Disability in the post-obese bariatric patient: Old and new problems

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorFAINTUCH, J.
dc.contributor.authorSOUZA, S. A. F.
dc.contributor.authorFABRIS, S. M.
dc.contributor.authorROSENBLATT, A.
dc.contributor.authorCECCONELLO, I.
dc.date.accessioned2023-02-09T19:57:41Z
dc.date.available2023-02-09T19:57:41Z
dc.date.issued2013
dc.description.abstractSustained and lifelong weight loss for severely obese people is not anymore an impossible dream, and a Swedish journal has described bariatric surgery as the fairy tale about the ugly duckling (Olbers 2011). Of course this is a bittersweet remark, because although for millions such is an advantageous and even life-saving intervention, all of them have to cope with the post-obesity status. Obesity is a chronic incurable disease and the postobesity status is an attenuated albeit ongoing illness, not a mere sequela. Appropriate follow-up and secondary interventions, be they surgical, clinical, physiatric, dietary, or psycho-social, may be demanded. Obesity entails widespread disorders involving as far away organs, structures, needs and abilities as the teeth, the central nervous system, the gut microbiome, the susceptibility to cancer, the performance at the workplace, and the demand for health care resources. Subsequent weight gain and comorbidity relapse is a permanent possibility, as endogenous and environmental obesogenic stimuli are not suppressed, only weakened. Gastrointestinal restriction and bypass are highly successful maneuvers when correctly indicated and conducted, however, they do not signal the end of the battle. Patients have to be educated and followed for life. It is hoped that such experience along with general public-health initiatives will eventually trickle down to their families, their offspring, and society in general, so that the new generations might be born and nurtured with obesity prevention in mind. © 2013 Springer-Verlag Berlin Heidelberg. All rights are reserved.
dc.identifier.citationFaintuch, J.; Souza, S. A. F.; Fabris, S. M.; Rosenblatt, A.; Cecconello, I.. Disability in the post-obese bariatric patient: Old and new problems. In: . DISABLING OBESITY: FROM DETERMINANTS TO HEALTH CARE MODELS: SPRINGER-VERLAG BERLIN HEIDELBERG, 2013. p.233-248.
dc.identifier.doi10.1007/978-3-642-35972-9_13
dc.identifier.isbn9783642359729; 364235971X; 9783642359712
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/51111
dc.language.isoeng
dc.publisherSPRINGER-VERLAG BERLIN HEIDELBERG
dc.relation.ispartofDISABLING OBESITY: FROM DETERMINANTS TO HEALTH CARE MODELS
dc.rightsrestrictedAccess
dc.rights.holderCopyright SPRINGER-VERLAG BERLIN HEIDELBERG
dc.titleDisability in the post-obese bariatric patient: Old and new problems
dc.typebookPart
dc.type.categorybook chapter
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalSOUZA, S. A. F.:School of Physical Therapy, State University of Londrina, Parana, PR, Brazil
hcfmusp.citation.scopus0
hcfmusp.contributor.author-fmusphcJOEL FAINTUCH
hcfmusp.contributor.author-fmusphcSONIA MARIA FABRIS LUIZ
hcfmusp.contributor.author-fmusphcALBERTO ROSENBLATT
hcfmusp.contributor.author-fmusphcIVAN CECCONELLO
hcfmusp.description.beginpage233
hcfmusp.description.endpage248
hcfmusp.origemSCOPUS
hcfmusp.origem.scopus2-s2.0-84929858466
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