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Obesity Prevention and Management [2013 new]

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Step Status
Educational Materials
Release Date: Sat, 1/1/22
Termination Date: Sat, 12/31/22
Credits: 1
Description: During the past 20 years, obesity has dramatically increased in both children and adults in the United states. Obesity is a risk factor for most major causes of death. The direct medical cost of overweight and obesity combined is approximately 5% to 10% of U.S> healthcare spending. For individuals identified as obese, the person – not the obesity – should be the focus of treatment. This self-study activity provides practical guidance to clinicians about diagnosing and treating overweight and obesity based on available empirical evidence.

Key aspects of care include:

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.

Educational Objectives: Participants in this CME activity will understand and be able to implement evidence-based cost-effective clinical strategies for the diagnosis and treatment of overweight and obesity in children and adults.
Target Audience: This self-study activity is appropriate for primary care clinicians and other health care providers who diagnosis and treat overweight and obesity in children and adults.
Accreditation and Credit Designation: The University of Michigan Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

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.

Original Release Date: June 2013
Termination Date: July 2023

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 July 2020, and availability of CME credit continued.
Additional Info: Authors:
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

Credits available:

AMA PRA Category 1: 1.00
Participation: 1.00