Action Statement Profile KAS 6

Aggregate evidence qualityD (expert opinion and evidence from studies of metabolic syndrome and obesity).
BenefitPromotes weight loss; contributes to glycemic control; prevents worsening of disease; facilitates the ability to perform exercise; improves the person’s sense of well-being; and fosters cardiovascular health.
HarmCost for patient of counseling, food, and time; costs for clinician in taking away time that could be spent on other activities; inadequate reimbursement for clinician’s time.
Benefits-harms assessmentPreponderance of benefit over harm.
Value judgmentsBroad consensus.
Role of patient preferenceDominant. Patients may seek various forms of exercise. Patient preference should play a significant role in creating an exercise plan.
ExclusionsAlthough certain older or more debilitated patients with T2DM may be restricted in the amount of moderate-to-vigorous exercise they can perform safely, this recommendation applies to the vast majority of children and adolescents with T2DM.
Intentional vaguenessIntentional vagueness on the sequence of follow-up contact attributable to the lack of evidence and the need to individualize care.
Policy levelOption.