The management of all patients considered overweight or who have obesity requires a combination of diet, exercise, and behavioral modification. In addition, some patients may eventually require pharmacologic therapy and/or bariatric surgery. The health risk posed by excess adiposity should be evaluated before beginning any treatment program for each individual patient. Selection of treatment can then be made using a risk-benefit assessment. The choice of therapy is dependent on several factors, including the degree of overweight or obesity, comorbidities, and patient preference.
GOALS OF WEIGHT LOSS
It is important to set goals when discussing a dietary weight loss program with an individual patient. The doctor should review with the patient the importance of weight loss on physical, mental, and functional health; assist the patient with developing a plan of action; and provide support with each stage of the process.
● Weight loss of 5 to 7 percent of body weight carries numerous health benefits and should be sought as an initial weight loss goal.
●Weight loss of more than 5 percent can reduce risk factors for cardiovascular disease, such as dyslipidemia, hypertension, and diabetes mellitus.