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Management of the Obese Patient

Charlotte M. Young, PhD
[+] Author Affiliations

Professor of Medical Nutrition, Graduate School of Nutrition, Cornell University.

Read before the Section on Preventive Medicine during the 112th Annual Meeting of the American Medical Association, Atlantic City, NJ, June 18, 1963.


JAMA. 1963;186(10):903-904. doi:10.1001/jama.1963.03710100041009
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Not all obese persons should undertake weight reduction. Only those for whom there is some likelihood of success and in whom undesirable sequelae are unlikely should be encouraged to reduce. A reasonably well-adjusted individual, with a meaningful reason for losing weight and good environmental circumstances, can succeed if the therapist is willing and able to give unjudging, unchastising, nonthreatening, sympathetic support with sound dietary advice in frequent contacts over a period of time. The roots of the obesity problem are psychological, sociological, cultural, economic, and physiological. Prevention is the only real answer.

REFERENCES

Waldner, B.G.; Pilcher, H.L.; and Young, C.M.:  Twelve Years of Nutrition Counseling in a Student Medical Clinic , Stud Med 4:20-34 ( (Oct) ) 1955;.
Young C.M., et al:  What Can Be Done for the Obese Patient?: Report of Study in Experimental Clinic , Amer Pract Dig Treat 6:685-695 ( (May) ) 1955;.
Young, C.M., et al:  Stepwise Weight Reduction in Obese Young Women: Clinical and Metabolic Responses , J Nutr 70:391-400 ( (March) ) 1960;.
Bruch, H.:  Psychological Aspects of Obesity , Borden Rev Nutr Res 19:4 ( (July-Aug) ) 1958;.
Stunkard, A.J., and McLaren-Hume, M.:  Results of Treatment of Obesity , Arch Intern Med (Chicago) 103:79-85 ( (Jan) ) 1959;.
McCann, M., and Trulson, M.F.:  Long-Term Effect of Weight Reducing Program , J Amer Diet Ass 31:1108-1110 ( (Nov) ) 1955;.
Young, C.M.:  Patient Selection for Weight Reduction , New York J Med 59:2215-2218 ( (June) ) 1959;.
Young, C.M.:  Planning Low Caloric Diet , Amer J Clin Nutr 8:896-900 ( (Nov.-Dec.) ) 1960;.
Young, C.M.:  Interviewing the Patient , Amer J Clin Nutr 8:523-526 ( (July-Aug) ) 1960;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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Waldner, B.G.; Pilcher, H.L.; and Young, C.M.:  Twelve Years of Nutrition Counseling in a Student Medical Clinic , Stud Med 4:20-34 ( (Oct) ) 1955;.
Young C.M., et al:  What Can Be Done for the Obese Patient?: Report of Study in Experimental Clinic , Amer Pract Dig Treat 6:685-695 ( (May) ) 1955;.
Young, C.M., et al:  Stepwise Weight Reduction in Obese Young Women: Clinical and Metabolic Responses , J Nutr 70:391-400 ( (March) ) 1960;.
Bruch, H.:  Psychological Aspects of Obesity , Borden Rev Nutr Res 19:4 ( (July-Aug) ) 1958;.
Stunkard, A.J., and McLaren-Hume, M.:  Results of Treatment of Obesity , Arch Intern Med (Chicago) 103:79-85 ( (Jan) ) 1959;.
McCann, M., and Trulson, M.F.:  Long-Term Effect of Weight Reducing Program , J Amer Diet Ass 31:1108-1110 ( (Nov) ) 1955;.
Young, C.M.:  Patient Selection for Weight Reduction , New York J Med 59:2215-2218 ( (June) ) 1959;.
Young, C.M.:  Planning Low Caloric Diet , Amer J Clin Nutr 8:896-900 ( (Nov.-Dec.) ) 1960;.
Young, C.M.:  Interviewing the Patient , Amer J Clin Nutr 8:523-526 ( (July-Aug) ) 1960;.
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