Medical Management
The National Institutes of Health have published guidelines for the prevention and treatment of overweight and obesity.* The guide includes recommendations for the selection of appropriate therapies depending upon BMI and comorbidities.
Guide to Selecting Overweight and Obesity Treatment in Adults |
||||||
Treatment by BMI Category | 25-26.9 |
27-29.9 |
30-34.9 |
35-39.9 |
>40 |
|
Diet, physical activity and behavioral therapy | with comorbidities |
regardless of comorbidities |
||||
Pharmacotherapy | with comorbidities |
regardless of comorbidities |
||||
Surgery | BMI ≥35 kg/m2 |
|||||
|
Safe, sustained weight loss is usually the primary medical goal for overweight and obese patients. Even small amounts of weight loss can improve physical condition and reduce the effects of some comorbidities. However, the recommended initial weight loss target is usually about 10% of of body weight achieved over 6 months. The rate of weight loss should be 1 to 2 pounds each week. Greater rates of weight loss do not achieve better long-term results. After the first 6 months of weight loss therapy, the priority should be weight maintenance achieved through combined changes in diet, physical activity, and behavior. Further weight loss may be considered after a period of weight maintenance.
RnCeus
Homepage | Course
catalog | Discount
prices | Login | Nursing
jobs | Help
©RnCeus.com