SARDINHA PROTOCOL® – CARDIOMETABOLIC WEIGHT OPTIMIZATION: INTEGRATED CLINICAL PROTOCOL FOR SUSTAINABLE WEIGHT LOSS AND METABOLIC HEALTH

Abstract

Sardinha Protocol® Cardiometabolic Weight Optimization is an integrated clinical protocol aimed at sustainable weight loss and metabolic reorganization, structured upon systematized medical practice and clinical observation of more than two thousand patients; the method is based on the understanding of obesity as a chronic and multifactorial condition involving metabolic, hormonal, behavioral, emotional, and social interactions, therefore requiring an equally integrated therapeutic approach; unlike fragmented models, the protocol integrates structured and anti-inflammatory nutrition, sleep regulation, consistent physical activity, strategic hydration, behavioral support, and continuous clinical follow-up; it is organized into four progressive phases — Metabolic Reset, Adaptation, Consolidation, and Maintenance — which respect the patient’s biological and psychological timing, prioritizing not only initial weight loss but also medium- and long-term maintenance; the method establishes measurable clinical objectives including weight reduction, improvement of metabolic parameters, preservation of lean mass, and strengthening of behavioral autonomy; when indicated, pharmacotherapy is incorporated as an adjunctive resource subordinated to structural lifestyle change; its main contribution lies in the coherent and replicable integration of therapeutic components with a focus on adherence and prevention of weight regain; by treating maintenance as an active stage of treatment, the Sardinha Protocol® proposes a sustainable clinical model applicable across different sociocultural contexts and aligned with contemporary obesity management guidelines.