AWM: Scope of Guideline (2006)Guideline Scope Characteristics
Below you will find a list of characteristics that describe the Scope of this Guideline.
Guideline Scope Characteristics
Below, you will find a list of characteristics that describe the scope of this guideline.
The purpose of this guideline is to provide an evidence-based summary of effective practice in the nutrition management of adult weight management.
Recommendations have been formulated for adult weight management within the context of the nutrition care process. The major focus of this guideline is on nutritional assessment and treatment, dietary interventions, physical activity interventions, behavioral interventions, pharmacotherapy and surgery for adult weight management.
This guideline is intended for use by dietetics practitioners involved in adult weight management. It may also be a valuable resource for registered dietitians involved in the care of people with other chronic conditions or disease states, such as coronary heart disease, metabolic syndrome, type 2 diabetes, hypertension, sleep apnea, gynecological abnormalities, osteoarthritis, gallstones and stress incontinence. It is hoped that the information in this guideline will be used to provide individualized nutrition care with practical nutrition recommendations that are based on the current state of the science for adult weight management.
This guideline is not intended as a replacement for interventions typically within the scope of practice of an athletic trainer or behavioral or psychological professional, for which, adequate training in physical activity interventions and behavioral therapy is necessary.
Note: Interventions for adult weight management may be related to treatment of childhood overweight (especially when treating overweight or obesity in parents), however, the research and treatment approaches are sufficiently different for these two populations that separate interventions are appropriate. See ADA Pediatric Weight Management Evidence-Based Nutrition Practice Guideline.
Counseling, Management, Prevention, Treatment
Cardiology, Endocrinology, Family Practice, Geriatrics, Internal Medicine, Nutrition, Pharmacology, Physical Medicine and Rehabilitation, Preventive Medicine
To provide Medical Nutrition Therapy guideline recommendations for adult weight management that reduce body weight, prevent further weight gain and maintain weight loss over a prolonged period.
- To define evidence-based recommendations for registered dietitians (RDs) that are carried out in collaboration with other healthcare providers
- To guide practice decisions that integrate medical, nutritional and behavioral elements
- To reduce variations in practice among RDs
- To promote self-management strategies that empower the patient to take responsibility for day-to-day management and to provide the RD with data to make recommendations to adjust Medical Nutrition Therapy or recommend other therapies to achieve clinical outcomes
- To enhance the quality of life for the patient, utilizing customized strategies based on the individual’s preferences, lifestyle and goals
- To develop content for intervention that can be tested for impact on clinical outcomes
- To define the highest quality of care within cost constraints of the current healthcare environment.
Adult (19 to 44 years), Middle Age (45 to 64 years), Aged (65 to 79 years)
Target Population Description
Adults who are overweight or obese (overweight BMI=25.0-29.9 kg/m2; obese BMI≥30.0 kg/m2).
Interventions and Practices Considered
This guideline is based on
's Nutrition Care Process and Model, which involves the following steps: ADA
- Monitoring and Evaluation.
This guideline addresses topics that correspond to the following areas of the Nutrition Care Process. Please refer to the Algorithms in this guideline for a more detailed view of the recommendations and their application within the Nutrition Care Process.
I. Referral to a Registered Dietitian
II. Medical Nutrition Therapy
A. Nutritional Assessment and Treatment
Below you will find the nutrition assessment terms related to adult weight management care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.
1. Medical history and relevant laboratory values for existing comorbidities
2. Nutrition-focused assessment including:
- Height, weight, BMI and waist circumference
- Comprehensive diet history, including current dietary intake and receptivity to change
- Physical activity pattern
- Psychosocial and economic issues impacting nutrition therapy
- Consideration of comorbid conditions and need for additional modifications in nutrition care plan.
B. Nutrition Diagnosis
Below you will find the nutrition diagnoses related to adult weight management care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.
C. Comprehensive Intervention (Planning and Implementation)
Below you will find the nutrition interventions related to adult weight management care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.
Individualized prescription based on:
- Dietary interventions
- Physical activity interventions
- Behavioral interventions
- Pharmacotherapy or surgery, when indicated.
D. Monitoring and Evaluation
Below you will find the nutrition monitoring and evaluation terms related to adult weight management care from International Dietetics & Nutrition Terminology Reference Manual: Standardized Language for the Nutrition Care Process, Second Edition.
Please note that the terms "patient" and "client" are used interchangeably throughout this guideline to describe an individual receiving care.