Phenotypes of Obesity: How it Impacts Management

Abstract

Purpose of Review

The worldwide prevalence of obesity is increasing. Obesity is strongly associated with many chronic health conditions that have been shown to improve with weight loss. However, counseling patients on weight loss can be challenging. Identifying specific aspects of weight management may personalize the conversation about weight loss and better address the individual patient’s health goals and perceived barriers to change.

Recent Findings

Physical and behavioral phenotypes are being identified to better tailor treatment recommendations, given lack of efficacy of currently available interventions.

Summary

The current review provides a summary of the evidence behind the management of several recognized clinical phenotypes, to include body fat distribution (e.g., central obesity), muscle mass (e.g., sarcopenic obesity of the elderly), and problematic eating behaviors (e.g., cravings). Identifying specific aspects of weight management may personalize the conversation about weight loss and better address the individual patient’s health goals and perceived barriers to change.

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Fig. 1

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Correspondence to Manpreet S. Mundi.

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Meera Shah and Manpreet Mundi declare no conflict of interest. Ryan Hurt is a consultant for Nestle.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Nutrition and Obesity

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Shah, M., Hurt, R.T. & Mundi, M.S. Phenotypes of Obesity: How it Impacts Management. Curr Gastroenterol Rep 19, 55 (2017). https://doi.org/10.1007/s11894-017-0598-1

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Keywords

  • Obesity
  • Obesity phenotype
  • Central obesity
  • Visceral obesity
  • Cravings
  • Sarcopenic obesity
  • Binge eating
  • Appetite