The Living Guidelines: UA/NSTEMI Recommendations for 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
1. Weight management, as measured by body mass index and/or waist circumference, should be assessed on each visit. A body mass index of 18.5 to 24.9 kg/m² and a waist circumference (measured horizontally at the iliac crest) of <40 inches for men and <35 inches for women is recommended. (Level of Evidence: B) Additional weight management practices recommended include the following:

a. 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 maintain/achieve a body mass index between 18.5 and 24.9 kg/m². (Level of Evidence: B)

 UA/NSTEMI Guidelines Class I Recommendation 1a for Weight Management should be: CLASS I CLASS IIa CLASS IIb CLASS III

b. If waist circumference is ≥35 inches in women or ≥40 inches in men, it is beneficial to initiate lifestyle changes and consider treatment strategies for metabolic syndrome as indicated. (Level of Evidence: B)

 UA/NSTEMI Guidelines Class I Recommendation 1b for Weight Management should be: CLASS I CLASS IIa CLASS IIb CLASS III

c. 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. (Level of Evidence: B)

 UA/NSTEMI Guidelines Class I Recommendation 1c for Weight Management should be: CLASS I CLASS IIa CLASS IIb CLASS III