Weighing the Options Criteria for Evaluating Weight-Management Programs (1995) / Chapter Skim
Currently Skimming:
8 Weighing the Options: Application of Committee's Criteria
8 Weighing the Options: Application of Committee's Criteria
Pages 135-151
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 135... ...
A central feature of the model is that it broadens the definition of a successful outcome. The model emphasizes that weight management is a dynamic process in which both individuals and programs set and evaluate goals periodically and employ a variety of strategies for attaining these goals.
|
From page 136... ...
136 o o _ o ._ _ ~C~ O ~ ~° s o ~·_ ._ ~ eo .d s _ (,, ~ a' -O s 111 ° a)
|
From page 137... ...
Readers should not interpret these remarks as an endorsement of a stepped-care approach to weight management. We do not, for example, recommend that individuals try a clinical program only after they fail at do-it-yourself or nonclinical programs.
|
From page 138... ...
This information is needed so that consumers can make informed choices and there can be reasonable oversight of programs by regulatory agencies such as the Federal Trade Commission, the Food and Drug Administration, and state medical practice review boards, as well as by interested biomedical scientists. Weightmanagement programs that do not make claims of success such as classes provided by a community YMCA or YWCA, counseling by dietitians at a local hospital, or meetings of a local chapter of Overeaters Anonymous should not be required to assume the data-collection burdens and expense of meeting our recommendations, but should endeavor to do so if resources permit.
|
From page 139... ...
Readers should not interpret these remarks as an endorsement of a stepped-care approach to weight management. We do not, for example, recommend that individuals try a clinical program only after they fail at do-it-yourself or nonclinical programs.
|
From page 140... ...
that lactating women, children, and adolescents, as well as those with bulimia; significant cardiovascular, renal, or psychiatric disease; diabetes; or other significant medical problems undertake weight loss only under medical supervision. Nonclinical programs should encourage clients with obesity-related comorbidities or other health problems to maintain contact with their health-care provider for the duration of the program.
|
From page 141... ...
and have failed at attempts to lose weight should discuss with their health-care provider the risks they face and the options available to them, such as gastric surgery and medications. These two options should be used as appropriate with a program of diet, physical activity, and behavior modification.
|
From page 142... ...
A few nonclinical but many clinical programs put their clients on diets that are based on the use of special nutritional products and dietary supplements; this is generally appropriate during the treatment phase but is often difficult to sustain for long periods of time. Decreasing total energy intake and the consumption of dietary fat, sugar, and alcohol, while providing adequate nutrients, dietary fiber, and protein to maintain nitrogen balance and limit the loss of lean body mass, is a time-tested way to lose weight safely.
|
From page 143... ...
and have failed at attempts to lose weight should discuss with their health-care provider the risks they face and the options available to them, such as gastric surgery and medications. These two options should be used as appropriate with a program of diet, physical activity, and behavior modification.
|
From page 144... ...
A few nonclinical but many clinical programs put their clients on diets that are based on the use of special nutritional products and dietary supplements; this is generally appropriate during the treatment phase but is often difficult to sustain for long periods of time. Decreasing total energy intake and the consumption of dietary fat, sugar, and alcohol, while providing adequate nutrients, dietary fiber, and protein to maintain nitrogen balance and limit the loss of lean body mass, is a time-tested way to lose weight safely.
|
From page 145... ...
, each of these areas. For practical purposes, we have developed qualitative and quantitative measures for each of these components of successful weight management (see box titled "Measures of Successful Weight Management"~.
|
From page 146... ...
Clients in nonclinical and clinical programs should have their diets and physical activity patterns evaluated at least at the beg~ung and end of the treatment phase of the program and every 6 months during any maintenance phase (see Appendix A for various assessment tools)
|
From page 147... ...
, each of these areas. For practical purposes, we have developed qualitative and quantitative measures for each of these components of successful weight management (see box titled "Measures of Successful Weight Management"~.
|
From page 148... ...
To assist individuals in making informed choices from the many nonclinical and clinical programs, information made available should include the nature of a given program, its structure and management, and a description of its staff, including training; all costs, including effort and time; the type of client typically served by the program; and the short- and long-term treatment outcomes. Key elements of these recommendations are provided in Table 8-1.
|
From page 149... ...
To improve their chances for success, consumers should choose programs that focus on long-term weight management; provide instruction in healthful eating, increasing activity, and improving self-esteem; and explain thoroughly the potential health risks from weight loss. Individuals interested in a specific do-it-yourself program should search in the program literature for evidence that the program is successful; if information on success is absent or consists primarily of testimonials or other anecdotal evidence (including, in the case of programs by healthcare providers, only their own clients or patients)
|
From page 150... ...
To assist individuals in making informed choices from the many nonclinical and clinical programs, information made available should include the nature of a given program, its structure and management, and a description of its staff, including training; all costs, including effort and time; the type of client typically served by the program; and the short- and long-term treatment outcomes. Key elements of these recommendations are provided in Table 8-1.
|
From page 151... ...
For example, "If you avail yourself of all our facilities with one weekly visit for a period of 1 year, the total cost to you will be between $2,000 and $2,500." Costs should include the initial cost; ongoing costs and additional cost of extra products, services, supplements, and laboratory tests; and costs paid by the average client. Programs may also wish to provide information on the experiences clients have had in recovering their costs from third-party payers.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.