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Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Source Type: journals

Forthcoming Issuesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Source Type: journals

Forewordemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This issue of the Obstetrics and Gynecology Clinics of North America, with Dr. Raul Artal as Guest Editor, provides a timely update on the assessment and management of obese women. Obesity is the fastest growing health problem in the United States, especially among minority women, and approximately one third of all US women are obese. This issue describes how obesity is associated with increased healthcare costs and such morbid conditions as type 2 diabetes, infertility, gallbladder disease, and several cancers, including breast, colon, and uterine malignancies. Endometrial cancer, the most common gynecologic malignancy, i...
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: William F. Rayburn Source Type: journals

Prefaceemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This issue of the Obstetrics and Gynecology Clinics of North America is devoted to women and obesity. An overview of up to date and relevant information on this topic is provided by well recognized experts in the field who have contributed to this issue. Articles include information that will be useful to clinicians and researchers alike.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Raul Artal Source Type: journals

Health Care Costs of Obesity in Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article summarizes and critically evaluates the scientific literature for the annual and lifetime medical care costs of obesity in women in the United States. Studies involving actual and projected costs are reviewed. Studies were favored that included large, nationally representative samples; accounted for the influence of potential confounding factors; and adjusted for decreased survival in obese women when comparing costs with women of normal weight. Despite a wide variety of methodology in model cost estimation and projection in the studies published, the evidence suggests significant costs attributable to overwei...
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Jeffrey A. Gavard Source Type: journals

Early Life Origins of Obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
There is increasing evidence that obesity has its origins in early life. Predisposition is based on interactions between the genome and environmental influences acting through epigenetic modifications. Individuals most at risk are those whose ancestral line has made a rapid transition from a traditional to a Westernized style of life. The process involves not only metabolism, but also behavior. As a result, those people who are most at risk of obesity may be those least likely to respond to educational programs based on lifestyle modification. Understanding the mechanisms and pathways that underpin the early origins of obe...
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: John P. Newnham, Craig E. Pennell, Stephen J. Lye, Jonathan Rampono, John R.G. Challis Source Type: journals

Gender Differences in Lipid Metabolism and the Effect of Obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
There are many differences between men and women, and between lean and obese subjects, in fatty acid and very low-density lipoprotein triglyceride and apolipoprotein B-100 metabolism. Currently, observations in this area are predominantly descriptive. The mechanisms responsible for sexual dimorphism in lipid metabolism are largely unknown.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Faidon Magkos, Bettina Mittendorfer Source Type: journals

Cardiopulmonary Aspects of Obesity in Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This review discusses the cardiopulmonary aspects of obesity in nonpregnant women. The effects of obesity on pulmonary diffusing capacity and pulmonary gas exchange are related to the waist-to-hip ratio. Obese women have an increased risk for heart failure compared with normal-weight women, a risk that progressively worsens with increasing body mass index. They also have poor cardiac accommodation and possess a lower oxygen pulse at peak exercise. Cardiac output, heart rate, and total blood volume are higher in obese women whereas ejection fraction is lower compared with normal-weight women; substantial weight loss normali...
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Gerald S. Zavorsky Source Type: journals

Pregnancy and Obesityemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article addresses issues concerning pregravid obesity and weight gain during pregnancy and their implication on gestational diabetes and pregnancy outcome.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Yariv Yogev, Patrick M. Catalano Source Type: journals

Exercise Prescription for Overweight and Obese Women: Pregnancy and Postpartumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Once a low-risk pregnancy has been established, walking in combination with nutritional control may be effective in preventing excessive weight gain in overweight and obese women. Maternal exercise prescription should use the Frequency, Intensity, Time spent and Type of exercise principle, with a frequency of three to four sessions per week as ideal. Intensity based on a target heart-rate zone of 110 to 131 beats per minute for women 20 to 29 years of age and 108 to 127 beats per minute for women 30 to 39 years of age, coupled with use of the rating of perceived exertion scale and the “Talk Test” is suggested. Dieting ...
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Michelle F. Mottola Source Type: journals

Childbearing and Obesity in Women: Weight Before, During, and After Pregnancyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Weight gain and the development of obesity during midlife are strong independent predictors of cardiovascular disease, particularly among women, as well as the metabolic syndrome, type 2 diabetes, and early mortality. Primiparity and maternal body size before pregnancy affect long-term postpartum weight retention and the development of obesity among women of reproductive age. As a modifiable risk factor, body weight during the preconception, prenatal, and postpartum periods may present critical windows to implement interventions to prevent weight retention and the development of overweight and obesity in women of childbearing age.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Erica P. Gunderson Source Type: journals

Obesity and Its Relationship to Infertility in Men and Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This review focuses on the negative impact of obesity in reproduction by considering the pathophysiology of obesity and infertility in men and women, the influence of obesity on the prevalence of polycystic ovary syndrome, and the benefits of weight loss on reproduction and on menstruation, ovulation, semen parameters, and reproductive outcomes.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: J. Ricardo Loret de Mola Source Type: journals

Obesity and Sexuality in Womenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This article presents the definitions and classifications of female sexual dysfunction (FSD), emphasizes the importance of obtaining a sexual health assessment, and describes the tools that can be used for this assessment. The impact of obesity on reproductive health over a women's entire life span (in the family-planning years, reproductive years, and menopause years) is described. The treatment of obesity will have a positive effect on a woman's sexual health, with a likely improvement in FSD and a decrease in risk factors related to contraception, pregnancy, infertility, and menopause.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Mitul B. Shah Source Type: journals

Maternal and Child Obesity: The Causal Linkemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Studies have found that higher maternal weight entering pregnancy increases risk for obesity and its cardiometabolic complications among offspring. Epidemiologic studies have found that higher maternal gestational weight gain is associated with higher weight and consequent risk for obesity, and elevated blood pressure among children. While these associations are partly mediated by shared genes and behaviors, the abundance of human evidence, supported by extensive data from experimental animal studies, suggests that intrauterine exposure to an obese intrauterine environment programs offspring obesity risk by influencing app...
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Emily Oken Source Type: journals

Obesity in Minority Women: Calories, Commerce, and Cultureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Obesity is increasing at epidemic rates in all women, but especially in minority women and children. Factors that contribute to this include changes in caloric intake and expenditure (calories), cost and ease of acquiring food along with pressures from the marketplace and media (commerce) and the community response to the increasing prevalence of obesity and sedentary lifestyle (culture).
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Authors: Sharon T. Phelan Source Type: journals

Indexemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Obstetrics and Gynecology Clinics - June 1, 2009 Category: OBGYN Source Type: journals