Clinical Practice Guidelines - Obesity
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| Obesity Screening Algorithm | Obesity Goals & Plans Algorithm |
Brief Summary
- Guideline Title: National Heart, Lung, and Blood Institute Obesity Education Initiative
- Bibliographic Sources: National Heart, Lung, and Blood Institute
- Guideline Status: This is the current release of the guideline
- Guideline Publication Date:
- Recommendations
Major Recommendations
- Obesity in the News - RSS Feed
- The high-risk approach targets individuals who are experiencing, or who are at high risk for, the adverse health effects and medical complications associated with overweight and obesity.
- The population approach focuses on the prevention of overweight, obesity, and physical inactivity in the general population.
- All patients should be screened for obesity risk
- Tailored recommendations are displayed to the provider, depending on the level of risk
- Measure height and weight so that you can estimate your patient’s BMI
- Measure waist circumference
- Assess comorbidities
- Decide which treatment is best
- Evaluate patient’s readiness to lose weight including the following:
- Reasons and motivation for weight loss
- Previous attempts at weight loss
- Support expected from family and friends
- Understanding of risks and benefits
- Attitudes toward physical activity
- Time availability
- Potential barriers to the patient’s adoption of change.
- Recommend a diet – in general, the following guidelines can be used
- Women - 1,000 to 1,200 kcal/day
- Men - 1,200 kcal/day and 1,600 kcal/day
- Women >165lbs or who exercise regularly - 1,200 kcal/day and 1,600 kcal/day
- Discuss a physical activity goal
- Review the Weekly Food and Activity Diary with the patient.
- Give the patient copies of the dietary information
- Guide to Physical Activity
- Guide to Behavior Change
- Weekly Food and Activity Diary
- Enter the patient’s information and the goals you have agreed on in the Weight and Goal Record
- Have the patient schedule an appointment to see you or your staff for follow-up in 2 to 4 weeks
Overview of Obesity Education Initiative Recommendations
The NHLBI Obesity Education Initiative recommends a two-pronged strategy for educating professionals and the public on the relationship of overweight and physical inactivity to cardiovascular and pulmonary disease:
Recommendations as Implemented in the Clinical Log software
CUSON has implemented the high-risk approach by using the following:
Risk Assessment examines the following elements:
| BMI | Weight Status |
| Below 18.5 | Underweight |
| 18.5 – 24.9 | Normal |
| 25.0 – 29.9 | Overweight |
| 30.0 – 34.9 | Obesity (Class 1) |
| 35.0 – 39.9 | Obesity (Class 2) |
| ≥ 40 | Extreme Obesity (Class 3) |
Note: BMI Calculation = ( (Weight in Pounds) / ((Height in inches) x (Height in inches) )) x 703
Note: If the patient can stick with the 1,600 kcal/day diet but does not lose weight you may want to try the 1,200 kcal/day diet. If a patient on either diet is hungry, you may want to increase the calories by 100 to 200 per day.
- Evidence Supporting the Recommendations
- Type of Evidence Supporting the Recommendations
The Practical Guide: Identification, Evaluation, and Treatment of Overweight and Obesity in Adults
Identifiying Information and Availability
Guideline: http://www.nhlbi.nih.gov/about/oei/oei_pd.htm
Patient and Clinician information
