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Weight management IX

July 5th, 2005

Conclusion

Achieving and maintaining healthy lifestyle behaviors including activity and food intake can help weight management by helping to prevent weight gain. Prevention of weight gain and achieving modest amounts of weight loss can improve overall health.

In today’s society, the environment is conducive to less activity than previous decades, more food availability in larger quantities, and higher caloric density. Therefore, concentrating on factors to limit the environmental influences is critical. It is important to acknowledge those factors we can change and those we cannot. It is also important that dietitians and other health care providers be in the forefront of lobbying for public health policy, third party reimbursement for treatment and management, and adequate community resources to address weight status and weight-related illness. We need to document our outcomes, develop flexible and individualized goals for patients, and continue to support research efforts to improve the efficacy of treatment. Such documentation requires thorough assessments and follow-up: medically, nutritionally, be-haviorally, and psychologically. Based on current available treatment approaches, goals need to stay focused on a “healthy lifestyle” targeting the environmental factors that allow for gene expression, particularly physical activity and food choices directed toward less calorically dense foods.

We must educate ourselves and the medical community as to the physical and psychological impact of our recommendations. We must include our patients in the decision making process and inform them of the known positive outcomes they can achieve.

ADA Position adopted by the House of Delegates October 20, 1996, and reaffirmed on September 12,1999. This position is in effect until December 31, 2005. The American Dietetic Association authorizes republication of the position paper, in its entirety, provided full and proper credit is given. Requests to use portions of the position must be directed to ADA Headquarters at 800/877-1600, ext 4835 or ppapers@eatright.org.

Recognition is given to the following for their contributions:

Authors:

Sue Cummings, MS, RD (Massachusetts General Hospital Weight Center, Boston, MA); EUen S. Parham, PhD, RD (Northern Illinois University, DeKalb, IL); Gladys W. Strain, PhD, RD (Mt. Sinai School of Medicine, New York, NY)

Reviewers:

Gaston P. Bathalon, PhD, RD, FADA (US Army, Natick, MA); Ann M. Coulston, MS, RD, FADA (nutrition consultant, Woodside, CA); Sharron Dalton, PhD, RD (New York University, New York, NY); Dayle Hayes, MS, RD (nutrition consultant, Billings, MT); Joanne P. Ikeda, MA, RD (University of California, Berkeley, CA); Melinda Manore, PhD, RD (Oregon State University, Corvallis, OR)

Members of the Association Positions Committee Workgroup: Barbara Baron, MS, RD (Chair); Mary Marian, MS, RD; Lillie Williams, PhD, RD, FADA; James 0. Hill, PhD (content advisor)

References

1. US Department of Health, Human Services, Center for Disease Control and Prevention; National Center for Health Statistics, Maryland. Prevalence of Overweight and Obesity Among Adults: United States, 1999.

2. Wolf AM, Colditz GA. Current estimates of the economic cost of obesity in the United States. Obes Res 1998;6:97-106.
3. Allison DB, Fontaine KR, Manson JE, Stevens J, Vanltallie TB. Annual deaths attributable to obesity in the United States. JAMA 1999;282:1530-1538.

4. Dheeksha M. National Institute of Health, National Heart, Lung, and Blood Institute Clinical guidelines on the identification evaluation, and treatment of overweight and obesity in adults—the evidence report. Obes Res 1998;6:121S-122.

5. Anderson JW, Kontz EC, Frederich RC, Wood CL. Long-term weight-loss maintenance: a meta-analysis of US Studies. Am J Clin Nutr 2001;74:579-584.
6. Schick SM, Wing RR, Klem ML, McGuire Tetal. Persons successful at long-term weight loss and maintenance continue to consume a low energy, low fat diet. JADA 1998;98:408-413.

7. Wing RR, Hill JO. Successful weight loss maintenance. Ann Rev Nutr 2001;21:323-341.

8. Kassirer JP, Angell M. Losing weight—An ill-fated New Year’s Resolution. N Engl J Med 1998;338:52-54.

9. National Institutes of Health and National Heart, Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults—The Evidence Report. Obes Res. 1998:xi.

10. Leibel R, Rosenbaum M, Hirsch J. Changes in Energy Expenditure Resulting from Altered Body Weight. N Engl J Med 1995;332:621-628.

11. Schwartz MW, Woods SC, Porte D, Seeley RJ, Baskin DG. Central nervous system control of food intake. Nature 2000;404:661-671.
12. Bray GA, York DA. Clinical review 90: Leptin and clinical medicine: a new piece in the puzzle of obesity. J Clin Endocrinol Metab 1997;82:2771-2776.
13. Erlanson-Albertsson C, York D. Enterostatin—a peptide regulating fat intake. Obes Res 1997;5:360-372.
14. Barsh G, Farooqi I, O’Rahilly S. Genetics of body weight regulation. Nature 2000;404:644-651.
15. Perusse L, Chagnon YC, Weisnagel SJ, Rankinen T, Snyder E, Sands J, Bouchard C. The human obesity gene map: The 2000 Update. Obes Res 2001;9. 8135–169.

16. Maes HH, Neale MC, Eaves IJ. Genetics and environmental factors in relative body weight and human adiposity. Behav Genet 1997;27. 325–35.

17. Stunkard AJ, Sorensen TIA, Hanis C, Teasdale TW, Chakraborty R, Schull WJ, Schulsinger F. An adoption study of human obesity. N Engl J Med 1986;314:193-198.
18. Stunkard AJ, Harris JR, Pedersen NL, McClearn GE. The body mass index of twins who have been reared apart. N Engl J Med 1990;322:1483-1487.
19. Bouchard C, Trembley A, Despres JP, et al. The response of long-term overfeeding in identical twins. N Engl J Med 1990;322:1477-1482.
20. Zhang YY, Proenca R, Marffei M, et al. Positional cloning of the mouse obese gene and its human homologue. Nature 1994;372:425-432.
21. Montague CT, Farooqi IS, Whitehead JP, et al. Congenital leptin deficiency is associated with severe early o

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