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Overweight and Obesity

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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

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