Weight Management Weight Management Strategies: Medical and Strategies: Medical and Nutritional TherapyNutritional Therapy

What is Successful What is Successful Weight Loss?Weight Loss? Common definition: Lose at least Common definition: Lose at least

10% of starting weight and keep 10% of starting weight and keep it off at least one year. it off at least one year.

What is the Goal of What is the Goal of Obesity Treatment?Obesity Treatment?

Specifically, the goal of obesity Specifically, the goal of obesity treatment should be refocused treatment should be refocused from weight loss alone, which is from weight loss alone, which is often aimed at appearance, to often aimed at appearance, to weight management, achieving weight management, achieving the best weight possible in the the best weight possible in the context of overall health.context of overall health. – –FTC FTC PanelPanel, , Commercial Weight Loss Commercial Weight Loss Products and ProgramsProducts and ProgramsWhat Consumers Stand To Gain and What Consumers Stand To Gain and Lose, Lose, 19971997

Who Should Consider A Who Should Consider A Weight Management Weight Management Intervention?Intervention?

Persons with a BMI of >30Persons with a BMI of >30 Persons with a BMI between 25-Persons with a BMI between 25-

29.9 OR a high-risk waist 29.9 OR a high-risk waist circumference, and two or more circumference, and two or more risk factorsrisk factors

Persons who are ready to changePersons who are ready to change

Obesity-Associated Risk Obesity-Associated Risk Factors: High Absolute Factors: High Absolute RiskRisk

Established coronary heart Established coronary heart diseasedisease

Other atherosclerotic diseasesOther atherosclerotic diseases Type 2 diabetesType 2 diabetes Sleep apneaSleep apnea

Obesity-Associated Risk Obesity-Associated Risk Factors: 3 or More = Factors: 3 or More = ↑↑ RiskRisk HypertensionHypertension Cigarette smokingCigarette smoking High low-density lipoprotein cholesterolHigh low-density lipoprotein cholesterol Low high-density lipoprotein cholesterolLow high-density lipoprotein cholesterol Impaired fasting glucoseImpaired fasting glucose Family history of early cardiovascular Family history of early cardiovascular

diseasedisease Age (male Age (male ≥ 45 years, female ≥ 55 ≥ 45 years, female ≥ 55

years)years)

Other Obesity-Other Obesity-Associated Risk Associated Risk FactorsFactors

OsteoarthritisOsteoarthritis GallstonesGallstones Stress incontinenceStress incontinence Gynecological abnormalitiesGynecological abnormalities

Rates of Weight Loss Rates of Weight Loss VaryVary Men will lose weight faster than Men will lose weight faster than

women of similar size, due to women of similar size, due to higher LBM and RMRhigher LBM and RMR

A heavier person (who has higher A heavier person (who has higher energy needs) will lose weight energy needs) will lose weight faster than a smaller person on faster than a smaller person on the same caloric regimenthe same caloric regimen

Setting Weight Setting Weight Management GoalsManagement Goals Many severely overweight persons Many severely overweight persons

have unrealistic expectations in have unrealistic expectations in setting weight loss goals (Blackburn, setting weight loss goals (Blackburn, 1998)1998)

Even modest weight loss may Even modest weight loss may produce significant improvements in produce significant improvements in healthhealth

For some persons (especially those For some persons (especially those with BMI of 25-29.9) weight with BMI of 25-29.9) weight maintenance may be a goalmaintenance may be a goal

Best Nutrients which Best Nutrients which helps to loss weighthelps to loss weight

Pure Asian Garcinia Pure Asian Garcinia

and Pure Colon Detoxand Pure Colon Detox

Pure Asian GarciniaPure Asian Garcinia

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Pure Colon DetoxPure Colon Detox

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