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Healthy Weight Loss Module

  • Riccardo Dalle Grave,
  • Massimiliano Sartirana,
  • Simona Calugi

摘要

This module is intended for patients with clinical obesity who are motivated to achieve reasonable and healthy weight loss, and for those with non-clinical obesity who want to improve their overall health and prevent the development of clinical obesity and other non-communicable diseases. The module is not indicated for patients who have not adopted a regular eating pattern and reduced the frequency of binge-eating episodes, or for those with the overvaluation of shape and weight or a history of anorexia nervosa or bulimia nervosa. The module aims to help the patient (i) achieve, accept, and maintain a reasonable and healthy weight loss; (ii) adopt a lifestyle that promotes long-term weight control; and (iii) develop a stable, healthy weight-control mindset. To achieve these goals, the patient is helped to adopt moderate and flexible dietary restriction, as opposed to extreme and rigid dietary restriction, based on healthy eating guidelines. This is associated with the remission of binge-eating episodes and can help the patient achieve a reasonable and healthy weight loss (i.e., a 5–10%). In patients with indications to lose weight that have difficulties adhering to moderate and flexible dietary restriction, the new weight incretin-based weight-loss drugs can be considered.