Coronary heart disease secondary prevention weight management: Difference between revisions
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Esther Lee (talk | contribs) (Created page with "__NOTOC__ {{Coronary heart disease}} {{CMG}} == Overview == == Weight Management == * If waist circumference is >35 inches in women and >40 inches in men, initiate lifestyle...") |
Esther Lee (talk | contribs) (/* AHA / ACC 2011 Guidelines - Coronary Heart Disease - Secondary Prevention through Weight Management (DO NOT EDIT) {{cite journal| author=Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA et al.| title=AHA/ACCF Secondary Prevent...) |
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::*Waist circumference: men <40 inches, women <35 inches | ::*Waist circumference: men <40 inches, women <35 inches | ||
=== AHA / ACC 2011 Guidelines - Coronary Heart Disease - Secondary Prevention | === AHA / ACC 2011 Guidelines - Coronary Heart Disease - Secondary Prevention with Weight Management (DO NOT EDIT) <ref name="pmid22052934">{{cite journal| author=Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA et al.| title=AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and other Atherosclerotic Vascular Disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation. | journal=Circulation | year= 2011 | volume= 124 | issue= 22 | pages= 2458-73 | pmid=22052934 | doi=10.1161/CIR.0b013e318235eb4d | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22052934 }} </ref>=== | ||
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| colspan="1" style="text-align:center; background:LightGreen"| | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | |||
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| bgcolor="LightGreen"| <nowiki>"</nowiki>'''1.''' Body mass index and/or waist circumference should be assessed at every visit, and the clinician should consistently encourage weight maintenance/reduction through an appropriate balance of lifestyle physical activity, structured exercise, caloric intake, and formal behavioral programs when indicated to maintain/achieve a body mass index between 18.5 and 24.9 kg/m2. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])<nowiki>"</nowiki> | | bgcolor="LightGreen"| <nowiki>"</nowiki>'''1.''' Body mass index and/or waist circumference should be assessed at every visit, and the clinician should consistently encourage weight maintenance/reduction through an appropriate balance of lifestyle physical activity, structured exercise, caloric intake, and formal behavioral programs when indicated to maintain/achieve a body mass index between 18.5 and 24.9 kg/m2. ([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: B]])<nowiki>"</nowiki> |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Weight Management
- If waist circumference is >35 inches in women and >40 inches in men, initiate lifestyle changes and consider treatment strategies for metabolic syndrome as indicated.
- The initial goal of weight loss therapy should be to reduce body weight by approximately 5-10 percent from baseline or to achieve
- Body mass index: 18.5 to 24.9 kg/m2
- Waist circumference: men <40 inches, women <35 inches
AHA / ACC 2011 Guidelines - Coronary Heart Disease - Secondary Prevention with Weight Management (DO NOT EDIT) [1]
Class I |
"1. Body mass index and/or waist circumference should be assessed at every visit, and the clinician should consistently encourage weight maintenance/reduction through an appropriate balance of lifestyle physical activity, structured exercise, caloric intake, and formal behavioral programs when indicated to maintain/achieve a body mass index between 18.5 and 24.9 kg/m2. (Level of Evidence: B)" |
"2. If waist circumference (measured horizontally at the iliac crest) is ≥35 inches (≥89 cm) in women and ≥40 inches (≥102 cm) in men, therapeutic lifestyle interventions should be intensified and focused on weight management (Level of Evidence: B)" |
"3.The initial goal of weight loss therapy should be to reduce body weight by approximately 5% to 10% from baseline. With success, further weight loss can be attempted if indicated. (Level of Evidence: C)" |
References
- ↑ Smith SC, Benjamin EJ, Bonow RO, Braun LT, Creager MA, Franklin BA; et al. (2011). "AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and other Atherosclerotic Vascular Disease: 2011 update: a guideline from the American Heart Association and American College of Cardiology Foundation". Circulation. 124 (22): 2458–73. doi:10.1161/CIR.0b013e318235eb4d. PMID 22052934.