Dietary Therapy for Obesity in Adults
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The ideal management of overweight and obesity adults requires a combination of diet, exercise, and behavioral modification.
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Solution Summary
The goals, rate, and maintenance of weight loss has many variables that can be both quantitative and qualitative. Understanding both the intrinsic and extrinsic factors are important in health weight management.
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The goal of weight loss must be achievable, manageable and realistic. An initial weight loss goal of 5 to 7 percent of body weight is realistic for most individuals. A successful weight management system will lead to a weight loss of more than 5 percent of initial weight [1].Furthermore, weight loss of more than 5 percent can reduce risk factors for cardiovascular disease, such as dyslipidemia, hypertension, and diabetes mellitus [2]. Loss of 5 percent of initial body weight and maintenance of this loss is a good medical result, even if the subject does not reach his or her "dream" weight. Ensuring the communication of this fact is extremely important for expectation management as many people have unrealistic initial weight loss goals.
The rate of weight loss is a direct correlation between the person's energy intake and energy requirements. Reducing caloric intake below expenditure results in a predictable initial rate of weight loss that is related to the energy deficit [3,4]. However, prediction of weight loss for an individual person can be difficult because of marked variability in initial body composition, adherence, and energy expenditure [4,5]. Complicating the assessment of potential weight loss is that food records are often inaccurate, and often do not include liquid calories. Most normal-weight people ...
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