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Addressing Obesity in Orthopedics

Aston, Brian C. DMSc, MPAS, PA-C1

JBJS Journal of Orthopaedics for Physician Assistants: July-September 2019 - Volume 7 - Issue 3 - p e0004
doi: 10.2106/JBJS.JOPA.19.00004
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Obesity predisposes to osteoarthritis, metabolic and cardiovascular disease. Pharmacological and surgical treatments for weight loss carry significant cost and risk. Treatment strategies based on the conventional model of obesity have not been effective as demonstrated by increasing rates of obesity. Intermittent energy restriction and a low carbohydrate diet have consistently demonstrated weight loss and improved metabolic and cardiovascular markers. Obesity comorbidities interfere with clearance for surgery and increase perioperative risk. There is an increasing trend of insurance denial without documented weight loss in obese patients. In order to effect significant change, there must be integration of weight management into all levels of care.

1Lynchburg College, Doctor of Medical Science Program, Oklahoma City, Oklahoma

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSJOPA/A71).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated.
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