Treatment
Table 1. Specific Advice for Diet as Part of a Comprehensive
Weight-Loss Intervention
Key aspect of successful diet is reduction in caloric intake.
Options for doing so include:
• General recommendation for 1,200–1,500 kcal/d for women and 1,500–1,800 kcal/d
for men
• Reducing caloric intake by 500–1,000 kcal/d
No specific dietary composition (e.g., low fat, low carbohydrate, high protein) proven to be
more successful for weight loss.
Tailor diet composition to patient preference to maximize adherence.
Table 2. Specific Advice for Exercise/Physical Activity as Part
of a Comprehensive Weight-Loss Intervention
Increased aerobic activity (e.g., brisk walking ) for >150 min/wk.
Avoid ambulatory conveniences such as elevators when possible.
Tailor activity to patient preference to maximize adherence.
In the long term, increase physical activity to 200–300 min/wk to minimize weight regain.
Table 3. Specific Advice for Behavioral Counseling as Part of a
Comprehensive Weight-Loss Intervention
At least 14 sessions (individual or group) over the first 6 mo.
Monthly booster sessions (in person or by phone) aer the first 6 mo.
Regular self-monitoring of food intake, physical activity, and weight.
If in-person programs are not feasible, consider internet-based programs.
