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| Obesity Management Guidelines, National Institutes of Health / NHLBI TreeCalc® |
The MedCalc 3000 module Obesity Management Guidelines, National Institutes of Health / NHLBI TreeCalc® is available in MedCalc 3000 Complete Edition.
This Decision TreeCalc evaluates the following decision points:
- BMI >= 25 OR waist circumference > 35 in. (F), > 40 in. (M)
- Assess risk factors: Cigarette smoking, Hypertension, LDL >= 160 or 130-159 plus 2 risk factors, HDL < 35, IFG 110-125, Family history of premature CAD, Age >= 45 (M), >= 55 (F). BMI >= 30 OR BMI > 25-29.9 with >= 2 risk factors OR waist circumference > 35 in. (F) OR > 40 in. (M) and >= 2 risk factors
- Clinician and patient devise treatment strategy. Recommend to lose 10 % of baseline weight at a rate of 1 - 2 lb/wk in 6 months.
- Diet: 500 - 1000 kcal/day reduction from usual intake. Physical Activity: 30- 45 min of moderate levels of physical activity ( 150 cal expenditure per day ) , 3-5 days per week. Behavior therapy: consider attitudes, beliefs, and histories. Build and cultivate a partnership with the patient. Set achievable goals. Help the patient to modify behaviors. Progress being made?
- Diet: 500 - 1000 kcal/day reduction from usual intake. Physical Activity: 30- 45 min of moderate levels of physical activity ( 150 cal expenditure per day ) , 3-5 days per week. Behavior therapy: consider attitudes, beliefs, and histories. Build and cultivate a partnership with the patient. Set achievable goals. Help the patient to modify behaviors. Pharmacotherapy: consider as an adjunct to lifestyle changes. Progress being made?
- Diet: 500 - 1000 kcal/day reduction from usual intake. Physical Activity: 30- 45 min of moderate levels of physical activity ( 150 cal expenditure per day ) , 3-5 days per week. Behavior therapy: consider attitudes, beliefs, and histories. Build and cultivate a partnership with the patient. Set achievable goals. Help the patient to modify behaviors. Pharmacotherapy: consider as an adjunct to lifestyle changes. Weight loss surgery: consider if other attempts at weight loss have failed. Progress being made?
- Does the patient want to lose weight?
- Hx BMI >= 25
Decision Tree end points include:
- Maintenance counseling. Periodic weight, BMI, and waist circumference check.
- Assess reasons for failure
- Advise to maintain weight loss/ address other risk factors. Periodic weight, BMI and waist circumference check.
- Brief reinforcement/ educate on weight management.
| All information contained in and produced by the MedCalc 3000 system is provided for educational purposes only. This information should not be used for the diagnosis or treatment of any health problem or disease. THIS INFORMATION IS NOT INTENDED TO REPLACE CLINICAL JUDGMENT OR GUIDE INDIVIDUAL PATIENT CARE IN ANY MANNER. Click here for full notice and disclaimer. |