Obesity Prevention and Management [2013 new]
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Prevention for all patients: lifestyle factors for the entire family – healthy diet, regular activity, and adequate sleep.
Management of overweight/obese patients
- Medical home team approach to goal setting and making changes for patients at elevated BMI or who are crossing BMI percentiles.
- Focused physical exam including blood pressure and heart rate, looking for signs of comorbid conditions.
- Consider laboratory studies including cholesterol panel, fasting glucose or HgB A1C, AST and ALT.
- Weight control:
- For children, decreasing rate of weight gain.
- For adults, gradual weight loss up to 2 lbs/week.
- Medications are second-line therapy and use can be limited by side effects and safety profile. Be aware many common medications can precipitate weight gain.
- For patients making inadequate progress toward their goals, consider referrals to dietitian, social work, multidisciplinary weight loss clinic, or bariatric surgery.
The University of Michigan Medical School designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Release Date: June 2013
Termination Date: July 2022
Continued availability of CME credit for this activity depends on a thorough review of its content every three years. This activity was last reviewed for currency and accuracy in June 2019, and availability of CME credit continued.
Kelly A. Orringer, MD; General Pediatrics
R. Van Harrison, PhD; Medical Education
Satyen S. Nichani, MBBS; General Medicine
Margaret A. Riley, MD; Family Medicine
Amy E. Rothberg, MD; Endocrinology
Lori E. Trudeau, MS, RD; Nutrition Services
Yvette White, RN, CPNP, MS, MHSA; Ambulatory Care Services
Financial Disclosure Information:
There are no financial relationships to disclose for this CME activity.
UMHS Guidelines Oversight Team:
Karl T. Rew, MD
R. Van Harrison, PhD
Literature Search Services:
Taubman Health Science Library