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Foreword – US Endocrinology 2013;9(2):90

Published Online: February 3rd 2014 US Endocrinology 2013;9(2):90
Authors: Luigi Meneghini
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Obesity continues to pose a substantial health and economic burden in both the developing and developed world. In the US, according to the Centers for Disease Control (CDC), 36 % of adults are obese, with non-Hispanic blacks having the highest ageadjusted rates (~50 %). An even bigger concern is the rates of obesity in children (~17 %) who will be exposed to obesity-related conditions, such as diabetes, cardiovascular disease, and certain cancers from an early age.

Obesity continues to pose a substantial health and economic burden in both the developing and developed world. In the US, according to the Centers for Disease Control (CDC), 36 % of adults are obese, with non-Hispanic blacks having the highest ageadjusted rates (~50 %). An even bigger concern is the rates of obesity in children (~17 %) who will be exposed to obesity-related conditions, such as diabetes, cardiovascular disease, and certain cancers from an early age.

Type 2 diabetes and pre-diabetes, often consequences of unhealthy weight gain, currently affect around 8.3 % and 35 % of the US population, respectively. Since 1990, there has been a steady increase in the prevalence of diagnosed diabetes in adults, and, if current trends continue, the CDC estimates that by 2050 one out of three adults will be affected by the disease. At the forefront of the current epidemic of diabetes has been the sedentary lifestyles and caloric excesses that have led to obesity and metabolic consequences. The interaction between genetics and environment in the past several decades has resulted in a substantial increase in morbidity and mortality. Unfortunately, the medical approach to this dilemma has been limited in scope and effectiveness.

While there are exciting and interesting discoveries currently being explored at the basic science and translational levels, as clinicians our current debate is focused on how to best implement available strategies, while trying to address the core concerns driving the explosion of obesity, diabetes, and related health consequences. In this edition of US Endocrinology, expert clinicians and scientists not only discuss the role of drugs and bariatric surgery, but also explore the relationship between nutrient intake and exercise in the management of diabetes, obesity, and cardiovascular health. Related topics of cognitive dysfunction, vitamin D levels, treatment adherence, and the use of mobile technology contribute to additional stimulating discussions in this area.

This issue of US Endocrinology also explores a number of other relevant and practical subjects for the practicing endocrinologist. Topics include the use of statins in the treatment of dyslipidemia in the patient with HIV, an update in the treatment of thyroid carcinoma, management of Addison’s disease with dual-release hydrocortisone, and bone health following treatment for hyperparathyroidism.

US Endocrinology would like to take this opportunity to thank everyone involved in the production of this edition, from organizations and our valued media partners, to our ever-supportive Editorial Board. Our biggest thanks go to the expert authors who have taken the time to contribute such stimulating articles.

I am confident that you will find tremendous value and insight from these various contributions to the medical literature, and I invite the readership to provide feedback on topics and controversies that you might want us to address in future issues.

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