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Healthcare 2015, 3(2), 408-416;

Obesity and Insulin Resistance Are the Central Issues in Prevention of and Care for Comorbidities

Amstelring Foundation for Primary Care, The Dutch Dietitians Knowledge Centre for Overweight and Obesity (KDOO), Amsterdam 1065AC, The Netherlands
Academic Editors: Samir Samman and Ian Darnton-Hill
Received: 26 March 2015 / Revised: 1 May 2015 / Accepted: 14 May 2015 / Published: 4 June 2015
(This article belongs to the Special Issue The Close Relationship: Health and Nutrition)
Full-Text   |   PDF [85 KB, uploaded 4 June 2015]


For a long time the assumption has been that, although weight reduction was necessary and desirable, comorbidities were far more important and needed treatment even if weight loss was not a treatment goal, preferably with medication. This controversy leads to postponement of treatment, and later on causes very intensive medical treatment, thus, raising the health care costs to unacceptable levels, leading to the medicalization of individuals, and a declining of the responsibility of patients for their health, leaving the question of when to regard their own weight as a problem that should be dealt with up to individuals. The central problem is insulin resistance, which leads to a cascade of health problems. This condition should be diagnosed in primary practice and obesity clinics to ensure a better, tailor-made treatment for patients. Treatment should start at the earliest stage possible, when comorbidities are still reversible and includes a personalized dietary advice and counseling, preferably by a dietitian, to tackle insulin resistance. An exercise program is part of the treatment. View Full-Text
Keywords: obesity; insulin resistance; metabolic syndrome; comorbidities; treatment; dietitian obesity; insulin resistance; metabolic syndrome; comorbidities; treatment; dietitian
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Govers, E. Obesity and Insulin Resistance Are the Central Issues in Prevention of and Care for Comorbidities. Healthcare 2015, 3, 408-416.

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