Obesity care should be based on evidence-based principles of chronic disease management, must validate patients’ lived experiences, move beyond simplistic approaches of “eat less, move more,” and address the root drivers of obesity.
Full Answer
What is the focus of this guideline on obesity?
The guideline is focused on obesity in adults. The recommendations are intended to serve as a guide for health care providers; clinical discretion should be used by all who adopt these recommendations.
Do health care professionals know evidence-based guidelines for nonsurgical obesity treatment?
The objective of this study was to assess health care professionals' knowledge of evidence-based guidelines for the nonsurgical treatment of obesity. A nationally representative sample of internists, family practitioners, obstetricians/gynecologists, and nurse practitioners completed a web-based survey between June 9 and July 1, 2016 (n = 1,506).
Is primary care prepared to address obesity in patients?
C ounseling patients about weight management may be one of the most challenging aspects of primary care. Clinicians widely perceive that they have a responsibility to address obesity, although this has not generally translated to clinical practice.
Why were the AACE obesity guidelines developed?
“Our rationale for creating these guidelines was the fact that obesity medicine lacks comprehensive and evidence-based guidelines that are translatable to real-world clinical care of patients with obesity,” said W. Timothy Garvey, MD, FACE, chair of the AACE Obesity Scientific Committee, which developed the guidelines.
What is the standard of practice for obesity?
Obesity is operationally defined as a BMI exceeding 30 kg/m2 and is subclassified into class 1 (30–34.9), class 2 (35–39.9) and class 3 (≥ 40).
What is the most common treatment for obesity?
The best way to treat obesity is to eat a healthy, reduced-calorie diet and exercise regularly. To do this you should: eat a balanced, calorie-controlled diet as recommended by your GP or weight loss management health professional (such as a dietitian) join a local weight loss group.
What approach is used in treating obesity?
We have identified five broad approaches to treatment used by the do-it-yourself, nonclinical, and clinical programs: diet, physical activity, behavior modification, drug therapy, and gastric surgery. Not all approaches are used by, or available to, each category of programs.
What are the guidelines in weight management?
OverviewExercise often: Studies prove that people with high activity levels are more likely to maintain their weight loss than others who are not as active. ... Eat a healthy breakfast daily. ... Stay hydrated. ... Eat whole foods. ... Eat responsibly and mindfully. ... Plan your meals ahead of time. ... Get cookbooks. ... Decrease screen time.More items...•
What is the prevention of obesity?
Choosing healthier foods (whole grains, fruits and vegetables, healthy fats and protein sources) and beverages. Limiting unhealthy foods (refined grains and sweets, potatoes, red meat, processed meat) and beverages (sugary drinks) Increasing physical activity. Limiting television time, screen time, and other “sit time”
What is the solution to the obesity epidemic?
To reverse the obesity epidemic, community efforts should focus on supporting healthy eating and active living in a variety of settings. Learn about different efforts that can be used in early childhood care, hospitals, schools, and food service venues.
What is the role of diet in the treatment of obesity?
Plant-based diets In one study involving 75 participants who were overweight or had obesity, those who ate a vegan diet saw significant improvements in body weight, fat mass, and insulin resistance markers. Plant-based diets may also help reduce your risk for heart disease and other health issues.
What are three program components you would utilize to achieve your goal of reducing obesity and its health consequences?
Most studies of programs with two or three components (i.e., physical activity plus nutrition, physical activity plus both education and nutrition) found statistically significant improvements in objective obesity-related outcomes.
What are the 3 three key components of a successful weight loss program check all that apply?
The components of the weight-loss triad include:controlling caloric intake.controlling problem behaviors.performing regular physical activity.
How many guidelines are there for school health?
School Health Guidelines to Promote Healthy Eating and Physical Activity provides nine guidelines that serve as the foundation for developing, implementing, and evaluating school-based healthy eating and physical activity policies and practices for students in grades K-12.
What is the CDC guide to increasing physical activity?
The CDC Guide to Strategies to Increase Physical Activity in the Community#N#Cdc-pdf#N#PDF#N#[PDF-1.2MB] provides guidance for program managers, policy makers, and others on how to select strategies to increase physical activity.
Objective
The aim of this work is to develop a practical, tangible, measurable, and simple standard of care for the treatment of adult obesity that provides guidance for both clinical providers and community settings.
Methods
Three roundtables with relevant stakeholder groups were convened by the STOP Obesity Alliance at The George Washington University to develop the proposed standard of care.
Results
The proposed standard of care for adult obesity treatment proposes practices for the spectrum of clinical, community, and digitally based entities and for clinical providers. Coverage and payment policy standards are also provided.
Conclusions
These standards are intended to augment published guidelines developed for obesity care providers and can also be viewed as the first step to define an optimal benefit package.
When is obesity treatment indicated?
Obesity treatment is indicated when a patient’s weight affects health, quality of life, or functioning. In contrast, some excess weight beyond normative levels or societal norms in the absence of adverse health effects does not necessarily demand management beyond preventive monitoring.
Is reimbursement for obesity improving?
Reimbursement is improving . Medical schools are devoting more time to obesity and nutrition, and some training programs and certifications in obesity medicine, nutrition, and even culinary medicine are becoming available. The potential benefits of compassionate, coordinated obesity treatment are clear.
What is the first priority of endocrinologists?
Guidelines call for making relief of weight-related complications the first priority, not weight loss per se. The world’s largest professional group of endocrinologists today issued clinical guidelines for treating obesity, standards that focus not simply on losing weight but on improving health and quality of life for those who live with ...
Can BMI be used to determine obesity?
BMI by itself cannot define obesity.
Why do people with obesity avoid or delay getting needed clinical care?
Patients with obesity also may avoid or delay getting needed clinical care if they have experienced bias or stigmatization from their physician, which may lead to poorer overall health or faster progression of medical conditions that have been left untreated 18.
What is the role of a gynecologist in obesity?
Obstetrician–gynecologists regularly care for patients with obesity and play an integral role in advocating for best practices in health care and optimizing health outcomes for patients with obesity.
What should an obstetrician do?
Obstetrician–gynecologists should focus on patient-centered counseling regarding the medical risks associated with obesity (see “Medical Complications of Obesity” earlier in this document) and on concrete strategies and goals to improve overall health.
What does "obese patient" mean?
The term “obese patient,” which suggests that obesity defines the patient, should be avoided in favor of people-first terminology, such as “patient with obesity,” which identifies a patient as having the condition of obesity 28.
How much higher is BMI per capita?
For example, the number of sick days and medical claims increase as a person’s BMI increases 13, and adults with severe or morbid obesity (BMI more than 40) have per capita health care costs that are 81% higher than those of healthy-weight adults 14.
Is obesity a stigma?
Obesity is a highly stigmatized condition in modern society 15. Society stigmatizes women whose bodies fall outside of a perceived norm 16 even though weight is a continuum, and there is not a BMI cutoff at which a person crosses from being healthy to unhealthy.
Does obesity cause adverse medical outcomes?
Medical Complications of Obesity. Although not all patients with obesity will experience negative medical sequelae because of their obesity, obesity is a medical condition that significantly increases the risk of adverse medical outcomes throughout a patient’s life, particularly for those with other comorbidities 2.
What percentage of HCPs correctly identified the guideline recommended thresholds to initiate and continue pharmacotherapy for obesity
Only 8% of HCPs correctly identified the guideline‐recommended thresholds to initiate and continue pharmacotherapy for obesity (Figure 3) ( 12). Seventy‐seven percent of HCPs selected a prescribing threshold higher than recommended for patients with an obesity‐associated comorbidity, and 26% indicated long‐term pharmacotherapy only for patients achieving at least 10% to 15% reduction in body weight. FPs (19%) and internists (16%) were significantly more likely than NPs and OB‐GYNs to identify prescribing practices consistent with evidence‐based guidelines (OR = 2.25, 95% CI: 1.59‐3.19). While only 4% of HCPs in this study indicated that obesity medications should never be prescribed, one in five respondents indicated that long‐term pharmacotherapy is unsafe.
How much higher is obesity per capita?
Introduction. Adults with obesity (BMI ≥ 30 kg/m 2) incur 42% higher medical costs per capita and are nearly two times more likely to die before age 70 than adults with a healthy weight ( 1, 2). Health care providers (HCPs) play a vital role in the prevention, treatment, and control of obesity.
Nutrition, Physical Activity, and Obesity Prevention Strategies
Early Care and Education Strategies
- CDC’s framework for obesity prevention, in the ECE setting is known as the Spectrum of Opportunities Cdc-pdfPDF [PDF-666KB]. The Spectrum identifies ways that states, and to some extent communities, can support child care and early education facilities to achieve recommended standards and best practices for obesity prevention. The Spectrum aligns w...
School Health Guidelines
- School Health Guidelines to Promote Healthy Eating and Physical Activityprovides nine guidelines that serve as the foundation for developing, implementing, and evaluating school-based healthy eating and physical activity policies and practices for students in grades K-12. The following resources are designed to assist schools and program coordinators to inform stakeholders and …
Community Guide
- The Community Guide – Obesity Prevention and ControlExternalfile_external is a free resource to help you choose programs and policies to prevent and control obesity in your community.
Clinical Guidelines
- Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents Cdc-pdfPDF [PDF-3.26MB]Externalfile_external This resource summarizes the integrated guidelines develop by the Federal Government to address cardiovascular disease in children and adolescents. Screening for Obesity in Pediatric Primary Care: Recommendations fr…