American heart association guidelines for selecting a weight loss & maintenance program



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The American Heart Association, American College of Cardiology and Obesity Society have developed comprehensive treatment recommendations to help healthcare providers tailor weight loss treatments to adult patients affected by overweight or associationn. The new guideline report is based on a systematic evidence review that summarizes the current literature on the risks of obesity and the benefits of weight loss. It summarizes knowledge on diets for weight loss, the efficacy and effectiveness of comprehensive lifestyle interventions on weight loss and weight loss maintenance and the benefits and risks of bariatric surgery.

In the United States nearly progrqm adults are affected by overweight defined as a body mass index or BMI of 25 to The report recommends that healthcare providers calculate BMI at annual visits or more frequently, and use the BMI cut points to identify adults who may be at a higher risk of heart disease and stroke because of their weight.

The report also presents evidence showing that the greater the BMI, the higher the risk of coronary heart disease, stroke, type 2 best diet to lose weight with thyroid and all-cause mortality death from any cause. The new guidleines recommends healthcare providers develop individualized weight loss plans that include three key components — a moderately lows calorie diet, a program of increased physical activity and the use of behavioral strategies to help patients associatoin and maintain a healthy body weight.

The best way to achieve these goals is to work with a trained healthcare professional, such as a registered dietitian, behavioral psychologist or other trained weight loss counselor, in a primary care setting, according to the recommendations. Weight loss counseling should focus on people who need to lose maintnance because of obesity or overweight with conditions that put them at higher risk for cardiovascular diseases, such as diabetes, high blood pressure, high blood cholesterol, a waist circumference of more than 35 inches for women and more than 40 inches for men.

The most effective behavior change programs include two to three in-person meetings a month for at ,aintenance six months. Web or phone-based weight loss programs are also an option for the weight loss phase, although research shows they are not as effective as face-to-face programs, according to the statement authors. Currently, american heart association guidelines for selecting a weight loss & maintenance program lifestyle programs that assist participants in adhering to wfight lower calorie diet and in increasing physical activity through the use of behavioral strategies are not widely available, Ryan said.

Medicare began covering behavioral counseling for patients guodelines by obesity inbased on available evidence at that time. Under the Affordable Care Act, most private insurance companies are expected to cover behavioral counseling and other treatments for obesity by hert The obesity guideline is one of four cardiovascular disease prevention guidelines being released today by the American Heart Association and American College of Cardiology.

Other guidelines address lifestyle management, cholesterol and cardiovascular risk assessment. The obesity treatment recommendations are based on the latest scientific evidence from research studies. The expert panel that wrote the report was convened by the National Heart, Lung, and Blood Institute of the National Institutes of Health. At the invitation of the NHLBI, the American Heart Association, the American College of Cardiology and The Obesity Society officially assumed the joint governance, management and publication of the obesity american heart association guidelines for selecting a weight loss & maintenance program provram June.

Committee members volunteered their time and were required to disclose all healthcare-related relationships, including those existing one year before the initiation of the writing selectiny. The mission of the American College of Cardiology is to transform cardiovascular care and improve heart health. The College is a 43,member medical society comprised of physicians, surgeons, nurses, physician assistants, pharmacists and practice managers.

The College is a leader in the formulation of health policy, standards and guidelines.



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