Weight management has been thought of as only weight loss by many. Weight management covers all aspects of attaining and maintaining optimum weight for a healthy lifestyle. Health professionals now realize that prevention of weight gain as well as weight loss and improving health status are important goals. These goals must be individualized for success. At the outset of treatment, the patient and health care provider should discuss and agree upon goals. The goals must take into account the food habits, exercise behaviors, psychological outlook and support systems of the individual. Realistic expectations, short- and long-term, may be promoted by a discussion of a healthy weight versus an ideal body weight. Features of weight management interventions may include behavior modification, dietary principles, energy balance components, and a sound food plan. In order to create a behavior modification plan that will be successful for the individual, identifying cues, responses and consequences of eating behaviors is necessary. Control of eating behavior, physical activity, emotional, social, and psychological health must all be analyzed and interventions applied. Behaviors related to problems with intake and expenditure of energy must be specifically defined. Recording and analyzing eating and exercise behaviors to develop strategies aimed at learning new behaviors are essential. Dietetic practice in weight management is complex and challenging. Assessment of weight and health should guide weight management goals and outcomes. The weight and dieting history should include age of onset of weight problems, number and types of diets, exercise history, possible triggers to weight gains and losses, and an appropriate range of weight change. The Body Mass Index (BMI) is considered the standard measurement for weight status. The BMI is estimated by weight (kg) divided by height (m2). A BMI of 25 29 is considered overweight and some weight loss is recommended....
References: 1. Hill JO, Peters JC. Environmental contributions to the obesity epidemic. Science. 1998;280:1371-1374.
2. Willett WC, Dietz WH, Colditz GA. Primary Care: Guidelines for healthy weight. New England Journal of Medicine. 1999;341:427-434.
3. National Task Force on the Prevention and Treatment of Obesity, National Institutes of Health. Very low-calorie diets. Journal of the American Medical Association. 1993;270:967-974.
4. Stein K. High-protein, low carbohydrate diets: Do they work? Journal of the American Dietetic Association. 2000,100:760-761.
5. Jeffery RW, Drewnowski A, Epstein LH, Stunkard AJ, Wilson GT, Wing RR, Hill DR. Long-term maintenance of weight loss: current status. Health Psychology. 2000;1(Suppl):5-16.
6. Byfield C. A lifestyle physical activity intervention for obese sedentary women: Effect on cardiovascular disease risk factors. American College of Sports Med: Indianapolis IN; 2000.
7. Rosen JC. Improving body image in obesity. In: Thompson, JK, ed. Body Image, Eating Disorders and Obesity. Washington, DC: American Psychological Association; 1996: 425-550.
8. Nix S. Basic Nutrition & Diet Therapy, 12th edition. 2005: 268-287.
9. Martini F. Fundamentals of Anatomy & Physiology, 6th edition. 2004: 928-964.
Please join StudyMode to read the full document