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Adult Weight Management

AWM: Background Information (2006)


This guideline was not adapted from another source. Development of the guideline was conducted in accordance with the Appraisal of Guidelines Research Evaluation critical appraisal instrument.

Date Released

June 2006

Guideline Developer

Professional Association

Source of Funding

Funding for this guideline was provided by the American Dietetic Association.

Guideline Committee

Adult Weight Management Workgroup:

Christina Biesemeier, MS, RD, LD, FADA, Workgroup Chair
Ruth Ann Carpenter, MS, RD, LD,
Molly Gee, MEd, RD, LD
Erica Gradwell, MS, RD, Workgroup Project Manager/Lead Analyst
Patricia Harper, MS, RD, LDN
Cathy Nonas, MS, RD, CDE
Rebecca Reeves, DrPH, RD, FADA
Sachiko St. Jeor, PhD, RD

Composition of Group that Authored Guideline

Members of the Adult Weight Management Workgroup

Guideline Reviewers

  • Linda Boeckner
  • George Blackburn, MD, PhD
  • Susan Burke, MS, RD, LD/N, CDE
  • Susan Cummings
  • Anne Daly, MS, RD, CDE
  • David Frankenfield, MS, RD
  • Marion J. Franz, MS, RD, CDE
  • Jessye A. Goertz
  • Elivra Q. Johnson, MS, RD, CDE, LDN
  • Rita M. Johnson, PhD, RD, LDN, FADA
  • Lee M. Kaplan, MD, PhD
  • Susan H. Laramee, MS, RD, LDN, FADA
  • Kim Larson, MS, RD, LN
  • Nancy M. Lewis, PhD, RD, FADA
  • Anne Mathews, MS, RD
  • Emily Mitchell, RD, CDE
  • Kathleen C. Niedert, MBA, RD, LD, FADA
  • Monica A. Penkilo, MPH, RD, LD, CDE
  • Kimberly Robien, PhD, RD, FADA, CNSD
  • Dorene Robinson, RD, CDN
  • Debra K. Sullivan, PhD, RD
  • Margaret J. Tate, MS, RD
  • Melanie Wilder, RD, LD

Financial Disclosures and Potential Conflict of Interest

 In the interest of full disclosure, ADA has adopted the policy of revealing relationships work group members have with companies that sell products or services that are relevant to this guideline topic. It should not be assumed that these financial interests will have an adverse impact on the content of the guideline, but they are noted here to fully inform readers. Readers of the guideline may assume that only work group members listed below have potential conflicts of interest to disclose.

No work group members have potential conflicts of interest to disclose.

Guideline Status

This is the first release of the Adult Weight Management Guideline.

Guideline Availability

The guide will be available online.

 Availability of Companion Documents 

The Adult Weight Management Toolkit is available on the Academy Shop at  The Toolkit is a set companion documents which detail how the practitioner applies the Evidence-Based Nutrition Practice Guideline in practice. The Toolkit  includes forms such as documentation forms, outcomes monitoring sheets, client education resources, case studies and MNT protocols for implementing the Evidence-Based Nutrition Practice Guideline.

Patient Resources

Patient Resources are available within the Adult Weight Management Toolkit.

Implementation Strategy

This publication of this guideline is an integral part of the plans for getting the ADA MNT evidence-based recommendations on adult weight management to all dietetics practitioners engaged in, teaching about, or researching adult weight management as quickly as possible. National implementation workshops at various sites around the country and during the ADA Food Nutrition Conference Expo (FNCE) are planned. Additionally, there are recommended dissemination and adoption strategies for local use of the ADA Adult Weight Management Evidence-Based Nutrition Practice Guideline.

The guideline development team recommended multi-faceted strategies to disseminate the guideline and encourage its implementation. Management support and learning through social influence are likely to be effective in implementing guidelines in dietetic practice. However, additional interventions may be needed to achieve real change in practice routines.

Implementation of the Adult Weight Management Guideline will be achieved by announcement at professional events, presentations and training. Some strategies include:

  • National and Local Events – State dietetic association meetings and media coverage will help launch the guideline
  • Local Feedback Adaptation – Presentation by members of the work group at peer review meetings and opportunities for CEUs for courses completed
  • Education Initiatives – The guideline and supplementary resources will be freely available for use in the education and training of dietetic interns and students in approved Commission on Accreditation of Dietetics Education (CADE) programs
  • Champions – Local champions will be identified and expert members of the guideline team will prepare articles for publications. Resources will be provided that include PowerPoint presentations, full guidelines, and pre-prepared case studies.
  • Practical Tools – Some of the tools that will be developed to help implement the guideline include specially designed resources such as clinical algorithms, slide presentation, training, and toolkits. Specific distribution strategies include:

 National Library of Medicine Subject Headings

 The main MeSH category is designated as Therapeutics.

The sub categories under this heading include Nutrition Therapy and Diet Therapy.

Institutes of Medicine (IOM) National Healthcare Quality Report Categories

IOM Care need: Getting better

IOM Domain: Effectiveness, Patient centeredness


Copyright Statement

The American Dietetic Association encourages the free exchange of evidence in nutrition practice guidelines and promotes the adaptation of the guidelines for local conditions. However, please note that guidelines are subject to copyright provisions. To replicate or reproduce this guideline, in part or in full, please obtain agreement from the American Dietetic Association. Contact for copyright permission.

When modifying the guidelines for local circumstances, significant departures from these comprehensive guidelines should be fully documented and the reasons for the differences explicitly detailed.

©2005 American Dietetic Association