Barbara W. Graves, CNM, MN, MPH, FACNM, is the Director of the Baystate Medical Center Midwifery Education Program in Springfield, MA.
The Obesity Epidemic: Scope of the Problem and Management Strategies
Version of Record online: 21 JAN 2011
2010 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 55, Issue 6, pages 568–578, November-December 2010
How to Cite
Graves, B. W. (2010), The Obesity Epidemic: Scope of the Problem and Management Strategies. Journal of Midwifery & Womens Health, 55: 568–578. doi: 10.1016/j.jmwh.2010.05.001
- Issue online: 21 JAN 2011
- Version of Record online: 21 JAN 2011
- weight loss;
- weight loss strategies
As the obesity epidemic increases, primary care clinicians are encountering obesity and health problems associated with obesity more frequently than ever before. In 2007, 41% of women were classified as obese, with a body mass index (BMI) of 30 or higher. Non-Hispanic blacks and Hispanics are more likely to be obese than white, non-Hispanics. A wide spectrum of health problems has been associated with obesity, including cardiovascular disease, diabetes, metabolic syndrome, osteoarthritis, and polycystic ovary syndrome. Obesity has been shown to be a low-grade inflammatory state, which may be responsible for many of the comorbidities. The general consensus recommends screening for obesity and counseling to promote weight loss. In some cases, pharmacotherapy and or bariatric surgery may be recommended.