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Chronic Disease of Obesity - Obesity Algorithm 2024

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21 Medical Evaluation to Ensure Safety Before Beginning New Exercise Program   ➤ Assess current physical activity level and functional ability.   ➤ Assess readiness (e.g., PAR-Q).   ➤ Agree upon patient expectations and goals (with optional written "contract").   ➤ Assess potential need for medical testing/evaluation (i.e., cardiac stress testing, pulmonary function tests, musculoskeletal assessment, etc.).   ➤ Assess mobility, fitness, and potential equipment needs or modifications.   ➤ Potential adjustment of medications: • Before start of physical activity plan (e.g., diabetes and blood pressure medications) • During implementation of physical activity plan   ➤ Optimal default: • Back-up plan Energy Expenditure: Obesity Medicine Association Physical Activity Goals 5,000 (minimum) to over 10,000 steps per day and/or 150 to 300 minutes or more moderate- intensity aerobic activity per week or 75–150 minutes or more vigorous- intensity aerobic activity per week Resistance training/muscle strengthening at least 2 times a week Physical Activity Goals (In addition to routine NEAT)

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