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| NICE – Interventions to change diet How1 #370049
| - Tailor dietary changes to food preferences and allow for a flexible and individual approach to reducing calorie intake.
- Do not use unduly restrictive and nutritionally unbalanced diets, because they are ineffective in the long term and can be harmful.
- Encourage people to improve their diet even if they do not lose weight, because there can be other health benefits.
- The main requirement of a dietary approach to weight loss is that total energy intake should be less than energy expenditure.
- Diets that have a 600 kcal/day deficit (that is, they contain 600 kcal less than the person needs to stay the same weight) or that reduce calories by lowering the fat content (low-fat diets), in combination with expert support and intensive follow-up, are recommended for sustainable weight loss.
- Consider low-calorie diets (800–1600 kcal/day), but be aware these are less likely to be nutritionally complete.
- Do not routinely use very-low-calorie diets (800 kcal/day or less) to manage obesity (defined as BMI over 30).
- Only consider very-low-calorie diets, as part of a multicomponent weight management strategy, for people who are obese and who have a clinically assessed need to rapidly lose weight (for example, people who need joint replacement surgery or who are seeking fertility services). Ensure that:
- the diet is nutritionally complete
- the diet is followed for a maximum of 12 weeks (continuously or intermittently)
- the person following the diet is given ongoing clinical support.
- Before starting someone on a very-low-calorie diet as part of a multicomponent weight management strategy:
- Consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them.
- Discuss the risks and benefits with them.
- Tell them that this is not a long-term weight management strategy, and that regaining weight may happen and is not because of their own or their clinician's failure.
- Discuss the reintroduction of food following a liquid diet with them.
- Provide a long-term multicomponent strategy to help the person maintain their weight after the use of a very-low-calorie diet (see implementing lifestyle interventions in this pathway).
- Encourage people to eat a balanced diet in the long term, consistent with other healthy eating advice.
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+Citations (1) - CitationsAdd new citationList by: CiterankMapLink[1] Obesity: identification, assessment and management of overweight and obesity in children, young people and adults
Author: NICE - CG189
Cited by: David Price 4:01 PM 19 December 2014 GMT
Citerank: (14) 369907NICE Guidance on Diet, Nutrition and ObesityNote: extended excerpts from National Institute for Health and Care Excellence are included and cross-linked here to help explore and understand their intersection with the policy space and their implications. Those seeking specific guidance should refer to the full Guidelines and Pathways directly.565CA4D9, 369908NICE – DietHaving a healthy balanced diet helps prevent obesity, cardiovascular and many other conditions. This pathway covers recommendations for everyone about diet and lifestyle, and recommendations for health professionals on interventions to encourage people to follow a healthy diet.565CA4D9, 369912NICE – ObesityGuidelines on preventing and managing obesity.565CA4D9, 369929NICE – Healthcare professional interventionsInterventions by healthcare professional to address obesity.565CA4D9, 370012Assessing health risk and interventionThe latest guidance from the National Institute for Health and Care Excellence on the assessment of the health risk arising from obesity and associated interventions. 125F66EBE, 370041NICE – Increasing physical activity565CA4D9, 370042NICE – Changing diet565CA4D9, 370046NICE – Interventions with drug treatment Consider pharmacological treatment only after dietary, exercise and behavioural approaches have been started and evaluated.565CA4D9, 370047NICE – Interventions to change behaviour565CA4D9, 370048NICE – Interventions to increase physical activityEncourage adults to increase their physical activity even if they do not lose weight as a result, because of the other health benefits physical activity can bring (for example, reduced risk of type 2 diabetes and cardiovascular disease). Encourage adults to do at least 30 minutes of moderate or greater intensity physical activity on 5 or more days a week. The activity can be in 1 session or several sessions lasting 10 minutes or more.565CA4D9, 370050NICE – Surgical interventions for obese adults565CA4D9, 370057Reduce calorie intake for adults who are obese565CA4D9, 371177NICE – Preventing cardiovascular disease565CA4D9, 399912Assessing health risk and interventionThe latest guidance from the National Institute for Health and Care Excellence on the assessment of the health risk arising from obesity and associated interventions. 82AECCD8 URL: |
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