Research

Energy balance

Lifestyle intervention (diet, physical activity, behavioral changes) is the cornerstone of obesity treatment and should be initiated in all patients, regardless of whether pharmacotherapy or surgery is added.

Start with lifestyle changes: diet, exercise, and behavior. This is the base for everyone. If you need medication or surgery, it only works well if you keep doing these lifestyle changes.

StrongSupportsVERY_HIGH confidence
The panel reiterated that lifestyle and behaviour changes remain the cornerstone of treatment; underscoring, however, the need for pharmacotherapy or bariatric surgery in some cases.
Maya Barake et al. · Journal of Diabetes Mellitus · 2023

Why this rating

Consensus recommendation based on large randomized trials (DPP, Look AHEAD).

Source

Diagnosis and Management of Obesity: A Joint Statement by Practicing Endocrinologists

Maya Barake et al. · Journal of Diabetes Mellitus · 2023

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