ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual)

Video Transcription

Video Summary

Dr. Carolina Povian, Director of the Obesity Treatment Center at Brigham and Women's Hospital, gives a talk on lifestyle therapy for obesity. She discusses guidelines for managing overweight and obesity, including using BMI to identify risk and prescribing 1,200 to 1,500 calories per day for women and 1,500 to 1,800 calories per day for men. She emphasizes that there is no ideal diet, but recommends reducing intake of high carb, low fiber, and high fat foods. Dr. Povian presents a study that shows people eat 500 more calories per day when given an ultra-processed diet compared to an unprocessed diet of the same calorie content. She highlights the importance of setting realistic goals for patients, with 5 to 10% weight loss at six months considered significant. Dr. Povian also discusses successful lifestyle interventions, such as intensive counseling and exercise interventions, and the potential for combining lifestyle therapy with pharmacotherapy or endoscopic procedures for maximum weight loss. She concludes by emphasizing the need for long-term support and regular follow-up to maintain lifestyle changes.

Asset Subtitle

Caroline Apovian, MD, FACN, FACP, DABOM

Keywords

obesity treatment

lifestyle therapy

BMI

calorie intake

diet guidelines