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Chapter 4 Weight Management Recommendations and Guidelines


Academy of Nutrition and Dietetics Adult Weight Management Guidelines


• Collaborate with the client regarding a realistic weight loss goal, such as up to 2 lb/wk, up to 10% of baseline body weight, or a total of 3% to 5% of baseline body weight if cardiovascular disease risk factors are pres- ent. (WM, Strong)14


• For weight loss and weight maintenance, a reduced-cal- orie meal plan, increasing PA, and use of behavioral strategies are components of a comprehensive weight management program. (WM, Strong)14


• During weight loss, prescribe an individualized eating plan, including client preferences and health status, to achieve and maintain nutrient adequacy and reduce calorie intake, based on caloric reduction strategies, such as 1,200 to 1,500 kcal/d for women and 1,500 to 1,800 kcal/d for men; an energy deficit of approxi- mately 500 or 750 kcal/d; or one of the evidence-based eating plans that


restricts certain food groups (eg,


high-carbohydrate foods, low-fiber foods, or high- fat foods) to create an energy deficit by reduced food intake. (WM, Strong)14


• During weight maintenance, prescribe an individu- alized eating plan to maintain nutrient adequacy and reduce calorie intake. (WM, Strong)14


• For weight loss and weight maintenance, as long as the target reduction in calories is achieved, many differ- ent nutrition approaches are effective. (WM, Strong)14


• For weight loss and weight maintenance, an individu- alized eating plan should distribute calories at meals


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