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Adult Weight Management

AWM: Acronyms, Abbreviations, and Definition of Terms (2022)

Acronyms and Abbreviations (listed in alphabetical order)

Term Definition
 AGREE II  Appraisal of Guidelines for Research Evaluation Tool II
 AWM  Adult Weight Management
 BMI  Body Mass Index
 BP  Blood Pressure
 CMS  Centers for Medicare and Medicaid Services
 CVD  Cardiovascular Disease
 DASH  Dietary Approaches to Stop Hypertension
 DBP  Diastolic Blood Pressure
 EAC  Evidence Analysis Center
 EBPG  Evidence-Based Practice Guideline
 EtD  Evidence-to-Decision Framework
 FBG  Fasting Blood Glucose
 GRADE  Grade of Recommendations Assessment, Development and Evaluation
 HIPPA  Health Insurance Portability and Accountability Act
 IDEA  Inclusion, Diversity, Equity and Access
 NCM  Nutrition Care Manual
 NCP  Nutrition Care Process
 PRISMA  Preferred Reporting Items for Systematic Reviews and Meta-Analyses
 QoL  Quality of Life
 RCT  Randomized Controlled Trial
 RDN  Registered Dietitian Nutritionist
 SBP  Systolic Blood Pressure
 SDoH  Social Determinants of Health
 SES  Socioeconomic Status
 S.M.A.R.T.  Specific, Measurable, Attainable, Relevant and Time-Based
 T2DM  Type 2 Diabetes Mellitus
 U.S.  United States
 W.C  Waist Circumference

 

Definitions of Terms

  • Access: Refers to giving equitable access to everyone regardless of human ability and experience.1
  • Body Mass Index (BMI): “A person’s weight in kilograms divided by the square of height in meters. A high BMI can indicate high body fatness. BMI screens for weight categories that may lead to health problems, but it does not diagnose the body fatness or health of an individual.”
  • Client-Centered: Please see “Patient-Centered”.  
  • Disability: A physical, mental, cognitive, sensory or developmental condition that impairs, interferes with, or limits a person's ability to engage in certain tasks or actions or participate in typical daily activities and interactions.
  • Health Equity: Equity is the absence of avoidable, unfair, or remediable differences among groups of people, whether those groups are defined socially, economically, demographically or geographically or by other means of stratification. "Health equity" or "equity in health" implies that ideally everyone should have a fair opportunity to attain their full health potential and that no one should be disadvantaged from achieving this potential.
  • International Equivalents of Registered Dietitian Nutritionists: Refers to nutrition and dietetics professionals who have qualifications equivalent to Registered Dietitian Nutritionists but live outside of the United States. 
  • Medical Nutrition Therapy (MNT): An evidence-based application of the Nutrition Care Process. The provision of MNT (to a patient/client) may include one or more of the following: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention and nutrition monitoring and evaluation that typically results in the prevention, delay or management of diseases and/or conditions.3-5  
  • Nutrition Care Process (NCP): A systematic problem-solving method that credentialed nutrition and dietetics practitioners use to critically think and make decisions when providing medical nutrition therapy or to address nutrition-related problems and provide safe and effective quality nutrition care. The NCP consists of four distinct, interrelated steps: Nutrition Assessment and Reassessment, Nutrition Diagnosis, Nutrition Intervention, and Nutrition Monitoring and Evaluation.3-5 
  • Obesity: Abnormal or excessive fat accumulation that presents a risk to health. Typically represented by a BMI of ≥30 kg/m2.6,7 
  • Overweight: Weight that is considered greater than is healthy for a given height. It may be associated with abnormal or excessive fat accumulation that presents a risk to health. Represented by BMI of ≥25 to <30 kg/m2.6,7  
  • Patient-Centered: “Providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.”
  • Shared Decision Making: “A model of patient-centered care that enables and encourages people to play a role in the medical decisions that affect their health.”
  • Social Determinants of Health (SDOH): “Conditions in the places where people live, learn, work, and play that affect a wide range of health and quality-of life-risks and outcomes.”10 
  • Weight Bias: Refers to the negative weight-related attitudes, beliefs, assumptions and judgments toward individuals with overweight or obesity.11,12 
  • Weight Stigma: “Refers to the discriminatory acts and ideologies targeted towards individuals because of their weight and size. Weight stigma is a result of weight bias.”11

References

  1. Academy of Nutrition and Dietitics. List of IDEA Term Definitions. Academy of Nutrition and Dietetics. https://www.eatrightpro.org/practice/practice-resources/diversity-and-inclusion/list-of-d-and-i-definitions. Published 2022. Accessed April 21, 2022.
  2. Centers for Disease Control and Prevention. Body Mass Index (BMI). Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. https://www.cdc.gov/healthyweight/assessing/bmi/index.html. Published 2022. Updated April 6, 2022. Accessed April 21, 2022.
  3. Academy of Nutrition and Dietitics. Academy of Nutrition and Dietetics: Revised 2017 Scope of Practice for the Registered Dietitian Nutritionist. J Acad Nutr Diet. 2018;118(1):141-165.
  4. Swan WI, Vivanti A, Hakel-Smith NA, et al. Nutrition Care Process and Model Update: Toward Realizing People-Centered Care and Outcomes Management. J Acad Nutr Diet. 2017;117(12):2003-2014.
  5. Academy of Nutrition and Dietitics. Definition of Terms. Academy of Nutrition and Dietetics. https://www.eatrightpro.org/practice/quality-management/definition-of-terms. Published 2021. Accessed April 21, 2022.
  6. Centers for Disease Control and Prevention. Defining Adult Overweight & Obesity. Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion. https://www.cdc.gov/obesity/basics/adult-defining.html. Published 2021. Accessed April 21, 2022.
  7. World Health Organization. Obesity. World Health Organization. https://www.who.int/health-topics/obesity#tab=tab_1. Published 2022. Accessed April 21, 2022.
  8. Institute of Medicine Committee on Quality of Health Care in A. Crossing the Quality Chasm: A New Health System for the 21st Century. In: Crossing the Quality Chasm: A New Health System for the 21st Century. Washington (DC): National Academies Press (US) Copyright 2001 by the National Academy of Sciences. All rights reserved.; 2001.
  9. Agency for Healthcare Research and Quality. Strategy 6I: Shared Decisionmaking. Agency for Healthcare Research and Quality. https://www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/communication/strategy6i-shared-decisionmaking.html. Published 2022. Updated March 2020. Accessed April 2021, 2022.
  10. Centers for Disease Control and Prevention. Social Determinants of Health: Know What Affects Health. https://www.cdc.gov/socialdeterminants/index.htm. Published 2021. Accessed April 21, 2022.
  11. World Obesity. Weight Stigma. https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigma. Published 2022. Accessed April 21, 2022.
  12. Washington RL. Childhood obesity: issues of weight bias. Prev Chronic Dis. 2011;8(5):A94.

 

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