Browsing by Author "Nossel, C J"
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- ItemOpen AccessHealthy lifestyle interventions in general practice. Part 2: Lifestyle and cardiovascular disease(South African Academy of Family Physicians, 2008) Derman, E W; Whitesman, S; Dreyer, M; Patel, D N; Nossel, C J; Schwellnus, M PThis article forms the second part of the series on the role of lifestyle modification in general practice with specific reference to chronic cardiovascular disease. Whilst the major risk factors which constitute an unhealthy lifestyle were discussed in part 1 of this series, the focus of part 2 will give specific practical guidelines which the general practitioner may incorporate into their practice when counselling patients with chronic cardiovascular disease.
- ItemOpen AccessHealthy lifestyle interventions in general practice: Part 14: Lifestyle and obesity(South African Academy of Family Physicians, 2011) Derman, E W; Whitesman, S; Dreyer, M; Patel, D N; Nossel, C J; Lambert, E V; Schwellnus, M PObesity is defined as an excessive amount of body fat or adiposity. It can be measured using the body mass index (BMI), and according to established criteria for adult men and women, overweight is defined as a BMI between 25-30 kg/m2, and obesity as a BMI > 30 kg/m2. Obesity is clinically associated with many serious co-morbidities, and is widely recognised as one of the leading health threats in most countries around the world. Weight loss is recommended for patients with a BMI > 25 kg/m2. The goals of weight loss therapy are to reduce obesity-related co-morbidities and decrease the risk of future obesity-related medical complications. The management of obesity is multifactorial, and involves the use of combined lifestyle interventions, including regular physical activity and dietary and psychosocial intervention. Practical clinical advice regarding interventions in these important areas is provided in this article.