Table 1 The NICE recommendations for the treatment of overweight and obesity
| Â | Recommendation | Â |
|---|---|---|
1 | Determining degree of overweight and overweight | • Use clinical judgement to decide when to measure weight and height |
• Use body mass index to classify the degree of overweight or obesity | ||
• Use waist circumference in people with a body mass index less than 35 kg/m2 to assess health risks | ||
• To tell the patient their classification, and how this affects their risk of long-term health problems | ||
2 | Assessment of lifestyle and willingness to change | • Presenting symptoms and underlying causes of overweight or obesity |
• Risk factors and comorbidities | ||
• Eating behaviour, diet and physical activity | ||
• Willingness and motivation to change | ||
3 | Management of overweight and obesity | • Increased physical activity |
• Improved eating behaviour | ||
• Healthy eating | ||
• If appropriate, drug treatment | ||
4 | Referral | • For assessment of the underlying cause of overweight or obesity |
• If conventional treatment has failed | ||
• If specialist interventions may be needed |