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The Obesity Epidemic: What does it mean to the PeriAnesthesia Practitioner?

Published online by Cambridge University Press:  01 November 2008

Kathleen J. Menard
Kathleen J. Menard*
Affiliation:
Clinical Nurse III in Interventional Radiology on the Memorial Campus, UMass Memorial Medical Center, Worcester, MA, USA
*
Correspondence to: K. J. Menard, BSN, RN, CPAN, CAPA, CN III, UMass Memorial Medical Center, Worcester. 3 North Steele Street, Worcester, MA 01607, USA. Tel: 508-754-5116, Fax: 508-754-5198, E-mail: [email protected]
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Abstract

Alexander and Liston coined the term ‘Obesogenic society – where people are addicted to fast foods and supermarkets and a sedentary lifestyle promoted by television and cars’ [Alexander and Liston, 2006, p. 1167]. It is an undeniable fact that the United States has an overweight and obesity problem, the prevalence has doubled since 1960, the latest statistics from the Center for Disease Control and Prevention (CDC) report obesity (body mass index (BMI)⩾30) in adult men (33.3%) and adult women (35.3%) and more than 66% of adult Americans are considered overweight [CDC (Department of Health and Human Services), 2008]. Extreme obesity has increased from 0.8% to 4.9% [Bellar et al, 2008]. Visit the CDC website at http://www.cdc.gov/nccdphp/dnpa/obesity/trend/maps/index.htm for a very graphic slide show of the ‘fatting of America.’

The Weight Control Information Network classifies obesity as a chronic illness with an annual $117 billion cost (Weight-control Information Network (National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH)), 2007). In 2003, obesity was the second leading cause of preventable death in the United States [Garza, 2003]; it is now on the way to surpassing smoking [Abir and Bell, 2004]. But it is not just a problem in the United States; it is becoming a worldwide problem. What does this obesity epidemic mean to the PeriAnesthesia practitioner?

Type
Original Article
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 9 , Issue 4 , November 2008 , pp. 84 - 90
Copyright
Copyright © British Association of Anaesthetic and Recovery Nursing 2008

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References

Abir, F, Bell, R. Assessment and management of the obese patient. Critical Care Medicine 2004; 32 (4): S87–S91.CrossRefGoogle ScholarPubMed
Alexander, CI, Liston, WA. Operating on the obese woman. BJOG: An International Journal of Obstetrics and Gynaecology 2006; 2006 (113): 1167–1172.CrossRefGoogle Scholar
American Diabetes Association. Standards of medical care in diabetes – position statement. Diabetes Care 2008; 31 (S1): S12–S54.Google Scholar
American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: An updated report by the American Society of Anesthesiologists Task Force on management of the difficult airway. Anesthesiology 2003; 98 (5): 1269–1277.CrossRefGoogle Scholar
American Society of PeriAnesthesia Nurses. PeriAnesthesia Nursing Core Curriculum: Preoperative, Phase I and Phase II PACU Nursing. St. Louis, Quinn, Schick: W.B. Saunders Company, 2004.Google Scholar
Barth, MM, Jenson, CE. Postoperative nursing care of gastric bypass patients. American Journal of Critical Care Nursing 2006; 15 (4): 378–387.Google ScholarPubMed
Bellar, A, Jarosz, PA, Bellar, D. Implications of the biology of weight regulation and obesity on the treatment of obesity. Journal of the American Academy of Nurse Practitioners 2008; 20 (3): 128–135.CrossRefGoogle ScholarPubMed
Blackwood, HS. Obesity: A rapidly expanding challenge. Nursing Management 2004; 35 (5): 27–35.CrossRefGoogle ScholarPubMed
Davidson, JE, Kruse, MW, Cox, DH, Duncan, R. Critical care of the morbidly obese. Critical Care Nursing Quarterly 2003; 26 (2): 105–116.CrossRefGoogle ScholarPubMed
Drain, CB, Odom-Forren, J. The Post Anesthesia Care Unit: A Critical Care Approach to Post Anesthesia Nursing (5th edn). Philadelphia: W. B. Saunders Company, 2009.Google Scholar
Department of Health and Human Services. Center for Disease Control and Prevention (2007). About BMI for children and teens. Retrieved 22 September 2007, from the Center for Disease Control and Prevention website: http://apps.nccd.cdc.gov/dnpabmi/Calculator.aspxGoogle Scholar
Department of Health and Human Services. Center for Disease Control and Prevention (2008). Overweight and obesity. Retrieved 22 August 2008, from the Center for Disease Control and Prevention website: http://www.cdc.gov/nccdphp/dnpa/obesity/Google Scholar
Department of Health and Human Services. Center for Disease Control and Prevention. Prevalence of overweight and obesity among adults with diagnosed diabetes – United States, 1988–1994 and 1999–2002. Morbidity and Mortality Weekly Report 2004; 53 (45): 1066–1068. Retrieved 22 August 2008, from the Center for Disease Control and Prevention website: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5345a2.htmGoogle Scholar
Gallagher, S, Gates, JL. Obesity, panniculitis, panniculectomy, and wound care: understanding the challenges. Journal of Wound, Ostomy, and Continence Nursing 2003; 30 (6): 334–341.Google ScholarPubMed
Garza, SF. Bariatric weight loss surgery. Patient education, preparation, and follow-up. Critical Care Nursing Quarterly 2003; 26 (2): 101–104.CrossRefGoogle ScholarPubMed
Inge, TH, Donnelly, LF, Vierra, M, Cohen, AP, Daniels, SR, Garcia, VF. Managing bariatric patients in a children’s hospital: radiologic considerations and limitations. Journal of Pediatric Surgery 2005; 2005 (40): 609–617.CrossRefGoogle Scholar
Lascano, CA, Kaidar-Person, O, Szomstein, S, Rosenthal, R, Wexner, SD. Challenges of laparoscopic colectomy in the obese patient: a review. The American Journal of Surgery 2006; 192: 357–365.CrossRefGoogle ScholarPubMed
Marley, RA, Hoyle, B, Ries, C. Perianesthesia respiratory care of the bariatric patient. Journal of PeriAnesthesia Nursing 2005; 20 (6): 404–431.CrossRefGoogle ScholarPubMed
McMahon, MM, Sarr, MG, Clark, MM, Gall, MM, Knoetgen, J, Service, FJ, Laskowski, ER, Hurley, DL. Clinical management after bariatric surgery: value of a multidisciplinary approach. Mayo Clinic Proceedings 2006; 81 (10): S34–S45.CrossRefGoogle ScholarPubMed
Murray, D. Morbid obesity – psychosocial aspects and surgical interventions. AORN Journal 2003; 78 (6): 990–995.CrossRefGoogle ScholarPubMed
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) of the National Institutes of Health (NIH). Weight-control Information Network (WIN) (1998). Statistics related to overweight and obesity. [Online]. (Updated May 2007). Retrieved 22 August 2008 from http://www.win.niddk.nih.gov/statistics/index.htm#econGoogle Scholar
Paix, AD, Williamson, JA, Runciman, WB. Crisis management during anaesthesia: difficult intubation. Quality and Safety in Health Care 2005; 2005 (14): 1–6.Google Scholar
Shibutani, K, Inchiosa, MA, Sawada, K, Bairamian, M. Pharmacokinetic mass of fentanyl for postoperative analgesia in lean and obese patients. British Journal of Anaesthesia 2005; 95 (3): 377–383.CrossRefGoogle ScholarPubMed
Tait, AR, Voepel-Lewis, T, Burke, C, Kostrzewa, A, Lewis, I. Incidence and risk factors for perioperative adverse respiratory events in children who are obese. Anesthesiology 2008; 108 (3): 375–380.CrossRefGoogle ScholarPubMed
Villavicencio, MA, Sundt, TM, Daly, RC, Dearani, JA, McGregor, CGA, Mullany, CJ, Orszulak, TA, Puga, FJ, Schaff, HV. Cardiac surgery in patients with body mass index of 50 or greater. Annuals of Thoracic Surgery 2007; 2007 (83): 1403–1411.CrossRefGoogle Scholar
Wilson, JA, Clark, JJ. Obesity: impediment to wound healing. Critical Care Nursing Quarterly 2003; 26 (2): 119–132.Google ScholarPubMed
Yusuf, S, Hawken, S, Ôunpuu, S, Dans, T, Avezum, A, Lanas, F, McQueen, M, Budaj, A, Pais, P, Varigos, J, Lisheng, L. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case-control study. The Lancet 2004; 364 (9438): 937–952.CrossRefGoogle ScholarPubMed