Clinical Preventive Service Recommendation

Obesity

Obesity, Adults (Screening for and Management)

The AAFP recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index (BMI) of 30 kg/m2 or higher to intensive, multicomponent behavioral interventions. (2012)

Intensive, multicomponent behavioral interventions include behavioral management activities (12 to 26 sessions in the first year) such as setting weight loss goals, improving diet/nutrition and increasing physical activity, addressing barriers to change, self-monitoring, and strategizing how to maintain lifestyle changes. See Clinical Considerations section for more information: http://www.uspreventiveservicestaskforce.org/uspstf11/obeseadult/obesesum.htm(www.uspreventiveservicestaskforce.org)

(Grade: B recommendation)
Grade Definition: http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm(www.uspreventiveservicestaskforce.org)
Clinical Consideration: http://www.uspreventiveservicestaskforce.org/uspstf11/obeseadult/obesers.htm#clinical(www.uspreventiveservicestaskforce.org)

Obesity, Children and adolescents

The AAFP recommends that clinicians screen children aged 6 years and older for obesity and offer them or refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status. (2010)

(Grade: B recommendation)
Grade Definition: http://www.uspreventiveservicestaskforce.org/uspstf/grades.htm(www.uspreventiveservicestaskforce.org)
Clinical Consideration: The definitions for specific interventions targeted to diet and physical activity and intensity(>25 hours with child and/or family over 6 months) are noted in the clinical consideration: http://www.uspreventiveservicestaskforce.org/uspstf/uspschobes.htm(www.uspreventiveservicestaskforce.org)


These recommendations are provided only as assistance for physicians making clinical decisions regarding the care of their patients. As such, they cannot substitute for the individual judgment brought to each clinical situation by the patient's family physician. As with all clinical reference resources, they reflect the best understanding of the science of medicine at the time of publication, but they should be used with the clear understanding that continued research may result in new knowledge and recommendations. These recommendations are only one element in the complex process of improving the health of America. To be effective, the recommendations must be implemented.