Screening of obesity

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USPSTF Recommendations and Guidelines on Management of Obesity

2017 Guidelines for Screening of Obesity in Children and Adolescents

2012 Guidelines for Screening of Obesity in Adults

AHA/ACC/TOS Guidelines on Management of Overweight and Obesity

2013 AHA/ACC/TOS Guidelines on Management of Overweight and Obesity

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]

2017 USPSTF Guideline on the Screening of Obesity in Children and Adolescents 6 Years and older[1]

Recommendations for Screening of Obesity

USPSTF Obesity Guidelines for Children and Adolescents 6 years and older
"1. The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.(Recommendation Grade: B)"

2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society (DO NOT EDIT)[2]

Identifying Patients Who Need to Lose Weight (BMI and Waist Circumference (DO NOT EDIT)

Class I
"1. Measure height and weight and calculate BMI at annual visits or more frequently. (Level of Evidence: E)"
"2. Use the current cutpoints for overweight (BMI >25.0-29.9 kg/m2) to identify adults who may be at elevated risk of CVD and the current cut points for obesity (BMI≥30) to identify adults who may be at elevated risk of mortality from all causes. (Level of Evidence: A)"
"3. Advise overweight and obese adults that the greater the BMI, the greater the risk of CVD, type 2 diabetes, and all-cause mortality. (Level of Evidence: A)"
Class IIa
"1. Measure waist circumference at annual visits or more frequently in overweight and obese adults. Advise adults that the greater the waist circumference, the greater the risk of CVD, type 2 diabetes, and all-cause mortality. The cutpoints currently in common use (from either NIH/NHLBI or WHO/IDF) may continue to be used to identify patients who may be at increased risk until further evidence becomes available. (Level of Evidence: B)"

2012 USPSTF Guideline on the Screening of Obesity in Adults[3]

Recommendations for Screening of Obesity in Adults

USPSTF Obesity Guidelines for Adults
"1. The USPSTF recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index (BMI) of 30 kg/m2 or higher to intensive, multicomponent behavioral interventions.(Recommendation Grade: B)"

References

  1. US Preventive Services Task Force. Grossman DC, Bibbins-Domingo K, Curry SJ, Barry MJ, Davidson KW; et al. (2017). "Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement". JAMA. 317 (23): 2417–2426. doi:10.1001/jama.2017.6803. PMID 28632874.
  2. Jensen MD, Ryan DH, Apovian CM, Ard JD, Comuzzie AG, Donato KA; et al. (2013). "2013 AHA/ACC/TOS Guideline for the Management of Overweight and Obesity in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and The Obesity Society". Circulation. doi:10.1161/01.cir.0000437739.71477.ee. PMID 24222017.
  3. Moyer VA, U.S. Preventive Services Task Force (2012). "Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement". Ann Intern Med. 157 (5): 373–8. doi:10.7326/0003-4819-157-5-201209040-00475. PMID 22733087.

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