What is USPSTF's recommendation on obesity screening and counseling in adults?

• A. Screen for obesity and offer or refer to intensive, multicomponent behavioral interventions
• B. Do not screen; counseling not recommended
• C. Screen only if patient requests
• D. Screen but no treatment referral

Answer: (A)

Screening adults for obesity and linking those who are overweight or obese to intensive, multicomponent behavioral interventions is the recommended approach. Measuring BMI in adults and identifying a BMI of 25 or higher flags individuals who can benefit from a structured program that combines calorie-focused diet changes, increased physical activity, and behavioral support. These intensive, multicomponent interventions have shown more meaningful weight loss and health improvements than brief, one-time advice, which is why the USPSTF endorses offering or referring to such programs rather than stopping at screening alone.

Choosing not to screen, or to screen only if the patient asks, or to screen but not provide a referral, would miss the opportunity to connect patients with proven effective treatment and reduce obesity-related health risks.