3. BMI greater than or equal to 25? 8. Assess readiness to lose weight 7. Out of guideline 6. Underweight BMI less than 18.5 4. Normal weight BMI 18.5-24.9 5. Advise weight maintenance and manage other risk factors. A. 2. Assess for major and minor comorbid conditions. A. 1. Measure height, weight, and calculate BMI (preferably annually for screening and as needed for management) A. Prevention and Management of Obesity (Mature Adolescents and Adults) Prevention and Diagnosis Algorithm Source: Institute for Clinical Systems Improvement (ICSI). Prevention and management of obesity (mature adolescents and adults). Bloomington (MN): Institute for Clinical Systems Improvement (ICSI); 2006 Nov. 105 p.
Negotiate goals and management strategy to achieve weight loss. Refer to risk-appropriate resources as needed.
BMI 25-29.9 30-34.9 35-39.9 Greater than 40
Risk Low Moderate High Severe
Nutrition x x x x
Physical Activity x x x x
Behavioral Management x x x x
Medications *x x x x
Surgery *x x
*May be considered if concomitant obesity-related risk factors or diseases are present. A.
All copyrights are reserved by the Institute for Clinical Systems Improvement, Inc. A=Annotation 9a. See Management Recommendations based on BMI/risk of disease (on following page) 12. Reassess goals and risk factors and counsel regarding weight maintenance. A. 11. Goals achieved? 10. Reassess at 12 weeks

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