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

Video Transcription

Video Summary

Dr. Carolina Povian, the director of the Obesity Treatment Center at Brigham and Women's Hospital, discusses lifestyle therapy for obesity in this video. She explains that the 2013 obesity guidelines recommend using BMI and waist circumference to identify risk factors. She mentions that a sustained weight loss of 3 to 5% reduces risk factors and diabetes risk for those with overweight and obesity. The guidelines suggest a daily calorie intake of 1,200 to 1,500 for women and 1,500 to 1,800 for men. Dr. Povian emphasizes that there is no ideal diet and that restricting certain food types can create an energy deficit. She highlights a study which found that ultra-processed foods cause individuals to consume 500 more calories per day compared to unprocessed foods. Dr. Povian explains that realistic weight loss goals of 5 to 10% at six months are considered significant. She also discusses the effectiveness of intensive lifestyle interventions and the importance of combining therapies for maximum weight loss. She includes findings from the National Weight Control Registry and emphasizes the need for long-term support and frequent patient follow-up. Dr. Povian concludes that adherence to the diet and exercise plan is key to success rather than the specific diet itself. She also emphasizes the importance of exercise in maintaining weight loss.

Asset Subtitle

Caroline Apovian, MD, FACN, FACP, DABOM

Keywords

obesity

lifestyle therapy

BMI

sustained weight loss

calorie intake