What are the medical therapies for obesity?
Dietary restriction of calories, while maintaining adequate protein, fluid electrolyte, mineral, and vitamin intake, is the key. A sensible weight reduction program targets gradual weight reduction by behavior modification, including dietary and activity changes. Numerous fad diets claim success, but key to the weight loss is patient commitment and total lifestyle modification. The U.S. Preventive Services Task Force 2012 recommendations include screening all adults for obesity. Clinicians should offer or refer patients with a BMI of 30 kg/m 2 or higher to intensive, multicomponent behavioral interventions.
Intensive, multicomponent behavioral interventions for obese adults include the following components:
- • Behavioral management activities, such as setting weight-loss goals
- • Improving diet or nutrition and increasing physical activity
- • Addressing barriers to change
- • Self-monitoring
- • Strategizing how to maintain lifestyle changes
For a summary of the evidence systematically reviewed in making this recommendation, the full recommendation statement, and supporting documents, please go to http://www.uspreventiveservicestaskforce.org/ (Accessed September 22, 2014).