Obesity is an epidemic and a major public health concern, with 800 million obese people worldwide and 27 million in the Philippines. Several guidelines have recommended that all adults be screened for obesity and that obese patients be offered intensive, multi-component behavioral interventions. Barriers to addressing obesity include insufficient time during visits, a lack of available referral services, the perception that patients will not be willing or able to make lifestyle changes, poor reimbursement for nutrition and weight-management counseling, a reluctance to discuss weight among physicians, and uncertainty about whether interventions will have a positive impact. Lifestyle medicine interventions and smartphone diet-tracking apps may help individuals lose weight, manage chronic conditions, and understand dietary patterns. This is a case report of a 31-year-old obese Filipino male who sought consultation at the Health and Lifestyle Institute with a complaint of 11 kg of weight gain over the past 4 years. He had previously been diagnosed with Hodgkin’s lymphoma and had previously undergone chemotherapy and radiation therapy. He was currently working as a resident physician at a private institution. He considered himself physically active and was thus concerned with his gradual weight gain and the resultant decrease in body image, as well as his overall health. A detailed history and physical examination were done, as were the examinations of the six pillars of lifestyle medicine, namely, diet, exercise, sleep, stress, relationships, and substance use. The GAD 7 and PHQ 9 screening questionnaires were given. Lifestyle prescription and setting of goals were then done, and the patient was followed up at a 4-month interval. On all visits, body fat analysis using a Karada scan was done, and the results were discussed with the patient. On the second follow-up consult, the patient reported the usefulness of a diet-tracking application he found called Lifesum. The patient lost a total of 13 kg and improved his overall sense of well-being.
Obesity ; case report ; Asian ; male

Background: Wellness implies a balance between the body, mind and the environment that allows optimal functionality, stability, continued productivity and quality of life. It is a dynamism process that requires constant vigilance and remediation. It includes health promotion, specific protection, disease prevention and health maintenance. It may vary based on age and risk factors. This guideline focuses on Adult wellness. Objective: The general objective is to improve the quality of health care of Filipino adults by providing guidance to family and community physicians, and other primary care physicians in advocating for wellness. Methods: The PAFP Clinical Practice Guidelines group on Wellness for adults reviewed existing clinical practice guidelines and medical literature to operationalize the recommendations for the following domains: clinical assessment, diagnostic screening, pharmacologic and nonpharmacologic interventions. ADAPTE method was used. Recommendations from guidelines which passed the AGREE II tool were reviewed. The CPG recommendations and summary of evidence were finalized. External review was conducted prior to consensus building. Key Recommendation Statements Recommendations were given for each domain. Clinical assessment includes history, physical examination and screening for risk factors. Diagnostic screening includes evidence-based laboratories and ancillary procedures. Pharmacologic interventions include immunization and chemoprophylaxis. Nonpharmacologic intervention include diet, physical activity and lifestyle modification. Patient-centered, family-focused and community-oriented care were emphasized considering the biomedical and psychosocial factors and interventions.
Health Promotion ; Quality of Life ; Environment