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1 Introduction and Background
Pages 27-36

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From page 27...
... Often a person's primary motivation for weight loss is to increase his or her perceived attractiveness and self-esteem. Health-care providers are most likely to recommend weight loss to help obese people decrease their risks of developing, and improve the management of, a variety of medical problems and chronic diseases that includes diabetes, hypertension, other cardiovascular diseases, sleep apnea, and osteoarthritis of weight-bear .
From page 28...
... The fact is that despite the billions of dollars spent, few people reduce their body weight to a desirable or healthy level and even fewer maintain the weight lost beyond 2 or 3 years. Chapter 3 describes the abundance of weight-control services, programs, and products currently available, which range from popular books and over-the-counter diet aids to medically supervised weight-management programs, drugs, and surgery.
From page 29...
... Often a person's primary motivation for weight loss is to increase his or her perceived attractiveness and self-esteem. Health-care providers are most likely to recommend weight loss to help obese people decrease their risks of developing, and improve the management of, a variety of medical problems and chronic diseases that includes diabetes, hypertension, other cardiovascular diseases, sleep apnea, and osteoarthritis of weight-bear .
From page 30...
... and the Michigan Task Force to Establish Weight Loss Guidelines (Drewnowski, 1990~; actions by the Federal Trade Commission to regulate deceptive claims by weight-loss programs (see, for example, Clark, 1993a, b) ; and guidelines from the National Institutes of Health (NIH)
From page 31...
... particularly the view that successful weight loss requires a period of intense management that can be followed by much less attention during the maintenance phase. To the extent that powerful biological and environmental forces are at work to regain lost weight, weight can be kept down only by dealing with obesity as one would manage any chronic disease by continuous treatment, lifelong efforts, and vigilance.
From page 32...
... and the Michigan Task Force to Establish Weight Loss Guidelines (Drewnowski, 1990~; actions by the Federal Trade Commission to regulate deceptive claims by weight-loss programs (see, for example, Clark, 1993a, b) ; and guidelines from the National Institutes of Health (NIH)
From page 33...
... Although it is not required, at least one commercial program has been distributing the Bill of Rights sign to clients outside the New York City area (personal communication with Linda Webb Carilli, M.S., R.D., General Manager, Corporate Affairs, Weight Watchers International, Inc.~.
From page 34...
... Adoption of the guidelines would mandate that potential clients be screened for health risks prior to beginning a calorie-restricted diet and that weight-loss programs and clinics be staffed by qualified professionals capable of delivering appropriate levels of health care. Federal Trade Commission In contrast to guidelines aimed at defining essential components of programs, the Federal Trade Commission's (FTC)
From page 35...
... ; · the training provided for relapse prevention to deal with highrisk emotional and social situations; · the nature and duration of the maintenance phase; and · the flexibility of food choices and suitability of food types, and whether weight goals are set unilaterally or cooperatively with the program director. NIT Guidelines for Choosing a Weight-Loss Program The Obesity Task Force at the National Institutes of Health developed consumer guidelines for choosing a safe and successful weight-loss program (NIDDK, 1993a)
From page 36...
... Adoption of the guidelines would mandate that potential clients be screened for health risks prior to beginning a calorie-restricted diet and that weight-loss programs and clinics be staffed by qualified professionals capable of delivering appropriate levels of health care. Federal Trade Commission In contrast to guidelines aimed at defining essential components of programs, the Federal Trade Commission's (FTC)


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