Overweight & Obesity
Clinical Guidelines on the Identification, Evaluation, Treatment of Overweight and Obesity in Adults
The Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity, was developed co-operatively by the North American Association for the Study of Obesity (NAASO) and the National Heart, Lung, and Blood Institute (NHLBI), and released in 1998. The NHLBI Expert Panel used an evidence-based methodology to develop key recommendations for assessing and treating overweight and obese patients.
These clinical guidelines are targeted at physicians, presenting a new approach for the assessment of overweight and obesity, as well as the implementation of principles corresponding to safe and effective weight loss. The guidelines include a 10-step plan and a quick reference tool to help physicians assess, classify, manage and treat overweight and obesity.
National Heart, Lung, and Blood Institute (NHLBI) - http://www.nhlbi.nih.gov/
This report, published in 1998 by the World Health Organisation (WHO), supports selective prevention of obesity in population subgroups with an above average risk of developing obesity, and targeted prevention directed at high-risk (non-obese) individuals with existing weight problems.
This report reviews current information on obesity, and records the conclusions and recommendations of a major WHO consultation, which aimed to address the alarming global epidemic of obesity, assess the magnitude of associated public health problems, and map out strategies for prevention and control. The report also looks at the causes and costs of obesity, possible interventions at both a population and individual level, and presents a coherent system for assessing and classifying overweight and obesity.
Chapters review data on the effectiveness of available strategies, establish basic principles for a comprehensive strategy for preventing and managing obesity, define priority areas for interventions, and evaluate currently available treatments for individual patients.
International Obesity TaskForce (IOTF) – http://www.iotf.org/publications/
World Health Organisation. Obesity: Preventing and Managing the Global Epidemic: Report of the WHO Consultation of Obesity. Geneva: World Health Organisation, 1997.
The British Medical Association's (BMA) Preventing Childhood Obesity report highlights the aspects of childhood nutrition and exercise, draws attention to the role of the clinician, and provides links to sources of further information. It also makes recommendations for tackling the obesity epidemic in the United Kingdom, specifically regarding the role of government, food industry and schools.
Not intended as comprehensive text, this report serves as a guide for general practitioners and other health professionals on aspects of childhood obesity.
British Medical Association - http://www.bma.org.uk/ap.nsf/content/ChildhoodObesity
The report, Preventing Childhood Obesity: Health in the Balance, has been released by the US National Academy of Sciences in September 2004, outlining recommendations for combating the rapid rise in childhood obesity.
A committee of experts in child health, obesity, nutrition, physical activity and public health were appointed to draw up a prevention-orientated action plan to lower the numbers of obese US children. The report aims to describe the action plan, consisting of explicit recommendations for confronting the obesity epidemic, methods for prevention, and suggested research opportunities. The report concludes that a multi-pronged attack is needed which will include efforts from schools, families, communities, industry, media and government. It also explains the actions needed to initiate, support and sustain the societal and lifestyle changes that can reverse the obesity trend among children and youth.
In 2003, the National Heart Foundation of Australia undertook a review and mapping project to inform the organisation's work in the area of overweight and obesity. The three tasks involved were:
- A review and summary of the literature on the relationship between overweight and obesity and CVD.
- A review of intervention studies that address the overweight and obesity issue.
- A mapping of activities and interventions in Australia that address overweight and obesity.
The findings from these tasks are available in the form of four reports / documents:
1. Summary of outcomes (provides an overview of the findings as generated by the three tasks undertaken).
2. The relationship between overweight, obesity and cardiovascular disease. A literature review prepared for the National Heart Foundation of Australia. This report indicates that there is strong and consistent evidence linking excess weight and heart disease. This association is not confined to just heart disease, but also to its corresponding risk factors.
3. Detailed review of intervention studies: How do we best address the issues of overweight, obesity and cardiovscular disease?
4. Current activity in Australia to address overweight, obesity and cardiovascular disease - an overview.
The findings from these reports are particularly important because of the growing awareness of the national obesity epidemic. The Heart Foundation aims to use these findings to develop an Action Plan to address overweight and obesity, which will be implemented from 2005 to 2007.
National Heart Foundation of Australia -
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