Recommendations of Professional Groups Overweight and Obesity

In the year 2000, the National Heart, Lung and Blood Institute, in partnership with the North American Association for the Study of Obesity, released "The Practical Guide: Identification, Evaluation and Treatment of Overweight and Obesity in Adults."100 These guidelines defined a healthy body weight, based on the body mass index (BMI) [weight in kilograms/ (height in meters)2] between 18.5 and 25.0.100 According to these guidelines, individuals are considered to be overweight if the BMI is between 25 and 30 and obese if the BMI is greater than 30.100 The guidelines contain specific recommendations, including thresholds for considering various weight loss methods, such as caloric restriction, physical activity, medications, and surgery. These BMI recommendations are consistent with those of the American Heart Association,101 which also recommend that children and adolescents maintain a BMI less than the 85th percentile, according to age-appropriate growth charts. The American Cancer Society guidelines are less specific, suggesting to "maintain a healthful weight throughout life," "balance caloric intake with physical activity," and "lose weight if currently overweight or obese."96

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