ما هو علاج الخط الأول للسمنة غير المحددة؟

References

• Nutrition, physical activity, and behavioral therapy are recommended for people with type 2 diabetes and overweight or obesity to achieve both weight and health outcome goals.
• Interventions including high frequency of counseling (≥16 sessions in 6 months) with focus on nutrition changes, physical activity, and behavioral strategies to achieve a 500–750 kcal/day energy deficit (irrespective of macronutrient composition) should be recommended for weight loss when available.
• Use nutritional plans that create an energy deficit, while still following general nutritional guidance, to achieve weight loss.
• Encourage regular physical activity (200–300 min/week).
• Like all adults, people with overweight and obesity should be encouraged to do activities they enjoy, with an eventual goal of getting 150 min of physical activity per week.
• Weight loss of 5–7% of baseline weight improves glycemia and other intermediate cardiovascular risk factors.
• Sustained loss of >10% of body weight usually confers greater benefits, including disease-modifying effects and possible remission of type 2 diabetes, and may improve long-term cardiovascular outcomes and mortality.

DOI: 10.2337/dc26-S008