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A robust, weight management service should:
- be based on best evidence, where ever possible
- deliver a desired outcome for the user that will improve health
- be cost effective to the PCT or user
- be supported by primary care staff, particularly GPs.
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We suggest that a weight management service should/ could encompass the following (this list is not definitive, but is offered as a suggestion, based on our experience): |
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This grouping encompasses a number of conditions for which weight loss is the primary treatment, these include: |
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It is preferable to use a qualitative tool to assess if the patient is ready to lose weight. The following tool is based on the work of Prochaska and Diclemente and has been used by the CounterWeight Programme.
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Primary prevention of chronic disease is a priority, rather than waiting for a coronary event to occur or type II diabetes to develop. Identification of candidates for chronic disease by increased waist circumference, coupled with raised markers: BP; glucose; and cholesterol, and proactively treating obesity is essential. |
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Being overweight is usually a result of an imbalance in the energy taken in (food & drink) and energy used (activity). Typically this imbalance is only small (50-100 extra calories daily), but over time this adds up and leads to obesity.
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Click Read More to see the Key messages |
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There is a lot of, often contradictory, information out there about diets and healthy eating. For example, considering the Glycemic Index (GI) of a food can be useful in helping maintain consistent energy levels throughout the day (unfortunately this concept can be complicated). |
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Physical activity plays an important part in the prevention and management of obesity, but only if it is sustainable. Adherence to physical activity over the life course is the goal that patients and professionals should aim for. Following a short term programme will have limited effectiveness in long term weight management. Clients who increase their physical activity maintain their weight loss for longer.
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Reflection on how schemes incorporate characteristics of known effective interventions may help increase longer term adherence. Review level evidence of healthcare and community settings suggests that: |
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Top tips for brief physical activity interventions
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After looking at baseline data, consider |
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Continue with review/monitoring cycle. If successful, review every 6 months. If unsuccessful, consider
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A few key tips on what differentiates a successful weight management clinic:
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Click here to open and view the NOF weight management protocol.
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