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Episode 41: Obesity – what’s the big deal?

In episode 41, we start to tackle the big problem of obesity by getting the advice of 2 Mikes for the price of one. We discuss how classification is more useful from an epidemiologic perspective than it is from an individual patient perspective – which is often the case in medicine. In the end, the team heads to a local fast food restaurant to verify the evidence for caloric binging.

Show Notes

1) Depression and obesity

Synopsis of the 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children.

CMAJ 2007;176(8 suppl):S1-13

2) Obesity and increased mortality

Ann Intern Med 2003;138:24-32

3) Being a little bit overweight is OK

JAMA 2007;298:2028-2037

Lancet 2006;368:666-78

J Am Geriatr Soc 2005;53:2112-8

4) Metabolic syndrome – who cares?

Metabolic syndrome classification predicts CVD risk no better than just using the regular CVD factors like age, sex, cholesterol, blood pressure, diabetes etc.

Diabetes Care 2006;29:1693

Framingham risk score was a better predictor of CHD and stroke than the metabolic syndrome

Arch Intern Med 2005;165:2644-50

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