TY - JOUR
T1 - Medical Nutrition Therapy Interventions Provided by Dietitians for Adult Overweight and Obesity Management
T2 - An Academy of Nutrition and Dietetics Evidence-Based Practice Guideline
AU - Morgan-Bathke, Maria
AU - Raynor, Hollie A.
AU - Baxter, Suzanne Domel
AU - Halliday, Tanya M.
AU - Lynch, Amanda
AU - Malik, Neal
AU - Garay, Jessica L.
AU - Rozga, Mary
N1 - Funding Information:
FUNDING/SUPPORT This evidence-based practice guideline and its supporting systematic review were funded by the Academy of Nutrition and Dietetics , the Academy Foundation , and the Academy of Nutrition and Dietetics Weight Management Dietetic Practice Group . These funding bodies had no direct influence on the development of this evidence-based practice guideline, but several members of the expert panel were also members of the Weight Management Dietetic Practice Group.
Funding Information:
STATEMENT OF POTENTIAL CONFLICT OF INTEREST Conflict of interest was assessed prior to joining the expert panel, during each expert panel meeting, and following the guideline. H. A. Raynor is the principal investigator on National Institutes of Health (NIH) grant on child weight management (5R01DK121360) and co-editor of the Academy’s Weight Management Handbook. S. Domel Baxter is co-investigator on grant from Pediatric Nutrition DPG . T. Halliday received grant funding from NIH R21 through June 2021 and has an NIH KL2 award (KL2TR002539) through February 2023 and a BUILD Dairy grant through the Western Dairy Center through August 2023. N. Malik receives funding from Optimal Healthy Daily, LLC for a podcast. M. Rozga is a dietitian employed by the Academy of Nutrition and Dietetics. No other potential conflict of interest was reported by the authors.
Funding Information:
STATEMENT OF POTENTIAL CONFLICT OF INTEREST Conflict of interest was assessed prior to joining the expert panel, during each expert panel meeting, and following the guideline. H. A. Raynor is the principal investigator on National Institutes of Health (NIH) grant on child weight management (5R01DK121360) and co-editor of the Academy's Weight Management Handbook. S. Domel Baxter is co-investigator on grant from Pediatric Nutrition DPG. T. Halliday received grant funding from NIH R21 through June 2021 and has an NIH KL2 award (KL2TR002539) through February 2023 and a BUILD Dairy grant through the Western Dairy Center through August 2023. N. Malik receives funding from Optimal Healthy Daily, LLC for a podcast. M. Rozga is a dietitian employed by the Academy of Nutrition and Dietetics. No other potential conflict of interest was reported by the authors.FUNDING/SUPPORT This evidence-based practice guideline and its supporting systematic review were funded by the Academy of Nutrition and Dietetics, the Academy Foundation, and the Academy of Nutrition and Dietetics Weight Management Dietetic Practice Group. These funding bodies had no direct influence on the development of this evidence-based practice guideline, but several members of the expert panel were also members of the Weight Management Dietetic Practice Group.
Publisher Copyright:
© 2023 Academy of Nutrition and Dietetics
PY - 2023/3
Y1 - 2023/3
N2 - Overweight and obesity affect most adults living in the United States and are causally linked to several adverse health outcomes. Registered dietitian nutritionists or international equivalents (dietitians) collaborate with each client and other health care professionals to meet client-centered goals, informed by the best available evidence, and translated through a lens of clinical expertise and client circumstances and preferences. Since the last iteration of the Academy of Nutrition and Dietetics guideline on adult weight management in 2014, considerable research has been conducted and circumstances confronting dietitians have evolved. Thus, updated guidance is needed. The objective of this evidence-based practice guideline is to provide recommendations for dietitians who deliver medical nutrition therapy behavioral interventions for adults (18 years and older) with overweight and obesity to improve cardiometabolic outcomes, quality of life, and weight outcomes, when appropriate for and desired by the client. Recommendations in this guideline highlight the importance of considering complex contributors to overweight and obesity and individualizing interventions to client-centered goals based on specific needs and preferences and shared decision making. The described recommendations have the potential to increase access to care and decrease costs through utilization of telehealth and group counseling as effective delivery methods, and to address other barriers to overweight and obesity management interventions. It is essential for dietitians to collaborate with clients and interprofessional health care teams to provide high-quality medical nutrition therapy interventions using the nutrition care process to promote attainment of client-centered outcomes for adults with overweight or obesity.
AB - Overweight and obesity affect most adults living in the United States and are causally linked to several adverse health outcomes. Registered dietitian nutritionists or international equivalents (dietitians) collaborate with each client and other health care professionals to meet client-centered goals, informed by the best available evidence, and translated through a lens of clinical expertise and client circumstances and preferences. Since the last iteration of the Academy of Nutrition and Dietetics guideline on adult weight management in 2014, considerable research has been conducted and circumstances confronting dietitians have evolved. Thus, updated guidance is needed. The objective of this evidence-based practice guideline is to provide recommendations for dietitians who deliver medical nutrition therapy behavioral interventions for adults (18 years and older) with overweight and obesity to improve cardiometabolic outcomes, quality of life, and weight outcomes, when appropriate for and desired by the client. Recommendations in this guideline highlight the importance of considering complex contributors to overweight and obesity and individualizing interventions to client-centered goals based on specific needs and preferences and shared decision making. The described recommendations have the potential to increase access to care and decrease costs through utilization of telehealth and group counseling as effective delivery methods, and to address other barriers to overweight and obesity management interventions. It is essential for dietitians to collaborate with clients and interprofessional health care teams to provide high-quality medical nutrition therapy interventions using the nutrition care process to promote attainment of client-centered outcomes for adults with overweight or obesity.
UR - http://www.scopus.com/inward/record.url?scp=85147930960&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85147930960&partnerID=8YFLogxK
U2 - 10.1016/j.jand.2022.11.014
DO - 10.1016/j.jand.2022.11.014
M3 - Article
C2 - 36462613
AN - SCOPUS:85147930960
SN - 2212-2672
VL - 123
SP - 520-545.e10
JO - Journal of the Academy of Nutrition and Dietetics
JF - Journal of the Academy of Nutrition and Dietetics
IS - 3
ER -