Obesity

Relevant articles from MA Healthcare journals to support your staff’s education and practice January 2018

Obesity is one of the biggest public health crises facing the UK today, affecting one in four UK adults. Being overweight or obese increases the risk of many other serious illnesses, such as Type 2 Diabetes, cardiovascular disease, cancer and infertility. Additionally, it can have a significant impact on a person’s wellbeing and mental health.

We have provided a list of relevant articles from MA Healthcare journals dealing with this area, thereby providing your NHS staff with research, information and tips that will support both their work and their patients

British Journal of Nursing:

·         Childhood obesity plan: the Government declares war on sugar http://www.magonlinelibrary.com/doi/10.12968/bjon.2016.25.17.984

·         Appropriate care for children with eating disorders and obesity http://www.magonlinelibrary.com/doi/10.12968/bjon.2015.24.10.518

British Journal of Community Nursing:

·         Individualisation of care and the obesity paradox http://www.magonlinelibrary.com/doi/10.12968/bjcn.2014.19.3.110

·         Case study: Obesity, genital oedema and lower limb compression bandaging http://www.magonlinelibrary.com/doi/10.12968/bjcn.2017.22.Sup10.S21

British Journal of Cardiac Nursing:

·         Sweet enough already: a review of dietary guidelines on sugars and health http://www.magonlinelibrary.com/doi/10.12968/bjca.2016.11.6.274

·         Projected costs of the obesity epidemic: Influences and interventions http://www.magonlinelibrary.com/doi/10.12968/bjca.2014.9.9.459

Gastrointestinal Nursing:

·         Obesity: our biggest challenge http://www.magonlinelibrary.com/doi/10.12968/gasn.2017.15.6.16

·         Obesity: the changing shape of the UK population http://www.magonlinelibrary.com/doi/10.12968/gasn.2016.14.Sup10.S5

Practice Nursing:

·         Obesity and cardiovascular risk factors: results of a unique approach to NHS health checks http://www.magonlinelibrary.com/doi/10.12968/pnur.2017.28.9.390

·         How to recognize obesity in children http://www.magonlinelibrary.com/doi/10.12968/pnur.2015.26.7.322

Journal of Health Visiting:

·         Obesity as a social construct https://www.magonlinelibrary.com/doi/10.12968/johv.2017.5.6.276

·         Childhood obesity strategy: Is it enough? https://www.magonlinelibrary.com/doi/10.12968/johv.2016.4.9.482

British Journal of School Nursing:

·         Obesity: Handle with care http://www.magonlinelibrary.com/doi/10.12968/bjsn.2015.10.9.421

·         Addressing childhood obesity: Overcoming the barriers http://www.magonlinelibrary.com/doi/10.12968/bjsn.2015.10.9.447

Nurse Prescribing:

·         Obesity: New paradigms, interventions and treatments http://www.magonlinelibrary.com/doi/10.12968/npre.2017.15.7.338

·         Improving treatments for obesity: The concept of self-management http://www.magonlinelibrary.com/doi/10.12968/npre.2014.12.6.302

Independent Nurse:

·         Understanding teenage obesity http://www.magonlinelibrary.com/doi/10.12968/indn.2016.18.33

·         Contraception and fertility in obese women http://www.magonlinelibrary.com/doi/10.12968/indn.2017.1.22 

British Journal of Midwifery:

·         Teaching about obesity: Caring, compassion, communication and courage in midwifery education

http://www.magonlinelibrary.com/doi/10.12968/bjom.2016.24.7.494

·         Supporting the individual needs of obese pregnant women: Effects of risk-management processes

http://www.magonlinelibrary.com/doi/10.12968/bjom.2015.23.10.702

Nursing and Residential Care:

·         Having your cake and eating it: is obesity a disability? http://www.magonlinelibrary.com/doi/10.12968/nrec.2015.17.3.164

·         Obesity and kidney disease in care http://www.magonlinelibrary.com/doi/10.12968/nrec.2017.19.7.370

Journal of Kidney Care:

·         Dialysis patients and obesity: do we know enough to guide practice? http://www.magonlinelibrary.com/doi/10.12968/jokc.2016.1.2.68

·         Emerging concepts: the dietary treatment of chronic kidney disease http://www.magonlinelibrary.com/doi/10.12968/jokc.2017.2.3.134

WUTH publication:

Citation: Breast. 2018, 38, 120-124

Author: Masannat YA, Husain E, Roylance R, Heys SD, Carder PJ, Ali H, Maurice Y, Pinder SE, Sawyer E, Shaaban AM

Abstract: AIMS: Pleomorphic lobular carcinoma in situ (PLCIS) is a relatively newly described pathological lesion that is distinguished from classical LCIS by its large pleomorphic nuclei. The lesion is uncommon and its appropriate management has been debated. The aim of this study is to review data from a large series of PLCIS to examine its natural history in order to guide management plans.

MATERIALS AND METHODS: Comprehensive pathology data were collected from two cohorts; one from a UK multicentre audit and the other a series of PLCIS cases identified from within the GLACIER study cohort. 179 cases were identified of whom 176 had enough data for analysis.

RESULTS: Out of these 176 cases, 130 had invasive disease associated with PLCIS, the majority being of lobular type (classical and/or pleomorphic). A high incidence of histological grade 2 and 3 invasive cancers was noted with a predominance of ER positive and HER-2 negative malignancy. When PLCIS was the most significant finding on diagnostic biopsy the upgrade to invasive disease on excision was 31.8%, which is higher than pooled data for classical LCIS and DCIS.

CONCLUSION: The older age at presentation, high grade of upgrade to invasive cancer, common association with higher grade tumours suggest that PLCIS is an aggressive form of insitu disease. These findings support the view that PLCIS is a more aggressive form of lobular in situ neoplasia and supports the tendency to treat akin to DCIS.

KEYWORDS: Breast cancer; Lobular cancer in situ; Pleomorphic lobular carcinoma in situ

Link to PubMed record

WUTH publication: Unilateral orbital fat change

Citation: BMJ Case Reports. 2018 Jan 4
Author: Yip IYM, Ramasamy B
Abstract: A man in his 60s suffering from open-angle glaucoma attended a routine glaucoma follow-up complaining that his left eye has changed in appearance. On examination, there was extensive loss of orbital fat giving the appearance of a sunken in globe. A diagnosis of prostaglandin-associated periorbitopathy was made as the man had been taking a prostaglandin analogue for his glaucoma for over 4 years in his left eye only.
KEYWORDS: eye; glaucoma

Link to PubMed record