Explain The Six Key Recommendations For Clinician Treating Adults

There were six key recommendations for clinician treating adults and 5 major recommendation of treating children and adolescent. One of the first recommendations in adult case was to Measure waist circumference (WC) in addition to calculating body mass index (BMI). BMI is the most widely used method for the measurement where the weight and height is used to calculate if the adult if within healthy, obese or underweight classification. This type of measurement helps to know the overall weight of the body but excess adiposity in the adult is unknown. On the other hand WC gives better estimate of the visceral fat in the body. Visceral fat are the dangerous internal fat which coats the organs and more accurately are predictor of the cardiovascular

Changing behaviour is the most important thing in weight loss program and extremely challenging. Assessing the client’s readiness to change is a critical aspect. This is because weight loss is not a short term commitment but a lifelong commitment to change in habit that needs motivation throughout, especially in the beginning stage (Hamman et al., 2006). Motivation is not static and can change rapidly from day to day. If clinician can understand where the client is in terms of their readiness to change, it will make them better prepared to recognise and deal with the motivation change. It is said that identifying the psychological obstacles or resistance to change in weight in individuals dramatically favours the positive effects. In fact, specific weight-loss interventions could be tailored according to certain behaviours individual should achieve in order to have change, at different stages during treatment. There was 2.8 years of clinical trial program run named Diabetes prevention program (Steinberg et al., 2011). It consisted of two groups one focused on changing lifestyle while another focused on metformin (diabetes medicine). The result showed that there was 585 percent reduction in high risk adults with intensive lifestyle while metformin group had only 31% success. After the program ended, follow up showed that although most of the members went back to previous habit but still the diabetes

In a study done with 40 obese men and women aged between 32 to 56 was found that just by reducing 5% of the total weight led to substantial improvements in health, better control of insulin in the liver, fat and muscle tissue was the sources for improvement. This study reminds the benefits of gradually approaching toward the healthy weight. Slow and healthy weight loss is considered to be last longer and then quick and easy weight loss (Clark et al., 1995). In many other studies it was seen that setting realistic small goals such as 5% weight loss was a good way to maintain healthy weight loss (Perri & Corsica,