Recommendations for Obesity (continued)
Recommendations
ACC/AHA
COR
ACC/AHA
LOE
Diets for Weight Loss (Dietary Strategies for Weight Loss)
3a. Prescribe a diet to achieve reduced calorie intake for obese or
overweight individuals who would benefit from weight loss,
as part of a comprehensive lifestyle intervention. Any of the
following methods can be used to reduce food and calorie
intake:
a. Prescribe 1,200-1,500 kcal/day for women and 1,500-1,800
kcal/day for men (kcal levels are usually adjusted for the
individual's body weight);
b. Prescribe a 500-kcal/day or 750-kcal/day energ y deficit; or
c. Prescribe 1 of the evidence-based diets that restricts certain
food types (such as high-carbohydrate foods, low-fiber
foods, or high-fat foods) in order to create an energ y deficit
by reduced food intake.
I A
3b. Prescribe a calorie-restricted diet, for obese and overweight
individuals who would benefit from weight loss, based on
the patient's preferences and health status and preferably
refer to a nutrition professional
b
for counseling. A variety of
dietary approaches can produce weight loss in overweight
and obese adults.
I A
Lifestyle Intervention and Counseling (Comprehensive Lifestyle Intervention)
4a. Advise overweight and obese individuals who would
benefit from weight loss to participate for ≥6 months in a
comprehensive lifestyle program that assists participants in
adhering to a lower-calorie diet and in increasing physical
activity through the use of behavioral strategies.
I A
4b. Prescribe on-site, high-intensity (i.e., ≥14 sessions in 6
months) comprehensive weight loss interventions provided
in individual or group sessions by a trained interventionist.
a
I A
4c. Electronically delivered weight loss programs (including by
telephone) that include personalized feedback from a trained
interventionist
a
can be prescribed for weight loss but may
result in smaller weight loss than face-to-face interventions.
IIa A
4d. Some commercial-based programs that provide a
comprehensive lifestyle intervention can be prescribed as
an option for weight loss, provided there is peer-reviewed
published evidence of their safety and efficacy.
IIa A
Recommendations
