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Mary K. Serdula, MD, MPH; Laura Kettel Khan, PhD; William H. Dietz, MD, PhD

JAMA. 2003;289:1747-1750.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Physicians and other health care professionals often perceive obesity treatment as labor intensive and unsuccessful. Currently, only 42% of obese adults report being advised to lose weight by their health care professional.¹ Patients who do attempt to lose weight often arrange to do so through commercial or self-help programs independent of their physician.² If treatment success is defined exclusively as attaining ideal weight after losing a large amount of weight during a short-term intervention, obesity treatment will almost certainly fail. However, small weight losses can reduce obesity-associated risk factors for chronic diseases such as diabetes and hypertension.³ Obesity must be recognized as a chronic condition for which no cure can reasonably be expected.⁴

By adapting the treatment model used for smoking cessation⁵ into National Institutes of Health evidence-based guidelines for obesity management,^{3, 6-7} a practical . . . [Full Text of this Article]

Assess Obesity Risk

Ask About Readiness to Lose Weight

Advise in Designing a Weight-Control Program

Assist in Establishing Appropriate Interventions

Arrange for Follow-up

Conclusion

Author Affiliations: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga.

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