The Living Guidelines: UA/NSTEMI Recommendations for Weight Management Suggest Revisions to the CLASS I Guidelines

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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)
 * 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)
 * 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)