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The prevalence of obesity in adults has increased worldwide and has almost dou-bled in Canada, from 14 % in 1978/791 to 26 % in 2009–2011,2 with 2 % of men and 5 % of women having a body mass index (BMI) score greater than 40 (Appendix 1, available at www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.140887 /-/DC1).3 Over two-thirds of Canadian men (67%) and more than half of Canadian women (54%) are overweight or obese, based on measured weight.2–4 Excess weight is a well-recognized risk factor for several common chronic conditions, such as cardiovascular disease, cancer, type 2 dia-betes, osteoarthritis and back pain.5 About two-thirds of adults who are overweight or obese were in the healthy weight range as adolescents, but gained weight in adulthood (about 0.5–1.0 kg every two years on average).6,

cmaj. canadian medical association journal

Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care