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Obesity

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Newsletter Articles

Obesity As A Cause of Restrictive Ventilatory Defect

Stephen L. Demeter, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2022) 27 (5): 38–54.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2022.SeptOct02
Published: 01 September 2022
...Stephen L. Demeter, MD, MPH There is an association between obesity and restriction on pulmonary function testing when relying on the forced vital capacity (FVC) as the defining parameter for restriction. Body mass index (BMI) may not be the best measure of obesity, but it is the most commonly used...
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Newsletter Articles

Comorbid Conditions in Workers' Compensation

Marcos Iglesias, MD
Newsletter: Guides Newsletter
Guides Newsletter (2019) 24 (5): 8–13.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2019.SepOct02
Published: 01 September 2019
..., and this article examines three: obesity, diabetes, and heart disease. Obesity is associated with increasing workers’ compensation claims, medical and indemnity claim costs, and lost workdays; it is also a risk factor for type 2 diabetes, cancer, heart disease, and numerous other chronic and serious diseases...
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Newsletter Articles

Carpal tunnel syndrome – Occupationally Related or Not?

Craig Uejo, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2009) 14 (3): 1–2.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2009.MayJun01
Published: 01 May 2009
... rates. Another group concluded that computer use does not pose a severe occupational hazard for developing symptoms of CTS. Recent publications have suggested other risk factors such as age, obesity, hand dominance, reduced physical fitness, lifetime alcohol intake, and smoking; others have correlated...
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Newsletter Articles

Literature Review

James B. Talmage, MD, FAADEP
Newsletter: Guides Newsletter
Guides Newsletter (1997) 2 (3): 6.
DOI: https://doi.org/10.1001/amaguidesnewsletters.1997.MayJun03
Published: 01 May 1997
... carbon dioxide. A normal test requires correct functioning in five organ systems: the heart, the lungs, the hematopoietic system, the vascular system, and the muscles. The CP Ex test can discriminate between individuals with poor exercise capacity caused by hyperventilation, obesity, or malingering...
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Newsletter Articles

In Recent Literature

Christopher R. Brigham, MD
Newsletter: Guides Newsletter
Guides Newsletter (2015) 20 (1): 13–16.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2015.JanFeb04
Published: 01 January 2015
... with these approaches from a physiatric perspective. Copyright © 2014 Elsevier Inc. All rights reserved. Van Nuys K, Globe D, Ng-Mak D, Cheung H, Sullivan J, Goldman D. The association between employee obesity and employer costs: evidence from a panel of U.S. employers. Am J Health Promot . 2014 May-Jun; 28...
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Newsletter Articles

Two-Point Discrimination in the Use of Upper Extremity Nerve Function in the AMA Guides

Richard Katz, MD
Newsletter: Guides Newsletter
Guides Newsletter (2015) 20 (1): 9–11.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2015.JanFeb02
Published: 01 January 2015
...Richard Katz, MD This article presents a case report regarding a 34-year-old obese male who works as a chipper and grinder at a steel manufacturing mill and uses high-frequency vibratory power tools. He presents with typical complaints of carpal tunnel syndrome, including numbness in all five...
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Newsletter Articles

Knee Osteoarthritis

Christopher R. Brigham, MD, Charles N. Brooks, MD, James B. Talmage, MD
Newsletter: Guides Newsletter
Guides Newsletter (2005) 10 (2): 1–3, 7, 12.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2005.MarApr01
Published: 01 March 2005
..., particularly in older patients and especially the obese. Knee injury, depending on the severity and type, can increase the risk of developing and the rate of progression of OA. In assessing impairment for knee OA, the evaluator must obtain a thorough history and physical examination and identify all potential...
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Newsletter Articles

Hernia Impairment Ratings and the AMA Guides , Sixth Edition

Blaisdell Jay, James Talmage, MD
Newsletter: Guides Newsletter
Guides Newsletter (2016) 21 (1): 14.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2016.JanFeb03
Published: 01 January 2016
..., Second Edition, indicates that genetics (family history) is the strongest risk factor. Conditions that chronically increase intra-abdominal pressure (eg, obesity, ascites, or pregnancy) and smoking are statistically associated with abdominal wall hernias, but no good studies show an increased risk...
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Newsletter Articles

Carpal Tunnel Syndrome and Trigger Fingers in a Patient with Rheumatoid Arthritis and Systemic Lupus Erythematosus: Case Example

Christopher R. Brigham, MD, J. Mark Melhorn, MD, Charles N. Brooks, MD, Steven D. Feinberg, MD, James B. Talmage, MD
Newsletter: Guides Newsletter
Guides Newsletter (2016) 21 (3): 10–14.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2016.MayJun03
Published: 01 May 2016
... is assessed by an orthopedic surgeon who is the agreed medical evaluator (AME). In addition to her pre-existing rheumatoid arthritis and lupus, the individual also had Sjogren's syndrome, osteoarthritis, degenerative disc disease, left carpal tunnel syndrome, osteopenia, and obesity. She has undergone...
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Figures
FIGURE 2: <span class="search-highlight">Obesity</span> Rates for Adults and Children, US 1999-2016 18

FIGURE 2: Obesity Rates for Adults and Children, US 1999-2016 18

in Comorbid Conditions in Workers' Compensation > Guides Newsletter
Published: 01 September 2019
FIGURE 2 Obesity Rates for Adults and Children, US 1999-2016 18 More
Figures
FIGURE 3: Prevalence † of Self-Reported <span class="search-highlight">Obesity</span> Among US Adults by State and Territo...

FIGURE 3: Prevalence † of Self-Reported Obesity Among US Adults by State and Territo...

in Comorbid Conditions in Workers' Compensation > Guides Newsletter
Published: 01 September 2019
FIGURE 3 Prevalence † of Self-Reported Obesity Among US Adults by State and Territory, BRFSS, 2017 22 † Prevalence estimates reflect BRFSS methodological changes started in 2011. These estimates should not be compared to prevalence estimates before 2011. Source: Behavioral Risk Factor Su... More
Newsletter Articles

Colorectal Cancer: Case Example

Christopher R. Brigham, MD, MMS, James B. Talmage, MD, Stephen L. Demeter, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2018) 23 (2): 12–16.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2018.MarApr03
Published: 01 March 2018
... and take-down surgery. He is morbidly obese (body mass index, 45) and has hypertension. He reported fecal frequency, urgency, and incontinence and stated he had problems with erectile dysfunction (ED) before his diagnosis of colon cancer, but after diagnosis and treatment the problem worsened to impotence...
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Newsletter Articles

Left Ventricular Hypertrophy

Steven L. Demeter, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2014) 19 (2): 11–15.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2014.MarApr04
Published: 01 March 2014
... the impairment rating for hypertension, it is important to determine whether LVH is present. Patients may have other factors that affect the standards for defining LVH. For example, traditional standards for LVH may not be appropriate for someone who is extremely obese or physically large. LVH may also...
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Newsletter Articles

Causes of Carpal Tunnel Syndrome

Newsletter: Guides Newsletter
Guides Newsletter (2006) 11 (1): 11.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2006.JanFeb03
Published: 01 January 2006
..., nonoccupational factors such as age and obesity. A large study of 791 carpal tunnel cases and 981 controls concluded that “female gender, obesity, and age [41 to 60] are independent risk factors for CTS. Diabetes appears to be a weak risk factor when adjusted for body mass index.” 9 Another study of 600...
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Newsletter Articles

Q&A: Total Knee Replacement: Alignment

James B. Talmage, MD, Charles N. Brooks, MD, Christopher R. Brigham, MD
Newsletter: Guides Newsletter
Guides Newsletter (2021) 26 (4): 14.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2021.JulAug05
Published: 01 July 2021
... body mass index (and resultant limb obesity), the greater the potential discrepancy between measurements on physical examination compared with measurements from a radiograph. Hence, many measurements of knee alignment on physical examination have only moderate to poor correlation with measurements...
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Newsletter Articles

Is a Condition a Ratable Impairment? Nuances in Assessing Preexisting Conditions

Christopher R. Brigham, MD, Charles N. Brooks, MD, Stephen Demeter, MD, MPH, Lorne Direnfeld, MD, Randy Soo Hoo, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2017) 22 (3): 3–5.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2017.MayJun01
Published: 01 May 2017
... to the injury in question. For example, a 55-year-old obese man has a torsional injury to his knee at work resulting in a medial meniscus tear. Prior to the injury he was reportedly asymptomatic and immediately afterward knee x-rays reveal normal joint spaces (cartilage intervals) but marginal osteophytes...
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Newsletter Articles

Pulmonary Manifestations of “Long COVID” (Post–COVID-19)

Stephen L. Demeter, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2022) 27 (6): 16–38.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2022.NovDec02
Published: 01 November 2022
... weeks.” In their study, 32% of individuals had persistent radiographic abnormalities at 3 months. Factors related to increased incidence were extended length of stay, obesity, increased serum lactate dehydrogenase, and smoking status. 28 Jutant et al 29 stated: Among the 478 patients, 78...
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Newsletter Articles

Evaluating Causation for the Opposite Lower Limb

Christopher R. Brigham, MD, Charles N. Brooks, MD, James B. Talmage, MD
Newsletter: Guides Newsletter
Guides Newsletter (2012) 17 (3): 10–12.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2012.MayJun02
Published: 01 May 2012
... feet 6 inches tall. The calculated body mass index of 36.3 meets the criterion for obesity. In December 2009 the longshoreman underwent an arthroscopic partial lateral meniscectomy of left knee. Two years following this left knee surgery he developed increased right knee pain attributed...
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Newsletter Articles

Shoulder Pain at Work: Causation Analysis

Joel Weddington, MD, Charles N. Brooks, MD, Mark Melhorn, MD, Christopher R. Brigham, MD
Newsletter: Guides Newsletter
Guides Newsletter (2017) 22 (1): 11–16.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2017.JanFeb02
Published: 01 January 2017
... risk factors for rotator cuff tears, there is very strong evidence for the age of 61, strong evidence for obesity (but the nurse is only marginally overweight with a BMI of 25.8), and low risk evidence for the downsloping type II acromion. This is supported by multiple clinical studies reviewed...
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Newsletter Articles

Questions and Answers

Christopher R. Brigham, MD, James B. Talmage, MD, Craig Uejo, MD, MPH
Newsletter: Guides Newsletter
Guides Newsletter (2011) 16 (4): 13–15.
DOI: https://doi.org/10.1001/amaguidesnewsletters.2011.JulAug03
Published: 01 July 2011
..., obesity, respiratory diseases, smoking, alcohol use, and hormone replacement therapy. A number of studies suggest that obesity and increased waist circumference contribute to GERD, and may increase the risk for erosive esophagitis (severe inflammation in the esophagus) in GERD patients. Smoking is also...
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