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Richard L. Atkinson, MD, Discussant

JAMA. 2000;283:3236-3243.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

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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