PMID- 15961686
OWN - NLM
STAT- MEDLINE
DCOM- 20051104
LR  - 20181201
IS  - 0148-6071 (Print)
IS  - 0148-6071 (Linking)
VI  - 29
IP  - 4
DP  - 2005 Jul-Aug
TI  - Severe obesity: a growing health concern A.S.P.E.N. should not ignore.
PG  - 288-97
AB  - The definition of malnutrition in the published standards of the American Society 
      of Parenteral and Enteral Nutrition (A.S.P.E.N.) is any derangement in the normal 
      nutrition status and includes overnutrition, commonly referred to as obesity. The 
      incidence of obesity is increasing and reaching epidemic proportions in the 
      United States and even worldwide. This has significant financial impact as our 
      society spends billions of dollars on fad diets, commercial weight-loss programs, 
      nutrition and dietary supplements, prescription and over-the-counter medications, 
      and health clubs. Another approximately dollars 100 billion are spent to treat 
      the medical consequences of obesity. Currently, for those patients with 
      intractable morbid obesity, defined as having a body mass index >40 kg/m2, 
      surgery offers the only option for achieving meaningful and sustainable weight 
      loss. The resultant weight loss dramatically improves health and decreases the 
      cost of health care for these patients. Years of refinement in technology and the 
      introduction of safer and less invasive procedures have dramatically reduced the 
      short-term morbidities and long-term metabolic consequences of these procedures. 
      This address will review the field of weight loss (bariatric) surgery and will 
      offer a compelling request for A.S.P.E.N. to include obesity in its fabric.
FAU - Shikora, Scott A
AU  - Shikora SA
AD  - Tufts University School of Medicine, Bariatric Surgery, Tufts-New England Medical 
      Center, Boston, Massachusetts 02111, USA. sshikora@tufts-nemc.org
LA  - eng
PT  - Address
PL  - United States
TA  - JPEN J Parenter Enteral Nutr
JT  - JPEN. Journal of parenteral and enteral nutrition
JID - 7804134
SB  - IM
MH  - *Bariatrics/trends
MH  - Humans
MH  - Malnutrition/epidemiology/*therapy
MH  - Nutritional Requirements
MH  - Nutritional Status
MH  - *Nutritional Support
MH  - Obesity, Morbid/epidemiology/*surgery/*therapy
MH  - Postoperative Care
MH  - Postoperative Complications
MH  - Treatment Outcome
EDAT- 2005/06/18 09:00
MHDA- 2005/11/05 09:00
CRDT- 2005/06/18 09:00
PHST- 2005/06/18 09:00 [pubmed]
PHST- 2005/11/05 09:00 [medline]
PHST- 2005/06/18 09:00 [entrez]
AID - 29/4/288 [pii]
AID - 10.1177/0148607105029004288 [doi]
PST - ppublish
SO  - JPEN J Parenter Enteral Nutr. 2005 Jul-Aug;29(4):288-97. doi: 
      10.1177/0148607105029004288.