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Index
Cover
Title page
Copyright page
Dedication
Foreword
Acknowledgements
Introduction
Note to readers
Section 1: Background Information
1 Why Treat Obesity?
What is the scale of the obesity problem?
Why does it matter?
Factors that increase the risk of obesity
Obesity and its causes
Health benefits of modest weight loss
Conclusion
2 Health Professionals’ Attitudes Towards Obesity and its Management
What does the evidence say about discrimination and weight bias in society?
Where does weight bias come from?
What are the consequences of weight bias?
What is the impact of weight bias in the health care setting?
What can we do to reduce weight bias?
Conclusion
Reflective exercises
Recommendations for reducing weight bias in your practice
3 Treatment Options: The Evidence for What Works
Introduction
Combined approaches
Dietary treatments
Physical-activity treatments
Behaviour modification
Drug treatment
Surgical treatment
Conclusion
Section 2: Practical Application
4 Preventing Overweight and Obesity
Prevention of overweight and obesity
What to do?
Conclusion
5 Providing A Person-centred Weight-management Service
Integrating a behavioural approach
Identifying overweight and obesity
Planning weight-management interventions in your setting
More on motivation…
Exploring treatment options
Conclusion
6 Building a Picture: The Assessment
Undertaking a comprehensive assessment
What are the components of the assessment?
7 Finding Solutions: Supporting Patients to Establish a Solid Foundation
Introduction
Integrating a behavioural approach
The building blocks needed for a solid foundation
Understanding energy balance
Key dietary recommendations
Recommendations for physical activity
Developing essential skills: laying the foundations
Conclusion
8 Next Steps: Continuing to Develop Expertise
Review appointments
Becoming skilled at weight management
9 Staying on Track: Weight Maintenance
Introduction
Defining successful weight maintenance
Changes in weight
Causes of weight regain
What works?
Implications for practice
Practical application
Conclusion
10 Getting the Most out of Brief Contacts
Introduction
What is a brief contact?
Limitations of brief contacts
Getting the most out of brief contacts
Brief interventions (if ongoing support includes brief review appointments)
Implications for services
Examples of brief contacts
Conclusion
11 Evaluating Individual Weight-management Interventions
Introduction
What is monitoring and evaluation?
What makes evaluation challenging?
Getting started
Collecting information
What to evaluate
Conclusion
12 Common Challenges and Misconceptions
Introduction
Causes of obesity
Physical activity
Diet
Note on patient dialogues
Section 3: Appendices
Appendix 1: Adult Weighing Scales Specification Guide
Classification of scales
Calibration
Appendix 2: How to Measure Height
Appendix 3: How to Measure Weight
Appendix 4: Measuring Overweight and Obesity using Body Mass Index
Appendix 5: Measuring-tape Position for Waist Circumference
Measuring waist
How to measure waist circumference
Appendix 6: Medications
Appendix 7: Screening for Binge-eating Disorder
Appendix 8: General Practice Physical Activity Questionnaire
Annex 1
Appendix 9: PAR-Q & YOU
Appendix 10: Estimated Energy Requirement (EER)
BMR
PAL
EER
EER for weight loss
Appendix 11: Prescribed Energy Deficit (PED)-Ready Reckoner
Female
Male
Appendix 12: Portions Commonly Used for the ‘Eatwell Plate’ (To Check Nutritional Adequacy of the Diet)
Appendix 13: Example of 1500 kcal based on ‘Eatwell Plate’ Portions
Appendix 14: Example of 1800 kcal based on ‘Eatwell Plate’ Portions
Appendix 15: Cookery Books
Appendix 16: NICE Guidance on Referral to Slimming Groups
Appendix 17: Weighed Portions for Where More Precision is Required
Section 4: Resources
List of Resources
Additional Books and Resources
Books
Useful Web sites
Guidelines and Reports
Section 5: Tools
Tool 1: Weight History Chart
Tool 2: Typical Day
Tool 3: Activity Charts
24 hours
Time spent on activity (minutes)
Steps recorded
Tool 4: My Change Plan
Tool 5: Plate Model
Tool 6: Diary Sheet
Tool 7: Weight Record Chart
Tool 8: Blank Menu of Options
Tool 9: Menu of Options A
Tool 10: Menu of Options B
Tool 11: Menu Chart
Tool 12: Assessment of Diet Quality
Tool 13: Weighing It All Up: ‘I Want To, But…’
Tool 14: Behavioural Strategies
Index
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