Seagle Helen M, Strain Gladys Witt, Makris Angela, Reeves Rebecca S
J Am Diet Assoc. 2009 Feb;109(2):330-46. doi: 10.1016/j.jada.2008.11.041.
It is the position of the American Dietetic Association that successful weight management to improve overall health for adults requires a lifelong commitment to healthful lifestyle behaviors emphasizing sustainable and enjoyable eating practices and daily physical activity. Given the increasing incidence of overweight and obesity along with the escalating health care costs associated with weight-related illnesses, health care providers must discover how to effectively treat this complex condition. Food and nutrition professionals should stay current and skilled in weight management to assist clients in preventing weight gain, optimizing individual weight loss interventions, and achieving long-term weight loss maintenance. Using the American Dietetic Association's Evidence Analysis Process and Evidence Analysis Library, this position paper presents the current data and recommendations for weight management. The evidence supporting the value of portion control, eating frequency, meal replacements, and very-low-energy diets are discussed as well as physical activity, behavior therapy, pharmacotherapy, and surgery. Public policy changes to create environments that can assist all populations to achieve and sustain healthful lifestyle behaviors are also reviewed.
美国营养学会的立场是，成年人成功进行体重管理以改善整体健康状况需要终身致力于健康的生活方式行为，强调可持续且愉悦的饮食方式以及日常身体活动。鉴于超重和肥胖的发病率不断上升，以及与体重相关疾病相关的医疗保健成本不断攀升，医疗保健提供者必须找到有效治疗这种复杂病症的方法。食品和营养专业人员应紧跟体重管理领域的最新动态并具备相关技能，以协助客户预防体重增加、优化个人减肥干预措施并实现长期体重维持。本立场文件运用美国营养学会的循证分析流程和循证分析库，呈现了当前体重管理的数据和建议。文中讨论了支持控制食量、进食频率、代餐食品和极低能量饮食的证据，以及身体活动、行为疗法、药物疗法和手术。还审视了旨在营造有助于所有人群实现并维持健康生活方式行为的环境的公共政策变革。
