Table Of ContentObesity Prevention
and Treatment
Lifestyle Medicine
Series Editor
James M. Rippe
Founder and Director, Rippe Lifestyle Institute
Professor of Medicine, University of Massachusetts Medical School
Led by James M. Rippe, MD, Founder and Director, Rippe Lifestyle Institute, this
series is directed to a broad range of researchers and professionals consisting of
topical books with clinical applications in nutrition and health, physical activity,
obesity management, and applicable subjects in lifestyle medicine.
Increasing Physical Activity
A Practical Guide
James M. Rippe
Manual of Lifestyle Medicine
James M. Rippe
Obesity Prevention and Treatment
A Practical Guide
James M. Rippe and John P. Foreyt
For more information, please visit: www.routledge.com/Lifestyle-Medicine/book-
series/CRCLM
Obesity Prevention
and Treatment
A Practical Guide
Edited by
James M. Rippe, MD
Founder and Director, Rippe Lifestyle Institute
Professor of Medicine, University of
Massachusetts Medical School
John P. Foreyt, PhD
Professor, Department of Medicine, Baylor College of Medicine
First edition published 2022
by CRC Press
6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487-2742
and by CRC Press
2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN
© 2022 selection and editorial matter, James M. Rippe and John P. Foreyt; individual chapters, the contributors
CRC Press is an imprint of Taylor & Francis Group, LLC
Reasonable eforts have been made to publish reliable data and information, but the author and publisher cannot
assume responsibility for the validity of all materials or the consequences of their use. Te authors and p ublishers
have attempted to trace the copyright holders of all material r eproduced in this publication and apologize to
copyright holders if permission to publish in this form has not been obtained. If any copyright material has not
been acknowledged please write and let us know so we may rectify in any future reprint.
Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or
utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including
photocopying, microflming, and recording, or in any information storage or retrieval system, without written
permission from the publishers.
For permission to photocopy or use material electronically from this work, access www.copyright.com or contact
the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. For works
that are not available on CCC please contact [email protected]
Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for
identifcation and explanation without intent to infringe.
Library of Congress Cataloging-in-Publication Data
Names: Rippe, James M., editor. | Foreyt, John Paul, editor.
Title: Obesity prevention and treatment : a practical guide / edited by James M. Rippe, John P. Foreyt.
Description: Boca Raton : CRC Press, 2022. | Includes bibliographical references and index. | Summary: “Te
World Health Organization estimates that there are 2.1 billion individuals with obesity globally. Nearly three
quarters of adults in the United States are overweight or obese. Te average individual with obesity cuts ten
years of their life expectancy, yet less than 40% of p hysicians routinely counsel individuals concerning the
adverse health consequences of obesity. Obesity Prevention and Treatment: A Practical Guide equips healthcare
practitioners to include efective weight management counselling in the daily practice of medicine. Written by
lifestyle medicine pioneer and cardiologist, Dr. James Rippe and obesity expert Dr. John Foreyt, this book provides
evidence-based discussions of obesity and its metabolic consequences. A volume in the Lifestyle Medicine Series,
it provides evidence-based information about the prevention and treatment of o besity through lifestyle measures,
such as regular physical activity and sound nutrition, as well as the use of new medications or bariatric surgery
available to assist in weight management. Provides a framework and practical strategies to assist practitioners in
safe and efective treatments of obesity. Contains information explaining the relationship between obesity and
increased risk of heart disease, diabetes, cancer, osteoarthritis, and other chronic conditions. Chapters begin
with bulleted key points and conclude with a list of Clinical Applications. Written for practitioners at all levels,
this user-friendly, evidence-based book on obesity prevention and treatment will be valuable to practitioners in
general medicine or subspecialty practices”— Provided by publisher.
Identifers: LCCN 2021017357 (print) | LCCN 2021017358 (ebook) |
ISBN 9780367551780 (paperback) | ISBN 9780367567187 (hardback) | ISBN 9781003099116 (ebook)
Subjects: MESH: Obesity—prevention & control | Obesity—therapy | Obesity—complications | United States
Classifcation: LCC RC628 (print) | LCC RC628 (ebook) | NLM QU 248 AA1 | DDC 616.3/98—dc23
LC record available at https://lccn.loc.gov/2021017357
LC ebook record available at https://lccn.loc.gov/2021017358
ISBN: 9780367567187 (hbk)
ISBN: 9780367551780 (pbk)
ISBN: 9781003099116 (ebk)
DOI: 10.1201/9781003099116
Typeset in Times
by codeMantra
Dedication
To my family, Stephanie, Hart, Jaelin, Devon and
Jamie Rippe. Their love and support make all of
these endeavors possible and worthwhile.
In memory of Julian Davis and Sam Cunningham, two of
Dr. Foreyt’s earliest clinical mentors, who both recently
passed away, at ages 99 and 96, respectively, for their lifelong
friendship. They will always be in my thoughts and prayers.
Contents
Preface.......................................................................................................................xi
Acknowledgments ....................................................................................................xv
Editors ....................................................................................................................xvii
Contributors ............................................................................................................xix
Section i the Modern Management of obesity
Chapter 1 Preventing and Managing Obesity: The Scope of the Problem ...........3
James M. Rippe, MD
Chapter 2 The Pathophysiology of Obesity ........................................................ 13
James M. Rippe, MD
Chapter 3 The Epidemiology of Adult Obesity .................................................. 21
James M. Rippe, MD
Chapter 4 Identifcation, Evaluation, and Treatment of Overweight and
Obesity................................................................................................29
James M. Rippe, MD
Chapter 5 Exercise Management for the Patient with Obesity ........................... 43
James M. Rippe, MD
Chapter 6 Behavioral Management for the Patient with Obesity ....................... 53
John P. Foreyt, PhD
Chapter 7 Dietary Management of Overweight and Obesity ..............................63
Nina Crowley, PhD, RDN, LD, and Katherine R. Arlinghaus,
PhD, RD
Chapter 8 A Clinical Approach to Pharmacological Management of the
Patient with Obesity ........................................................................... 75
Magdalena Pasarica, MD, PhD and Nikhil V. Dhurandhar,
PhD, FTOS
vii
viii Contents
Chapter 9 Bariatric Surgery ................................................................................95
Robert F. Kushner, MD
Chapter 10 Pediatric Obesity .............................................................................. 113
James M. Rippe, MD
Chapter 11 A diposity-Based Chronic Disease: A New Diagnostic Term ........... 123
James M. Rippe, MD
Section ii obesity and Specifc Medical conditions
Chapter 12 Obesity and Cardiovascular Disease ................................................ 135
James M. Rippe, MD
Chapter 13 Obesity and Diabetes ........................................................................ 151
James M. Rippe, MD
Chapter 14 Obesity and the Metabolic Syndrome .............................................. 165
James M. Rippe, MD
Chapter 15 Lifestyle Approaches Targeting Obesity to Lower Cancer Risk,
Progression, and Recurrence ............................................................ 175
James M. Rippe, MD
Chapter 16 Obesity and Arthritis ........................................................................ 187
James M. Rippe, MD
Section iii Future Directions and Public Health issues
Chapter 17 Beyond Subcutaneous Fat ................................................................ 197
James M. Rippe, MD
Contents ix
Chapter 18 Public Health and Obesity ................................................................207
James M. Rippe, MD
Chapter 19 Future Directions in Obesity and Weight Management ................... 215
James M. Rippe, MD
Index ......................................................................................................................225
