Recommendations for the prevention and management of obesity in the Iraqi population.

Hussein Ali Nwayyir, Esraa Majid Mutasher, Osama Mohammed Alabid, Muthana Abdulrazzaq Jabbar, Wefak Hasan Abdulraheem Al-Kawaz, Haider Ayad Alidrisi, Majid Alabbood, Muhammed Chabek, Munib AlZubaidi, Lujain Anwar Al-Khazrajy, Ibtihal Shukri Abd Alhaleem, Ali Dawood Abdulwahhab Al-Hilfi, Falih Mohssen Ali, Ali AlBayati, Hilal Bahjet Al Saffar, Faris Abdul Kareem Khazaal

Journal: Postgraduate medicine 2023;135(5):425-439

PMID: 36803631

Abstract

Obesity is a chronic metabolic disease that has become one of the leading causes of disability and death in the world, affecting not only adults but also children and adolescents. In Iraq, one third of the adult population is overweight and another third obese. Clinical diagnosis is accomplished by measuring body mass index (BMI) and waist circumference (a marker for intra-visceral fat and higher metabolic and cardiovascular disease risk). A complex interaction between behavioral, social (rapid urbanization), environmental and genetic factors underlies the etiology of the disease. Treatment options for obesity may include a multicomponent approach, involving dietary changes to reduce calorie intake, an increase in physical activity, behavioral modification, pharmacotherapy and bariatric surgery. The purpose for these recommendations is to develop a management plan and standards of care that are relevant to the Iraqi population and that can prevent/manage obesity and obesity-related complications, for the promotion of a healthy community.

Address: University of Basra, College of Medicine, Department of Endocrinology, Faiha Specialized Diabetes, Endocrine and Metabolism Centre, Iraq.; Department of Pediatric Endocrinology, Children Welfare Teaching Hospital, Medical City Complex, Iraq.; Consultant General & Bariatric Surgeon, Private Practice, Iraq.; Family physician specialized doctor, Nutrition Clinic, Nursing Home Private Hospital, Iraq.; Consultant Family Physician, Nutrition Clinic, Alsadr Teaching Hospital, Iraq.; Endocrine and Metabolism Centre, University of Basra, College of Medicine, Iraq.; Department of Endocrinology, Almawani Hospital, Basra, Iraq.; Consultant Obstetrics and Gynecology, Private Practice, Iraq.; Department of paediatrics, University of Baghdad College of Medicine, Iraq.; Department of Family medicine, Consultant Family Physician, Al-Kindy College of Medicine, University of Baghdad, Iraq.; Family physician Specialized Doctor, Private Practice, Iraq.; Department of Surgery, Al sadr Teaching Hospital, Iraq.; Department of Endocrinology Consultant Endocrinology, Professor of medicine, Babylon medical college, Iraq.; Department of Cardiology Iraqi Red Crescent Society, Iraq.; Department of Endocrinology, Medenat Elelm University College, Iraq.
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