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. (February 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)