The Living Guidelines: Chronic Stable Angina Pectoris Recommendations for Weight Management Polling Results for CLASS I Guidelines

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Class I Guidelines
1- Body Mass Index (BMI) and waist circumference should be assessed regularly. On each patient visit, it is useful to consistently encourage weight maintenance/reduction through an appropriate balance of physical activity, caloric intake, and formal behavioral programs when indicated to achieve and maintain a BMI between 18.5 and 24.9 kg/m². (Class I Level of Evidence: B)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 1 for Weight Management should be: CLASS I CLASS IIa CLASS IIb CLASS III 2- If waist circumference is ≥35 inches (89 cm) in women or ≥40 inches (102 cm) in men, it is beneficial to initiate lifestyle changes and consider treatment strategies for metabolic syndrome as indicated. Some male patients can develop multiple metabolic risk factors when the waist circumference is only marginally increased (e.g., 37 to 40 inches [94 to 102 cm]). Such persons may have a strong genetic contribution to insulin resistance. They should benefit from changes in life habits, similarly to men with categorical increases in waist circumference. (Class I Level of Evidence: B)

 AHA / ACC 2007 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 2 for Weight Management should be: CLASS I CLASS IIa CLASS IIb CLASS III 3- The initial goal of weight loss therapy should be to gradually 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 Chronic Stable Angina Pectoris Guidelines Class I Recommendation 3 for Weight Management should be: CLASS I CLASS IIa CLASS IIb CLASS III