Obesity

Treatment progression

from least to most intrusive options

First step

Self-directed weight loss programs

Second step

Commercial self-help programs

Third step

Behavior modification programs

Last step

Bariatric surgery

Considered BMI of

30+

Not DSM disorder, but

may be a consequence

In 2008, what percent of adults in the US were obese?

33\.8%

In 2010, what percent of adults in the US were obese?

37\.5%

Mortality rates are close to that of

smoking

Obesity is increasing rapidly in

children/teens

Obesity also growing

rapidly in developing countries

Obesity and night eating syndrome occurs in 7% to 19% of

treatment seekers

Obesity and night eating syndrome occurs in 55% of

individuals seeking bariatric surgery

People with obesity and night eating syndrome consume

1/3+ of daily calories after dinner

People with obesity and night eating syndrome get up during

the night to eat

Obesity and night syndrome: Patients are

wide awake and do not binge eat

Obesity and night syndrome:: Often not

hungry, skip breakfast the next morning

Causes: Obesity is related to

technological advancement

Causes: Genetics account for

about 30% of obesity cases

Causes: More likely to be obese if

people in close social circles are also obese

Treatment: Efficacy - moderate success with

adults

Treatment: Efficacy greater success with

children and adolescents

Recent study suggests that the combination of

restricted calorie intake, increased physical activity, and behavior therapy tends to lead to more weight loss than any of these components on their own