Weight Reduction Treatment Interventions & Health
Should patients be treated for overweight
and obesity?
Cohort studies suggest that intentional
weight reduction leads to improvements in mortality, but controlled trials
of interventions for weight loss with adequate duration and power to detect
differences in mortality are lacking. This, combined with substantial
evidence documenting the difficulty of sustaining weight loss over time,
has led some to question the utility of weight loss interventions. Nevertheless,
evidence from randomized controlled trials such as the recently completed
Diabetes Prevention Program indicate that intentional weight loss and
lifestyle interventions can help to prevent and control chronic illnesses
such as type 2 diabetes mellitus and cardiovascular disease. This evidence
underpins recent guidelines, consensus statements, and policies adopted
by several professional organizations and government agencies recommending
weight reduction for obese patients and overweight patients who have obesity
related co morbidities.
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