TY  - CHAP
M1  - Book, Section
TI  - Obesity in the Obstetric Intensive Care Patient
A1  - Perlow, Jordan H.
A2  - Foley, Michael R.
A2  - Strong, Jr., Thomas H.
A2  - Garite, Thomas J.
Y1  - 2015
N1  - 
T2  - Obstetric Intensive Care Manual, 4e
AB  - Despite  the  widely  described  negative  consequences  of  obesity  on  health,  the  obesity  epidemic  continues  to  challenge  clinicians,  researchers,  public  health  policy  makers,  and  the  healthcare  system,  while  placing  large  segments  of  our  population  at  risk  for  a  multitude  of  serious  maladies  and  premature  death.  The  problem  is  not  solely  limited  to  the  developed  world,  as  obesity  has  become  a  World  Health  Organization  (WHO)  focus  as  it  relates  to  global  health  initiatives.  Cancer,  orthopedic  complications,  diabetes,  hypertension,  stroke,  heart  disease,  premature  death  and  other  serious  complications  (Table  6-1)  have  been  well  described,  and  yet  the  public  health  goal  of  the  populace  achieving  a  normal  body  mass  index  (BMI)  has  been  elusive.  Sadly,  obesity  is  a  well-recognized  “common  denominator”  to  preventable  mortality,  and  obese  (as  well  as  overweight)  adults  have  been  shown  to  be  at  significantly  higher  risks  for  any-cause  mortality,  than  their  leaner  counterparts.  The  unfortunate  trend  toward  a  sedentary  lifestyle  and  unhealthy  eating  habits  has  likely  contributed  to  this  unfortunate  and  costly  situation,  although  unquestionably,  myriad  psychosocial,  economic,  and  environmental  factors  are  likely  contributory.  Ironically,  despite  the  decades-long  and  wide  availability  of  dietetic,  fat-free,  low-fat,  sugar-free,  and  low-calorie  foods  and  beverages,  not  to  mention  the  ubiquitous  presence  of  health  clubs  in  our  communities,  there  are  more  obese  Americans  today  than  at  any  previous  time  in  our  history.  More  than  78  million  American  adults  are  obese,  which  is  more  than  one-third  of  the  adult  population,  and  account  for  nearly  $150  billion  of  annual  obesity-related  healthcare  expenditures.  While  obesity  is  now  recognized  in  12.5  million  American  children  and  adolescents  (17%  of  this  population),  sadly,  nearly  one-third  of  all  children  ages  2  to  19  years  are  now  either  overweight  or  obese.  The  prevalence  of  obesity  for  adult  men  and  women  is  now  equivalent  (35.7%  vs  35.8%,  respectively),  with  prevalence  increases  in  recent  decades  noted  primarily  in  men.  Despite  some  differences  in  obesity  prevalence  based  on  levels  of  education,  income,  and  ethnicity  or  race,  it  is  clear  that  over  the  past  decades,  obesity  rates  have  increased  for  both  men  and  women  of  all  socioeconomic  strata.  While  the  number  of  obese  Americans  stood  at  just  13%  in  1962,  presently,  approximately  2  in  3  US  women  are  either  overweight  or  obese,  with  the  highest  prevalence  noted  in  the  non-Hispanic  Black  population.  Colorado  is  the  “leanest"  state,  with  just  over  20%  of  its  population  obese,  while  the  “heaviest”  state  is  Mississippi,  with  nearly  35%  of  its  adult  population  obese.  Clearly,  the  Healthy  People  2010  goals  for  15%  obesity  among  adults  and  5%  in  children  were  not  met.  In  fact,  the  average  BMI  of  adult  women  in  the  United  States  is  28.7.  This  unfortunate  “state  of  the  weight”  in  the  United  States  may  ultimately  undo  the  steady  gains  in  overall  health  we  have  enjoyed  as  Americans  since  the  dawn  of  the  20th  century,  and  now  contributes  to  the  deaths  of  300,000  Americans  annually.  The  remarkably  high  prevalence  of  this  condition  and  its  significant  negative  impact  on  overall  health  makes  its  prevention  and  treatment  a  top  priority  for  all  healthcare  disciplines.  ...
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - obgyn.mhmedical.com/content.aspx?aid=1115790204
ER  -