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Nearly 75% of Americans are overweight or obese, despite a $225 billion dollar weight loss and management industry focused on tools, programs, and products for shedding pounds and keeping them off ...
[84] [85] Preoperative weight loss can reduce operative time and hospital stay. [84] [86] [87] although there is insufficient evidence whether preoperative weight loss may be beneficial to reduce long-term morbidity or complications. [87] [88] Weight loss and decreases in liver size may be independent from the amount of calorie restriction. [85]
Body mass index (BMI) is a measurement of weight in relation to height that can help to determine weight status. In children, the Centers for Disease Control and Prevention (CDC) determines that a child is overweight if they are above the 85th percentile and lower than the 95th percentile and obese if at or above the 95th percentile. [18]
Weight management strategies most often focus on achieving healthy weights through slow but steady weight loss, followed by maintenance of an ideal body weight. [5] However, weight neutral approaches to health have also been shown to result in positive health outcomes.
The Trim and Fit (TAF) programme was a weight loss programme that targeted child obesity in Singapore schools between 1992 and 2007. Introduced by the Ministry of Education, schoolchildren under the programme were educated on nutrition, calorie control, and participated in intense physical exercise and activities.
The two types of procedures have shown a 26% weight loss from baseline at five years with an 86% remission rate in diabetes and 68% hypertension remission rate. [6] Of those adolescents who lost weight after bariatric surgery, 60% maintained at least a 20% weight loss at five-year follow-up and 8% had regained most of the pre-surgical weight. [6]
“It can be stressful when [patients] start asking a lot of specific questions” about diet and weight loss, one doctor told researchers in 2012. “I don’t feel like I have the time to sit there and give them private counseling on basics. I say, ‘Here’s some websites, look at this.’”
The new guidelines still prioritize lifestyle changes, but they also say weight-loss medications should be offered in addition to children over 12, when the balance of risks and benefits makes sense.
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