Fifteen minutes

Abstract

Describing the importance of obesity toDay, anD the lack of strategies for proper management, can take fifteen minutes of reaDing, but the problem must involve much more time of your attention, as well as guiDance to your patients. Epidemic and rising rates of obesity in many parts of the world are leading to increased suffering and economic stress. Despite decades of research on the causes of the obesity pandemic, which does not seem close to a solution, there is still no clear understanding of the nature of the problem. This limits creativity and suffocates expansive thinking, which could advance in the field of prevention and treatment, as well as in the scope of the complications of obesity. Shared decision-making and the redirecting of policies could remove barriers that prevent us from moving forward to solve an urgent public health issue of the beginning of this century 1.2 .Overweight and obesity reflect a gain of excess body fat, including visceral fat, which is a result of initially imperceptible cumulative effects of everyday eating, hourly, with no proper physical activity, creating a surplus of calories consumed in relation to those expended. Excess weight gain, gradual and unintended, is accompanied by the difficulty of reversing the picture and can become permanent. Even if all currently obese patients were treated effectively in the absence of adequate preventive efforts, there would still be continued growth in the number of obese people. Many multifaceted interventions to prevent obesity seek to influence the balance of calories, focusing on energy consumption, or energy expenditure. While obesity is a priority from an epidemiological and public health perspective, it becomes even more important as it influences other aspects of society. Substantial direct and indirect costs include discrimination, economic deprivation, loss of productivity and disability. Thus, state and local governments end up diverting resources for prevention and treatment. The country's health system is burdened with the comorbidities of obesity, such as type 2 diabetes, hypertension, cardiovascular diseases, osteoarthritis and cancer. It is estimated that the annual burden of obesity is almost 10% of all medical spending 3 .There are programs of shared decision-making that offer surgical treatment modalities for weight loss, including:Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and laparoscopic sleeve gastrectomy. Patients attend seminars where they are instructed on the differences in outcomes, follow-up and complications of each procedure. The main information presented at the seminar include: 1. Greater weight loss with Roux-en-Y and sleeve gastrectomy compared to the use of a gastric band; 2. The gastric band requires the highest number of post-operative visits (monthly in the first year); 3. The Roux-en-Y and the sleeve gastrectomy have a higher rate of life-threatening complications than the gastric band (fistula); 4. The gastric band has highest number of delayed complications related to the ...

Study of a delayed-release system for hard and soft capsules coated with eudragit® s100 acrylic polymers

“…According to several studies related to the satiety mechanism (Lieverse, Jansen, Masclee, Rovati, & Lamers, 1994;Van Citters, & Lin, 1999;Diepvens, Soenen, Steijns, Arnold, & Westerterp-Plantenga, 2007;Olsson, Sundberg, Viberg, & Haenni, 2011;Heer, 2012), the release of intestinal peptides due to food content in the intestine depends on the nutritional status of the individual and may contribute to the control of obesity and type 2 diabetes. The obese population has increased worldwide over the last several decades, and combatting obesity is a difficult problem (Bernardo, Maria Junior, Salomão, & Baracat, 2014). The increase in the obese population has been associated with increased incidence of diseases such as type 2 diabetes (Pontes, Sousa, & Navarro, 2009).…”