Weight Loss & Diet Details
In a clinical practice guideline by the American College
of Physicians, are the following five recommendations
1. People with a BMI greater than 30 should receive advice
on diet, exercise and other factors relevant behavior to be operated and set a
realistic goal for weight loss.
2. If this goal is not achieved, pharmacotherapy should be
offered. Patients need to be informed of the possibility of side effects and
lack of information about the safety and long-term effectiveness.
A guide for clinical practice by the U.S.
Preventive Services Task Force (USPSTF) concluded that the evidence is
insufficient to recommend one for or against routine behavioral council to
promote a healthy diet in unselected patients in care establishments primary,
but this intensive advice about dietary behavior is recommended in patients
with hyperlipidemia and other known risk factors for cardiovascular disease and
related chronic diseases. The council may be performed by primary care
clinicians or by referral to other specialists such as nutritionists or
dietitians.
3. Drug therapy may
consist of sibutramine, orlistat, phentermine, diethylpropion, fluoxetine, and
bupropion. For more severe cases of obesity, stronger drugs such as amphetamine
and methamphetamine may be used selectively. The inheritance is not sufficient
to recommend sertraline, topiramate or zonisamide.
4. In patients with a BMI greater than 40 who fail to
achieve its goal in weight loss (with or without medication) and those who
develop complications related to obesity, the reference may be indicated to
bariatric surgery. Patients should be warned of potential complications.
5. Those requiring bariatric surgery should be referred to
centers of high-volume reference, because the evidence does not suggest like
surgeons who frequently perform these procedures have fewer complications.
