التفاصيل البيبلوغرافية
| العنوان: |
Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative. |
| المؤلفون: |
Ranjan, Piyush1 (AUTHOR), Vikram, Naval1 (AUTHOR), Kumari, Archana2 (AUTHOR), Chopra, Sakshi3 (AUTHOR), Choranur, Ambuja4 (AUTHOR), Pradeep, Yashodhara5 (AUTHOR), Puri, Manju6 (AUTHOR), Malhotra, Anita7 (AUTHOR), Ahuja, Maninder8 (AUTHOR), Meeta9 (AUTHOR), Batra, Achla10 (AUTHOR), Balsarkar, Geetha11 (AUTHOR), Goswami, Deepti12 (AUTHOR), Guleria, Kiran13 (AUTHOR), Sarkar, Siddharth14 (AUTHOR), Kachhawa, Garima2 (AUTHOR), Verma, Aditi3 (AUTHOR), Kumari, M15 (AUTHOR), Madan, Jagmeet16 (AUTHOR), Dabral, Anjali17 (AUTHOR) |
| المصدر: |
Journal of Family Medicine & Primary Care. Dec2022, Vol. 11 Issue 12, p7549-7601. 53p. |
| مصطلحات موضوعية: |
*COMPULSIVE eating, *EMOTIONAL eating, *PREMATURE menopause, *OBESITY in women, *WEIGHT loss, *OBESITY, *HEALTH behavior, *MEDICAL care |
| مستخلص: |
In addition to weight gain, midlife women are predisposed to cardiometabolic comorbidities and obesity-related complications.[[6]],[[142]],[[143]] In the Study of Women's Health Across the Nation (SWAN) study, the chances of cardiometabolic comorbidities including diabetes, hypertension, dyslipidaemia are increased as women undergo menopausal transition.[[144]] Other obesity-related comorbidities includes non-fatty alcoholic liver (NAFLD), sleep apnoea, polycystic ovary syndrome (PCOS), infertility and osteoarthritis.[[145]] Studies suggest that Only one trial reported the importance of aerobic exercises in managing distress, hot flushes as climacteric symptoms and health-related overall quality of life (HRQoL).[[212]] An experimental study reported that involvement in 60 min of daily physical activity helps in improving climacteric symptoms and psychological distress.[[213]] Social support from coaches in maintaining regular engagement in physical activity did not contribute to an increased frequency of engagement in physical activity.[[214]] Clinical practice recommendations [INLINE:23] Discussion A personalised, progressive and stepwise exercise regime should be planned by the healthcare provider. Summary of evidence The critical components evaluated for the initiation of management of obesity in midlife women included: weight and health-related measures, menopausal symptoms, bone health and psychological distress. Although controlling for baseline BMI and other factors, it was seen that those with depression had 1.18 times the risk of developing obesity.[[130]] Binge eating disorder is also associated with 3 to 6 times the risk of obesity as compared to those without any eating disorder.[[131]] Night-eating syndrome is also associated with obesity as per observational studies.[[131]] It has been seen that the use of psychotropic medications is also associated with obesity and weight gain. [Extracted from the article] |
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