OBESITY

OBESITY What’s New in the 2017 Version? The Obesity Algorithm is reviewed and updated yearly to reflect the newest and most relevant information. The 2017 version includes new sections or updates on: Recommendations for setting up your office to accommodate all patients The “obesity paradox,” where an individual can have excess weight but still be metabolically healthy The function of hormones FDA-approved surgical procedures Nutrient requirements and recommendations after bariatric surgery

HYPERTENSION

Definitions BP Classification SBP mmHg DBP mmHg Normal <120 and <80 Prehypertension 120–139 or 80–89 Stage 1 Hypertension 140–159 or 90–99 Stage 2 Hypertension >160 or >100

When to begin Antihypertensive JNC7))Medications Uncomplicated HTN BP persistently > 140/90 Diabetes or CKD BP persistently > 130/80 Heart Failure or CHD HOPE, EUROPA, CAMELOT

Blood Pressure Treatment Goals (JNC8) Persons 60 years or older without diabetes or CKD BP < 150/90 (based on strong evidence) Persons less than 60 years of age, with diabetes, and/or with CKD BP <140/90 (based on expert opinion)

HYPERLIPIDEMIA