Document Detail


Obesity is more than an eating disorder--the multidimensional perspective of a pandemia
MedLine Citation:
PMID:  18325241     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A summary of the epidemiology, etiology and therapy of obesity is given with special emphasis on psychosomatic aspects. Overweight and obesity are widespread and go hand in hand with an increased health risk. The etiology of obesity is multifactorial based on gene/environment interactions; hyperalimentation and physical inactivity, as an expression of the rapid technical advancements within the past decades, have, however, had a decisive influence on the pandemic spreading of obesity. The prevalence of mental disorders is increased particularly in obese women. Although phylogenetically of relevance, an environment that associates slimness with beauty, health, physical and mental proficiency leads to a stigmatization of the obese. The results are mental symptoms and disorders. On the contrary, mental problems up to and including the full clinical picture of mental disorders may lead to changes in eating and exercise behaviour, the result of which may be a sustained positive energy balance with overweight and obesity. The success of conservative weight reduction measures in obesity is inadequate. Surgical measures are more successful, but they are only indicated for severe obesity. The psychosomatic and psychotherapeutic approach to overweight and obesity is multifactorial and indispensable. Obesity is not an eating disorder; it may, however, be the result of hyperalimentation into which pathogenetic and mental factors have been incorporated.
Authors:
Stephan Herpertz
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  Zeitschrift für Psychosomatische Medizin und Psychotherapie     Volume:  54     ISSN:  1438-3608     ISO Abbreviation:  Z Psychosom Med Psychother     Publication Date:  2008  
Date Detail:
Created Date:  2008-03-07     Completed Date:  2008-05-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100886617     Medline TA:  Z Psychosom Med Psychother     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  4-31     Citation Subset:  IM    
Affiliation:
Abteilung für Psychosomatische Medizin und Psychotherapie, LWL-Klinik Dortmund, Universitätsklinikum der Ruhr-Universität Bochum. stephan.herpertz@ruhr-uni-bochum.de
Vernacular Title:
Adipositas ist mehr als eine Essstörung - die multidimensionale Betrachtung einer Pandemie.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Comorbidity
Cross-Sectional Studies
Disease Outbreaks*
Eating Disorders / epidemiology,  psychology*,  therapy
Female
Humans
Male
Mental Disorders / epidemiology,  psychology,  therapy
Middle Aged
Obesity / epidemiology,  psychology*,  therapy
Psychophysiologic Disorders / epidemiology,  psychology*,  therapy
Psychotherapy
Risk Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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