Article Figures & Data
Tables
Focus on: Target this information: Assess (obtain this information in advance) Weight history Current body mass index (BMI) (kg/m2)
Maximum weight, minimum weight, ideal weight
Previous weight loss effortsEating habits Number of meals per day
Typical breakfast, lunch, dinner
Quantify daily intake of sugary beverages
AppetitePhysical activity Quantify amount and type Advise Goals 3% to 5% weight loss over 6 months (3 kg for Medicare patients)
6-month commitment to losing weight
150 minutes of moderate-intensity aerobic activity per weekTreatment plan Create-your-plate method
Mediterranean diet
Consider role of pharmacotherapy for weight lossAgree Goals Use motivational interviewing, shared decision-making, and information from Assess and Advise Assist Identify barriers Screen for depression
Ask about access to healthy foods
Identify social support for weight loss
Review current medications to identify those that promote weight gainArrange Follow-up and referrals Consider consultation by a nutritionist or dietician
Consider group support sessions
Bariatric surgery consultation for patients with BMI ≥ 40 kg/m2, or for patients with BMI ≥ 35 kg/m2 and obesity-related comorbidities who have not responded to behavioral therapy