredited by the ACCME to provide continuing medical education for physicians.

The Obesity Society designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credit^TM toward the Physicians Recognition Award. Each physician should claim credit only those hours of credit that he/she actually spent in the activity.

The estimated time to complete this activity is 1.0 hour.

A participant in this activity should review and evaluate the presentation for content and usefulness in his/her practice, and complete the posttest, evaluation, and registration forms.

June 2007 through February 2008. Original release date: February 2006

These materials have been reviewed by the members of the Obesity Online Editorial Board (Steven Haffner, MD; Samuel Klein, MD, MS; Christie Ballantyne, MD; F. Xavier Pi-Sunyer, MD, MPH) to ensure the continued scientific accuracy and medical relevance of information presented and its independence from commercial bias.

In accordance with The Obesity Society’s Policy on Disclosure of Relationships, all individuals involved in the planning, development, and delivery of educational activities are required to sign a conflict of interest statement in which they disclose any relevant financial interests or other affiliations with industry or other associations which may have direct and substantial interest in the subject matter of the CME activity. Such disclosure allows program participants to better evaluate the objectivity of the information presented in the program.

Obesity Online and this enduring material are supported by an unrestricted educational grant from Sanofi-Synthelabo, Inc..