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Intensifying Treatment: Bariatric Surgery 强化治疗：减肥手术
The Singapore family physician Pub Date : 2021-04-01 DOI: 10.33591/sfp.47.5.u7
S. Pasupathy
{"title":"Intensifying Treatment: Bariatric Surgery","authors":"S. Pasupathy","doi":"10.33591/sfp.47.5.u7","DOIUrl":"https://doi.org/10.33591/sfp.47.5.u7","url":null,"abstract":"Obesity is a chronic disease increasing at epidemic rates worldwide. Diet and lifestyle intervention form the basis of healthy weight management but are not effective in promoting substantial weight loss in morbidly obese individuals. Bariatric surgery appears to be the only intervention that produces not only profound and sustainable weight loss but also excellent control of attendant comorbidities, particularly type 2 diabetes mellitus, in this group. However, fears and concerns regarding the safety and aggressiveness of surgery is limiting the acceptance of bariatric surgery as a viable treatment option. Newer, less invasive procedures hold promise to fill the gap between conservative and surgical therapies for weight loss.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48781692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding Matters of the Mind in Obesity 理解肥胖的心理问题
The Singapore family physician Pub Date : 2021-04-01 DOI: 10.33591/sfp.47.5.u3
Adrian Toh
{"title":"Understanding Matters of the Mind in Obesity","authors":"Adrian Toh","doi":"10.33591/sfp.47.5.u3","DOIUrl":"https://doi.org/10.33591/sfp.47.5.u3","url":null,"abstract":"Obesity is a growing global concern, and Singapore is not spared from the global epidemic. Apart from the increased risk for many serious diseases and health conditions, obese individuals are vulnerable to many psychological comorbidities. Obesity management through lifestyle changes can be limited by various barriers, increasing the challenge of implementation and leaving some clinicians feeling frustrated and stressed. The paper examines the barriers identified in the literature, discusses the use of cognitive behavioural concepts and techniques to facilitate the lifestyle change process and explores the use of motivation and readiness to change to guide the clinician’s strategies.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43628614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Dietary Interventions for Weight Loss 饮食干预减肥
The Singapore family physician Pub Date : 2021-04-01 DOI: 10.33591/sfp.47.5.u4
Izabela Kerner
{"title":"Dietary Interventions for Weight Loss","authors":"Izabela Kerner","doi":"10.33591/sfp.47.5.u4","DOIUrl":"https://doi.org/10.33591/sfp.47.5.u4","url":null,"abstract":"Obesity is a complex and chronic condition that requires continuing care. A variety of diet plans are available for use in the clinical setting. Exactly what type of diet may be most beneficial remains controversial. Numerous clinical trials have been carried out over the years comparing an array of dietary interventions for weight loss, including calorie restriction diets, altered macronutrient composition diets or specific dietary patterns. This paper will provide an overview of the evidence-based dietary interventions for clinical practice.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49234397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Use of Pharmacotherapy in Obesity Management 药物治疗在肥胖管理中的应用
The Singapore family physician Pub Date : 2021-04-01 DOI: 10.33591/sfp.47.5.u6
Tham Kwang Wei
{"title":"Use of Pharmacotherapy in Obesity Management","authors":"Tham Kwang Wei","doi":"10.33591/sfp.47.5.u6","DOIUrl":"https://doi.org/10.33591/sfp.47.5.u6","url":null,"abstract":"Obesity is a chronic disease which is often relapsing and progressive due in part to the physiology of energy homeostasis in people with obesity, rendering them with the challenge of attaining adequate weight loss and weight maintenance after successful weight loss. Depending on the presence, types and severity of the obesity-related comorbidities (ORCs), some patients will require an amount of weight loss beyond what lifestyle and behavioural modification can achieve. Even after bariatric surgery, patients may not lose the expected amount of weight or experience weight regain. Anti-obesity medications may be required to support them further. Hence, the use of pharmacotherapy in obesity management remains an important adjunct to lifestyle and behavioural modifications and even to bariatric surgery, particularly in those with more severe ORCs and with a high body mass index. This article discusses the general approach to the use of pharmacotherapy in obesity management and the various anti-obesity medications currently approved.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48384129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Understanding Obesity: How and Why? 理解肥胖:如何以及为什么?
The Singapore family physician Pub Date : 2021-04-01 DOI: 10.33591/sfp.47.5.u1
Tham Kwang Wei, B. Lam
{"title":"Understanding Obesity: How and Why?","authors":"Tham Kwang Wei, B. Lam","doi":"10.33591/sfp.47.5.u1","DOIUrl":"https://doi.org/10.33591/sfp.47.5.u1","url":null,"abstract":"Obesity is now recognised as a chronic disease which needs chronic treatment to treat or prevent obesity related complications. This article discusses the biology of weight regulation as a basis to understanding obesity as a disease, and to appreciate the complex and multifactorial nature of the obesity problem. Finally, the article highlights the dietary approaches as part of the multi-pronged approach to treating obesity and gives a brief update on intermittent fasting.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41772124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Monitoring And Support For Weight Loss And Maintenance 监测和支持减肥和维持
The Singapore family physician Pub Date : 2021-04-01 DOI: 10.33591/sfp.47.5.u8
Chu Irene
{"title":"Monitoring And Support For Weight Loss And Maintenance","authors":"Chu Irene","doi":"10.33591/sfp.47.5.u8","DOIUrl":"https://doi.org/10.33591/sfp.47.5.u8","url":null,"abstract":"It is well-established that physical activity is an essential component of weight management programs. This article aims to provide a practical guide to physical activity counselling for weight management. An overview of current physical activity guidelines, a stage-based intervention framework, and strategies for monitoring physical activity levels will be presented.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45603162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patients Risk Stratification in the Management of Osteoporosis: the Latest International Guidelines 骨质疏松管理中的患者风险分层:最新的国际指南
The Singapore family physician Pub Date : 2021-03-01 DOI: 10.33591/sfp.47.3.u2
Chionh Siok Bee
{"title":"Patients Risk Stratification in the Management of Osteoporosis: the Latest International Guidelines","authors":"Chionh Siok Bee","doi":"10.33591/sfp.47.3.u2","DOIUrl":"https://doi.org/10.33591/sfp.47.3.u2","url":null,"abstract":"Assessment of risk of a fragility fracture is a vital step a physician needs to undertake in every patient suspected of osteoporosis, as this will influence the decisions on whether to treat with a pharmacological agent, with which drug, and for how long. After risk stratification, patients deemed Very High-Risk should be considered for an anabolic agent, or if this is not feasible, a parenteral anti-resorptive. High- Risk or Moderate-Risk patients may be considered for oral bisphosphonates.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45046240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A SELECTION OF TEN READINGS ON TOPICS RELATED TO "OSTEOPOROSIS: A GROWING PRIMARY CARE CONCERN" 与“骨质疏松症：日益引起的初级保健关注”相关的十本读物
The Singapore family physician Pub Date : 2021-03-01 DOI: 10.33591/sfp.47.3.ur
L. Goh
{"title":"A SELECTION OF TEN READINGS ON TOPICS RELATED TO \"OSTEOPOROSIS: A GROWING PRIMARY CARE CONCERN\"","authors":"L. Goh","doi":"10.33591/sfp.47.3.ur","DOIUrl":"https://doi.org/10.33591/sfp.47.3.ur","url":null,"abstract":"","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48972375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathway to Holistic Care of Psychiatric Illness in National Servicemen Presenting in Primary Healthcare 初级保健国家军人精神病整体护理的途径
The Singapore family physician Pub Date : 2021-03-01 DOI: 10.33591/sfp.47.3.uc1
Lee Bing Long, Jeffrey Jiang Song’En, Soo Shuenn Chiang, Tan Jian Hong
{"title":"Pathway to Holistic Care of Psychiatric Illness in National Servicemen Presenting in Primary Healthcare","authors":"Lee Bing Long, Jeffrey Jiang Song’En, Soo Shuenn Chiang, Tan Jian Hong","doi":"10.33591/sfp.47.3.uc1","DOIUrl":"https://doi.org/10.33591/sfp.47.3.uc1","url":null,"abstract":"This is a case study of a 22-year-old National Serviceman presenting with the main complaint of insomnia. This case demonstrates possible gaps in the integration of care between public and National Service healthcare. We illustrate a pathway which primary physicians may use to improve communication with National Service healthcare.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45702022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postmenopausal Osteoporosis: Screening & Diagnosis based on FRAX® and BMD 绝经后骨质疏松症：基于FRAX®和BMD的筛查和诊断
The Singapore family physician Pub Date : 2021-03-01 DOI: 10.33591/sfp.47.3.u1
Vivien Lim
{"title":"Postmenopausal Osteoporosis: Screening & Diagnosis based on FRAX® and BMD","authors":"Vivien Lim","doi":"10.33591/sfp.47.3.u1","DOIUrl":"https://doi.org/10.33591/sfp.47.3.u1","url":null,"abstract":"Osteoporosis is a common ailment, especially in older women, yet it is one of the most under-diagnosed and undertreated diseases. Screening of patients, therefore, is invaluable to identify those who require further evaluation. We shall discuss who requires screening and further evaluation of osteoporosis and discuss the diagnosis of osteoporosis.","PeriodicalId":85774,"journal":{"name":"The Singapore family physician","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49569342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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