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Obesity

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 Understand and Prevent Obesity

An estimated 97 million adults in the United States are overweight or obese. In European Union over 50% of both men and women were overweight, and roughly 23% of women and 20% of men were obese, a condition that substantially raises their risk of morbidity from hypertension, dyslipidemia, type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and respiratory problems, and endometrial, breast, prostate, and colon cancers.

5. Goals of Weight Loss and Management.

The initial goal of weight loss therapy is to reduce body weight by approximately 10 percent from baseline. If this goal is achieved, further weight loss can be attempted, if indicated through further evaluation.

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6. Strategies for Weight Loss and Weight Maintenance.

Dietary Therapy:

A diet that is individually planned and takes into account the patient’s overweight status in order to help create a deficit of 500 to 1,000 kcal/day should be an integral part of any weight loss program.

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7. Adapt Weight Loss Programs To Meet the Needs of Diverse Patients

Standard treatment approaches for overweight and obesity must be tailored to the needs of various patients or patient groups. Large individual variation exists within any social or cultural group; furthermore, substantial overlap among subcultures occurs within the larger society.

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8. Advantages of weight loss

The recommendation to treat overweight and obesity is based not only on evidence that relates obesity to increased mortality but also on Evidence Category A - Sources of Evidence –RCT (Randomized controlled trials (rich body of data) – (Definition: Evidence is from endpoints of well-designed RCTs or trials that depart only minimally from randomization that provide a consistent pattern of findings in the population for which the recommendation is made. Category A therefore requires substantial numbers of studies involving substantial numbers of participants). evidence that weight loss reduces risk factors for disease.

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9. Goals for weight loss

The general goals of weight loss and management are to reduce body weight, to maintain a lower body weight over the long term, and to prevent further weight gain. Evidence indicates that a moderate weight loss can be maintained over time if some form of therapy continues. It is better to maintain a moderate weight loss over a prolonged period than to regain from a marked weight loss.

 1. Initial Goal of Weight Loss from Baseline

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