Expanding the limits of treatment--new strategic initiatives.

The perception that weight reduction is rarely successful is, in fact, a misperception. Between 1999-2000 and 2001-2002, there were no significant changes among adults in the prevalence of overweight, obesity, or extreme obesity, or among children aged 6 through 19 years in the prevalence of at risk for overweight. The National Heart, Lung, and Blood Institute defines successful long-term weight loss as an intentional reduction of 10% from baseline maintained for 1 year. Modest weight loss is not only beneficial but also achievable for persons with overweight and obesity. Of the Americans who have tried to lose weight, almost 50% have maintained their weight loss successfully for at least 1 year. The remaining half, those who seem unable to prevent or reverse their obesity, challenge dietetics professionals to mobilize resources, confront issues at the heart of the obesity epidemic, and develop new solutions. Work to date has paid off for millions of persons. We have stopped the epidemic of obesity. Now it is time to do more by joining health care practitioners with all other stakeholders in the effort to prevent and reverse it.