ACE Health Coach Certification Practice Test

According to the Institute of Medicine, at which step is a very-low-calorie diet introduced in obesity treatment?

1. Step 1

2. Step 2

3. Step 3

4. Step 4

The correct answer is: Step 4

The introduction of a very-low-calorie diet (VLCD) in obesity treatment, as outlined by the Institute of Medicine, occurs at Step 4. This step is specifically directed toward patients who need significant weight loss in a short amount of time, typically those with a body mass index (BMI) of 30 or greater, and those who may have obesity-related health conditions that necessitate more aggressive intervention. VLCDs typically consist of fewer than 800 calories per day and are intended for short-term use under medical supervision. This approach is generally not recommended for everyone and is primarily utilized for patients who have not had success with other weight-loss strategies or who need rapid weight loss to improve health outcomes or prepare for surgery. The use of VLCDs should be accompanied by behavior modification strategies and medical supervision to ensure safety and efficacy. Steps 1 through 3 typically involve less restrictive dietary interventions, emphasizing gradual weight loss through diet, exercise, and behavior changes, making Step 4 a critical point where more intensive methods are introduced.