[Skip to Content]
[Skip to Content Landing]
Views 10,356
Citations 0
September 18, 2018

Weight Management in Adults With Obesity: What Is a Primary Care Clinician to Do?

Author Affiliations
  • 1Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland
JAMA. 2018;320(11):1111-1113. doi:10.1001/jama.2018.11031

In this issue of JAMA, the US Preventive Services Task Force (USPSTF) presents its 2018 recommendation statement1 and an accompanying evidence review2 on weight loss interventions to prevent obesity-related morbidity and mortality in adults. In this update of the 2012 USPSTF recommendation,3 the major recommendation did not substantially change: clinicians should offer or refer adults with a body mass index (BMI) of 30 or higher to intensive, multicomponent behavioral interventions. The task force concluded that there is moderate certainty of moderate net benefit, with little risk of harm, and provided an evidence grade of “B,”1 indicating that provision of the service is recommended. Payers often use such recommendations to inform coverage decisions.