English
Treatment options for adults with obesity include lifestyle modifications, pharmacotherapy, and bariatric surgery
First line therapy for all patients with BMI of 25 kg/m² or higher is lifestyle modification consisting of reduced calorie diet in conjunction with physical activity and behavioral therapy to achieve weight loss r1
Pharmacotherapy is indicated as an adjunct to lifestyle therapy for patients with BMI of 30 kg/m² or more, for those with BMI of 27 kg/m² or more plus obesity-related comorbidity,r5 and for those in whom lifestyle modification alone fails to achieve weight loss goals r3
Consider bariatric surgery for patients with BMI of 40 kg/m² or more, for those with BMI of 30-35 kg/m² or more plus any obesity-related comorbidity,r5 or when sufficient weight loss has not been achieved by other methods r3r18
Comprehensive lifestyle intervention r25