Obesity management: lifestyle and bariatric surgery 2

Published on December 31, 2015   28 min

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Other Talks in the Series: Obesity: Science, Medicine and Society

It's important to remember that the goal of any weight loss program is not just to achieve weight loss. When we ask patients what they're worried about, it's not just the body weight, it's whether their ability to function is going to be improved by weight loss. The pain, the disability, perhaps discrimination in the handicap, whether their disease is going to be improved, their diabetes risk, their cardiovascular disease, sleep apnea, their risk of cancer, and for some, some of the body image problems and psychological problems that are associated with their weight are in fact the primary concern. For that reason, when we evaluate our programs, we're not just looking at weight loss, we're also looking at some of these other outcomes that matter to patients and I'd like to just share with you some of the outcomes that we use and how our weight loss program is able to improve some of these outcomes.
So, if we look at some of the functional and quality of life outcomes that we use, these data are looking at step tests, 6 meter walk tests, and sit to stand. And you can see that all of these improve during the intensive part of our physiotherapy program. The Measure Yourself Medical Outcomes Proforma is a particularly useful tool because what this does is it asks patients what their major concern is. And when we use this measure, we find that the two main concerns that patients have tend to improve. So these people are saying that the problems that they have are improved by the weight loss that we see in our program.

Obesity management: lifestyle and bariatric surgery 2

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