Weight control in women: a challenge to the obstetrician-gynecologist

Obesity is a major problem in American women, and there is great concern with regard to weight control among both the obese and the nonobese. Vast sums of money are spent in the area of weight reduction, often with little or no benefit. Although obesity affects longevity adversely, weight loss has not been clearly associated with a decrease in mortality risk. Reduction in weight, however, can decrease risk factors for certain diseases and improve the quality of life. Current methods of weight control include diet, exercise, surgery, and medication. Several studies have shown that, in contrast to previous supposition, medical management should be long term. Recent investigations into the basic mechanisms of appetite control, moreover, suggest that more physiologic management methods will be available in the near future.