Adult Weight Management (AWM) Comprehensive Weight Management Program

Click here to see the explanation of recommendation ratings (Strong, Fair, Weak, Consensus, Insufficient Evidence) and labels (Imperative or Conditional). To see more detail on the evidence from which the following recommendations were drawn, use the hyperlinks in the Supporting Evidence Section below.

Recommendation(s)

AWM: Comprehensive Weight Management Program

Weight loss and weight maintenance therapy should be based on a comprehensive weight management program including diet, physical activity, and behavior therapy. The combination therapy is more successful than using any one intervention alone.

Rating: Strong
Imperative

Risks/Harms of Implementing This Recommendation

None.

Conditions of Application

No conditions specified.

Potential Costs Associated with Application

None.

Recommendation Narrative

• The combination of a reduced calorie diet and increased physical activity produces greater weight loss than diet alone or physical activity alone. NHLBI Evidence Category A.
• The combination of a reduced calorie diet and increased physical activity is recommended since it produces weight loss that may also result in decreases in abdominal fat and increases in cardiorespiratory fitness. NHLBI Evidence Category A.
• Weight loss and weight maintenance therapy should employ a combination of low calorie diets, increased physical activity, and behavior therapy. NHLBI Evidence Category A.

Recommendation Strength Rationale

• NHLBI Evidence Category of A

Minority Opinions

Consensus reached.

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Supporting Evidence

The recommendations were created from the evidence analysis on the following questions. To see detail of the evidence analysis, click the blue hyperlinks below (recommendations rated consensus will not have supporting evidence linked).

References

References not graded in Academy of Nutrition and Dietetics Evidence Analysis Process

The Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report, NIH Publication No. 98-4083, September 1998, produced by the National Heart, Lung, and Blood Institute in cooperation with the National Institute of Diabetes and Digestive and Kidney Diseases.

Available at: http://www.nhlbi.nih.gov/guidelines/obesity/e_txtbk/txgd/40.htm

To access the pdf of the NHLBI Clinical Guidelines click here: http://www.nhlbi.nih.gov/guidelines/obesity/e_txtbk/index.htm