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  2. Excess Weight & Obesity. Learn How Weight-Related Issues Can Play A Role In One's Health. Learn More About The Science Of Obesity, Weight Loss & Regain, & Weight Management.

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  1. POLICY OPTIONS FOR OBESITY PREVENTION. Addressing obesity requires more than just changing individual behaviors. It requires policy solutions that are effective at the population-level. Key settings to address childhood and adult obesity include early care and education programs, schools, worksites, and communities.

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  2. Having too much body fat can cause serious health problems. It can even shorten your life. There are many factors that play a role in how much you weigh. These include: • The types of food you eat. • How active you are. • Your family history. • Your sleep habits. • Taking certain medications.

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  4. i. Critical Questions on Weight-Related Health Risks and Benefits of Weight Loss ..... 6 ii. Critical Questions on Treatments for Overweight and Obesity ..... 6 F. Challenges of Achieving Weight Loss in Primary Care Practice ..... 7

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    • Guide for the Management of Adult Obesity in Primary Care
    • Pre-encounter
    • Weigh the patient with permission.
    • Questions for Patient Provider:
    • Response from Provider
    • ASK
    • ASSESS
    • If the patient is not interested in talking about their weight:
    • AGREE
    • ASSIST
    • ARRANGE
    • The patient IS interested in pursuing treatment of obesity:
    • If the patient IS NOT interested in pursuing treatment of obesity:
    • Tips and Standard Operating Procedures for Expediting Patient Flow

    When weight counseling is appropriate, health care professionals need a short, accessible, practical, informative guide for obesity treatment. The treatment of obesity in the primary care setting can be divided into three sections: pre-en-counter, encounter, and post-encounter. The following guidance for health care professionals’ treatment of obes...

    Providers should ask patients to fill out a pre-visit questionnaire to provide important information prior to the encounter. Suggested pre-screen questions include: Have you ever had dificulty managing your weight? Age of onset and maximum weight? Family history of unhealthy weight? What factors have led to your weight gain, weight loss, or susta...

    Ask the patient “May we measure your weight today?” If the patient chooses not to be weighed, respect their decision. Providers need to recognize that patients may have had stigmatizing healthcare experiences and may find being weighed and discussing their weight uncomfortable. Discomfort regarding weight can be addressed by weighing patients in ...

    What concerns you most about your weight? What is the single most important outcome that you hope to acheve with weight loss? What would stand in the way of achieving this outcome? Is there a first step that you are ready to take? What impact will the changes we have discussed have on your life? Obesity is a chronic problem. “ I understand that y...

    What frequency and type of follow-up would be most helpful? Acknowledge concerns Link obesity to comorbidities Provide resources Schedule follow-up or referral

    If the physical examination and pre-screen data indicate obesity, ask permission to discuss the patient’s weight. “Is now a good time for us to discuss how your weight and health may be afecting each other and how we can work together on it?” If the patient agrees, ask the patient what terms they would prefer using to discuss their weight (e.g., un...

    Refer to pre-screen data collected in the pre-encounter: BMI; weight history; diet history; medications; physical activity; existing comorbidities or risk factors; stress; sleep; QOL; depression. Refer to regularly taken blood tests (lipids, comprehensive metabolic panel, Hemoglobin A1c). Assess for weight-related comorbidities (e.g., Type 2 Diabe...

    • Respect their choice and express willingness to work together on the issue in a future ofice visit and reassess at a future visit.

    Establish trust and shared decision-making. Provider responses are cued by the patient’s questions and concerns. Recommendations may difer based on the patient’s cultural or religious background. Collaborate on goal setting using SMART (specific, measurable, attainable, relevant, and time-based) tool.xxiii Discuss the efectiveness of diferent modes...

    Treatment options can be presented electronically and/or through written materials. Leverage the entire care team. Discuss referrals to registered dietician nutritionists (RDN) and other providers, such as community providers, licensed social workers, certified obesity medicine providers, and behav-ioral health specialists.

    Schedule a face to face or telehealth visit follow up to assess progress. In consultation with the patient, referrals for lifestyle management and behavioral changes should be to RDNs, commercial weight management programs, or behavioral health specialists. In patients with severe obesity or patients who have repeatedly struggled to lose weight, di...

    Provide patient with checklist/handout with shared decisions. Schedule a follow-up visit focusing on obesity to assess progress. The best ways to measure progress: change in weight, BMI, change in waist circumference, improvement of co-morbidities, improved QOL.

    Does this decision reflect a lack of financial or physical access to follow up? Educational materials may be provided for the patient’s consideration. Indicate availability for future discussion and shared decision making during regular care. Provider should reassess readiness to change on future clinic visits (could be done by check-in team).

    Obesity management in the ofice requires a team approach. Provide in-service education for all personnel - front desk, medical assistants, health care providers, back ofice. All personnel must be trained in avoiding bias and stigma, importance of providing resources and the chronic care nature of obesity management. Catalog resources for referral...

  5. Follow these guidelines to improve your overall diet pattern. • Eat a diet rich in fruits, vegetables and whole grains. • Eat poultry, fish, and nuts and limit red meat. • Limit how much saturated and trans fats, added sugars, and sodium are in the food you eat. • Select fat-free and low-fat (1%) dairy products.

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  6. Aug 4, 2020 · This guideline update reflects substantial advances in the epidemiology, determinants, pathophysiology, assessment, prevention and treatment of obesity, and shifts the focus of obesity management toward improving patient-centred health outcomes, rather than weight loss alone.

  7. Nov 6, 2020 · Some generic advice can be: limit the consumption of HFSS, avoid skipping meals, adequate intake of water, decrease the portion size, avoid eating out, and manage episodes of emotional eating.

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    related to: how can i prevent weight-related diseases pdf
  2. Excess Weight & Obesity. Learn How Weight-Related Issues Can Play A Role In One's Health. Learn More About The Science Of Obesity, Weight Loss & Regain, & Weight Management.

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