European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care.

Details

Serval ID
serval:BIB_7F9DA74C658A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
European Practical and Patient-Centred Guidelines for Adult Obesity Management in Primary Care.
Journal
Obesity facts
Author(s)
Durrer Schutz D., Busetto L., Dicker D., Farpour-Lambert N., Pryke R., Toplak H., Widmer D., Yumuk V., Schutz Y.
ISSN
1662-4033 (Electronic)
ISSN-L
1662-4025
Publication state
Published
Issued date
2019
Peer-reviewed
Oui
Volume
12
Number
1
Pages
40-66
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
The first contact for patients with obesity for any medical treatment or other issues is generally with General Practitioners (GPs). Therefore, given the complexity of the disease, continuing GPs' education on obesity management is essential. This article aims to provide obesity management guidelines specifically tailored to GPs, favouring a practical patient-centred approach. The focus is on GP communication and motivational interviewing as well as on therapeutic patient education. The new guidelines highlight the importance of avoiding stigmatization, something frequently seen in different health care settings. In addition, managing the psychological aspects of the disease, such as improving self-esteem, body image and quality of life must not be neglected. Finally, the report considers that achieving maximum weight loss in the shortest possible time is not the key to successful treatment. It suggests that 5-10% weight loss is sufficient to obtain substantial health benefits from decreasing comorbidities. Reducing waist circumference should be considered even more important than weight loss per se, as it is linked to a decrease in visceral fat and associated cardiometabolic risks. Finally, preventing weight regain is the cornerstone of lifelong treatment, for any weight loss techniques used (behavioural or pharmaceutical treatments or bariatric surgery).
Keywords
Adult, Comorbidity, Europe/epidemiology, General Practitioners/organization & administration, General Practitioners/standards, Humans, Obesity/epidemiology, Obesity/therapy, Obesity Management/methods, Obesity Management/organization & administration, Obesity Management/standards, Patient-Centered Care/standards, Practice Guidelines as Topic, Primary Health Care/standards, Quality of Life, Waist Circumference, Weight Loss, Bariatric/metabolic surgery, Behavioural therapy, Conservative treatment, GPs, Management, Motivational interviewing, Obesity, Overweight, Primary care
Pubmed
Web of science
Open Access
Yes
Create date
19/02/2020 16:14
Last modification date
15/07/2020 6:26
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