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- Consider behavioral therapy with diet and exercise in overweight patients who need or want to lose weight.
- Consider surgical treatment for very obese patients in whom other measures have failed.
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Consider behavioral therapy with diet and exercise in overweight patients who need or want to lose weight.  |
- Recommend to overweight patients:
- Behavioral therapy:
- Recording food intake
- Increasing physical activity
- Being rewarded for success
- Information about diets, emphasizing:
- Amount and rate of weight loss, depending on degree of adherence to the diet
- Importance of eating regularly
- That at reduced energy intake under controlled conditions, diet composition is unimportant
- That for some people, short-term very low-carbohydrate diets produce more weight loss than other diets but not always and not in the longer term
- That low-fat diets produce weight loss but not more than other diets
- That increased intake of high-fiber foods may enhance satiety
- That higher protein diets may enhance satiety
- That portion-controlled foods provide an easy way to count calories using commercial formulas, bars, or frozen meals
- Exercise:
- For 30 to 60 minutes 5 or more days a week by increasing walking or other comparable activities
- Self-help groups
| Background | Back to top
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Consider surgical treatment for very obese patients in whom other measures have failed. |
| Background | Back to top
| | | FAQs |
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| George A. Bray, MD, is a speaker for Eli Lilly, Amylin Corp., and Merck & Co., received grants from Merck & Co., and Takeda Pharmaceuticals; and has consulted for Sanofi-Aventis, Merck, and Amylin.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott. |
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PIER is copyrighted (c) 2009 by the American College of Physicians,
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Obesity
35 kg/m2 with comorbidities or