The Living Guidelines: Weight Management Polling Results for CLASS I Guidelines

Any recommendations found on these pages are for education use only. WikiDoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, WikiDoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

Class I Guidelines
Goal: BMI: 18.5 to 24.9 kg/m², Waist circumference: men <40 inches (102 cm), women <35 inches (89 cm)

1. It is useful to assess BMI and/or waist circumference on each visit and consistently encourage weight maintenance / reduction through an appropriate balance of physical activity, caloric intake, and formal behavioral programs when indicated to maintain/achieve a BMI between 18.5 and 24.9 kg/m². (Class I Level of Evidence: B)

 AHA / ACC 2007 PCI Guidelines Class I Recommendation 1 for Weight Management should be CLASS I CLASS IIa CLASS IIb CLASS III

2. The initial goal of weight loss therapy should be to reduce body weight by approximately 10% from baseline. With success, further weight loss can be attempted if indicated through further assessment. (Class I Level of Evidence: B)

 AHA / ACC 2007 PCI Guidelines Class I Recommendation 2 for Weight Management should be CLASS I CLASS IIa CLASS IIb CLASS III

3. If waist circumference (measured horizontally at the iliac crest) is ≥35 inches (89 cm) in women and ≥40 inches (102 cm) in men, it is useful to initiate lifestyle changes and consider treatment strategies for metabolic syndrome as indicated. (Class I Level of Evidence: B)

 AHA / ACC 2007 PCI Guidelines Class I Recommendation 3 for Weight Management should be CLASS I CLASS IIa CLASS IIb CLASS III