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Weighing the Options - Criteria for Evaluating Weight-Management Programs (Paperback)
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Weighing the Options - Criteria for Evaluating Weight-Management Programs (Paperback)
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Nearly one out of every three adults in America is obese and tens
of millions of people in the United States are dieting at any one
time. This has resulted in a weight-loss industry worth billions of
dollars a year and growing. What are the long-term results of
weight-loss programs? How can people sort through the many programs
available and select one that is right for them? Weighing the
Options strives to answer these questions. Despite widespread
public concern about weight, few studies have examined the
long-term results of weight-loss programs. One reason that
evaluating obesity management is difficult is that no other
treatment depends so much on an individual's own initiative and
state of mind. Now, a distinguished group of experts assembled by
the Institute of Medicine addresses this compelling issue. Weighing
the Options presents criteria for evaluating treatment programs for
obesity and explores what these criteria mean?to health care
providers, program designers, researchers, and even overweight
people seeking help. In presenting its criteria the authors offer a
wealth of information about weight loss: how obesity is on the
rise, what types of weight-loss programs are available, how to
define obesity, how well we maintain weight loss, and what
approaches and practices appear to be most successful. Information
about weight-loss programs?their clients, staff qualifications,
services, and success rates?necessary to make wise program choices
is discussed in detail. The book examines how client demographics
and characteristics?including health status, knowledge of
weight-loss issues, and attitude toward weight and body
image?affect which programs clients choose, how successful they are
likely to be with their choices, and what this means for outcome
measurement. Short- and long-term safety consequences of weight
loss are discussed as well as clinical assessment of individual
patients. The authors document the health risks of being
overweight, summarizing data indicating that even a small weight
loss reduces the risk of disease and depression and increases
self-esteem. At the same time, weight loss has been associated with
some poor outcomes, and the book discusses the implications for
program evaluation. Prevention can be even more important than
treatment. In Weighing the Options, programs for population groups,
efforts targeted to specific groups at high risk for obesity, and
prevention of further weight gain in obese individuals get special
attention. This book provides detailed guidance on how the
weight-loss industry can improve its programs to help people be
more successful at long-term weight loss. And it provides consumers
with tips on selecting a program that will improve their chances of
permanently losing excess weight. Table of Contents Front Matter
Summary 1 Introduction and Background 2 The Nature and Problem of
Obesity 3 Programs for and Approaches to Treating Obesity 4
Weighing the Options 5 Criterion 1: The Match Between Program and
Consumer 6 Criterion 2: The Soundness and Safety of the Program 7
Criterion 3: Outcomes of the Program 8 Weighing the Options:
Application of Committee's Criteria 9 Prevention of Obesity 10
Research and Policy Recommendations Appendix A: Assessment
Instruments of Relevance to Obesity Treatment Appendix B: The Diet
Readiness Test and the General Well-Being Schedule Appendix C:
Pediatric Obesity Appendix D: Accrediting Providers of
Weight-Management Services Appendix E: Biographies of Committee
Members Bibliography Index
General
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