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Preventing Obesity in Midlife Women: A Recommendation From the Women's Preventive Services Initiative

2022; American College of Physicians; Volume: 175; Issue: 9 Linguagem: Inglês

10.7326/m22-0252

1539-3704

David Chelmow, Kimberly D. Gregory, Catherine Witkop, Susan Hoffstetter, Linda Humphrey, Carla Picardo, James Stevermer, Amy Cantor, Heidi D Nelson, Sarah Son, Jeanne A. Conry, Francisco José Álvarez García, Susan Kendig, Nancy O’Reilly, Amir Qaseem, Diana Ramos, Alina Salganicoff, Julie K. Wood, Christopher M. Zahn, Susan Hoffstetter, Linda Humphrey, Carla Picardo, James Stevermer, Catherine Witkop, David Chelmow, Jeanne A. Conry, Kimberly D. Gregory, Amy Cantor, Francisco José Álvarez García, Susan Kendig, Heidi D Nelson, Amir Qaseem, Diana Ramos, Alina Salganicoff, Julie K. Wood, Pelin Batur, Ana Sanchez-Birkhead, Gale R. Burstein, Michelle Collins, Teresa A. Hubka, Erin Mackay, Andria Cornell Mann, Alayne D. Markland, Dorianne Mason, Edith P. Mitchell, Nazanin E. Silver, A. Streilein, Nancy O’Reilly, Sarah Son, Christopher M. Zahn, Bushra Idlibi, Michelle Jones,

Pharmacology and Obesity Treatment

Description: The Women's Preventive Services Initiative (WPSI), a national coalition of women's health professional organizations and patient advocacy representatives, developed a recommendation for counseling midlife women aged 40 to 60 years with normal or overweight body mass index (BMI; 18.5 to 29.9 kg/m2) to maintain weight or limit weight gain to prevent obesity with the long-term goals of optimizing health, function, and well-being. This recommendation is intended to guide clinical practice and coverage of clinical preventive health services for the Health Resources and Services Administration and other stakeholders. Clinicians providing preventive health care to women in primary care settings are the target audience for this recommendation. Methods: The WPSI developed this recommendation after evaluating results of a systematic review of the effectiveness and harms of interventions to prevent weight gain and obesity in women aged 40 to 60 years without obesity. Seven randomized clinical trials including 51 638 participants and using various counseling and behavioral interventions were included. Trials indicated favorable weight changes with interventions that were statistically significantly different from control groups in 4 of 5 trials of counseling, but not in 2 trials of exercise. Few harms were reported. Recommendation: The WPSI recommends counseling midlife women aged 40 to 60 years with normal or overweight BMI (18.5 to 29.9 kg/m2) to maintain weight or limit weight gain to prevent obesity. Counseling may include individualized discussion of healthy eating and physical activity.