Prevention and Management of Obesity (Mature Adolescents and Adults) Prevention and Diagnosis Algorithm

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Source: Institute for Clinical Systems Improvement (ICSI). Prevention and management of obesity (mature adolescents and adults). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2009 Jan. 101 p. Prevention and Management of Obesity (Mature Adolescents and Adults) Prevention and Diagnosis Algorithm Measure height and weight, and calculate body mass index. A A = Annotation Advise weight maintenance and manage other risk factors. A BMI greater than or equal to 25? Normal weight BMI 18.5-24.9 Underweight BMI less than 18.5 Out of guideline Assess for major and minor comorbid conditions. A Is patient ready to lose weight? A Assess goals and risk factors and counsel regarding weight maintenance. A Negotiate goals and management strategy to achieve weight loss. Refer to risk-appropriate resources as needed. BMI. Risk. Nutrition. Physical activity. Behavioral management. Medications. Surgery. 25-29.9 Low x x x *x+ 30-34.9 Moderate x x x x ? 35-39.9 High x x x x *x greater than 40 Severe x x x x x See management recommendations based on BMI/risk of disease (on following page) *May be considered if concomitant obesity-related risk factors or diseases are present. + May be initiated starting at BMI of 27 or greater. ? Currently considered investigational, see Conclusion Grading Worksheet C-Surgery. A Reassess at 12 weeks Goals achieved? Reassess goals and risk factors and counsel regarding weight maintenance. A All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc.