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A 33-Year-Old Woman With Morbid Obesity
Richard L. Atkinson, MD, Discussant
JAMA. 2000;283:3236-3243.
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INTRODUCTION
DR AUDET: Ms C is a 33-year-old African American woman whose weight problems started in adolescence. Over the years, her weight has increased, despite attempts to lose or stabilize it. She currently works full-time and studies business administration. She previously studied culinary arts. Ms C has commercial health insurance.
Ms C is a well-educated woman who talks about her weight without difficulty. On initial assessment, her weight was 289.4 lb. Her height was 5'7'' and her body mass index (BMI), 45.4 kg/m2. Her highest weight as an adult was 296 lb and her lowest weight, 175 lb. Her obesity has contributed to additional health problems, including irregular menses in the past. Ms C has been diagnosed as having hypertension, which requires treatment with hydrochlorothiazide. On 1 occasion, her random glucose was elevated. Her exercise capacity is diminished, and she finds herself short of breath . . . [Full Text of this Article]
MS C: HER UNDERSTANDING AND PERCEPTIONS
DR T: HER UNDERSTANDING AND PERCEPTIONS
AT THE CROSSROADS: QUESTIONS TO DR ATKINSON
Obesity: The Public Health Problem Etiology of Obesity Complications of Obesity Treatment of Obesity Conclusions and Recommendations for Ms C
QUESTIONS AND DISCUSSION
Author Affiliation: Beers-Murphy Clinical Nutrition Center and Departments of Medicine and Nutritional Sciences, University of Wisconsin, Madison.
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June 28, 2000
JAMA. 2000;283(24):3317-3318.
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