Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland.
| Title: | Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland. |
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| Authors: | Breen C; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; O'Connell J; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Geoghegan J; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; O'Shea D; National Clinical Programme for Obesity, Dublin, Ireland.; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Birney S; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Irish Coalition for People Living with Obesity, Dublin, Ireland.; Tully L; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Obesity Research and Care Group, School of Physiotherapy, Royal College of Surgeons Ireland, Dublin, Ireland.; Gaynor K; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; National Clinical Programme for Obesity, Dublin, Ireland.; O'Kelly M; Irish College of General Practitioners, Dublin, Ireland.; O'Malley G; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Obesity Research and Care Group, School of Physiotherapy, Royal College of Surgeons Ireland, Dublin, Ireland.; O'Donovan C; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Food Safety Authority of Ireland, Dublin, Ireland.; Lyons O; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Food Safety Authority of Ireland, Dublin, Ireland.; Flynn M; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Food Safety Authority of Ireland, Dublin, Ireland.; Allen S; Rehab Group, Dublin, Ireland.; Arthurs N; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Obesity Research and Care Group, School of Physiotherapy, Royal College of Surgeons Ireland, Dublin, Ireland.; Browne S; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; School of Public Health, Physiotherapy & Sports Science, University College Dublin, Dublin, Ireland.; Byrne M; School of Psychology,University of Galway, Galway, Ireland.; Callaghan S; School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.; Collins C; Bariatric Medicine Service, Galway University Hospital, Galway, Ireland.; Courtney A; School of Public Health, Physiotherapy & Sports Science, University College Dublin, Dublin, Ireland.; Crotty M; My Best Weight Healthcare Clinic, Dublin, Ireland.; Donohue C; Edenpark Medical, Raheny, Dublin, Ireland.; Donovan C; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; School of Agriculture and Food Science, University College Dublin, Dublin, Ireland.; Dunlevy C; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Duggan D; Metabolic Surgery Service, Bons Secours Hospital, Cork, Ireland.; Fearon N; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Finucane F; Bariatric Medicine Service, Galway University Hospital, Galway, Ireland.; Fitzgerald I; St Patricks University Hospital, Dublin, Ireland.; Foy S; Bariatric Medicine Service, Galway University Hospital, Galway, Ireland.; Garvey J; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Gibson I; Collaborative Doctoral Programme in Chronic Disease Prevention, University of Galway, Galway, Ireland.; Glynn L; School of Medicine, University of Limerick, Limerick, Ireland.; Gregg E; School of Population Health, Royal College of Surgeons Ireland, Dublin, Ireland.; Griffin A; School of Allied Health, University of Limerick, Limerick, Ireland.; Harrington JM; School of Public Health, University College Cork, Cork, Ireland.; Heary C; School of Psychology,University of Galway, Galway, Ireland.; Heneghan H; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Hogan A; Obesity Immunology Research Group, Maynooth University, Maynooth, Ireland.; Hynes M; Bariatric Medicine Service, Galway University Hospital, Galway, Ireland.; Kearney C; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Kelly D; School of Medicine, University of Limerick, Limerick, Ireland.; Neff K; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland.; le Roux CW; Diabetes Complications Research Centre, Conway Institute, University College Dublin, Dublin, Ireland.; Manning S; Department of Endocrinology, Cork University Hospital, Cork, Ireland.; McAuliffe F; School of Medicine, University College Dublin, Dublin, Ireland.; Moore S; Department of Psychiatry, St Vincent's University Hospital, Dublin, Ireland.; Moran N; Irish College of General Practitioners, Dublin, Ireland.; Murphy M; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; Irish Coalition for People Living with Obesity, Dublin, Ireland.; Murrin C; School of Public Health, Physiotherapy & Sports Science, University College Dublin, Dublin, Ireland.; O'Brien SM; Office of National Clinical Advisor, Integrated Care Programme for Prevention and Management of Chronic Disease, Dublin, Ireland.; O'Donnell C; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; O'Dwyer S; St Patricks University Hospital, Dublin, Ireland.; O'Grada C; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; O'Malley E; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; O'Reilly O; Centric Health, Limerick, Ireland.; O'Reilly S; School of Agriculture and Food Science, University College Dublin, Dublin, Ireland.; Porter O; Association for the Study of Obesity on the Island of Ireland, Dublin, Ireland.; School of Public Health, Physiotherapy & Sports Science, University College Dublin, Dublin, Ireland.; Roche HM; School of Public Health, Physiotherapy & Sports Science, University College Dublin, Dublin, Ireland.; Rhynehart A; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Ryan L; School of Psychology,University of Galway, Galway, Ireland.; Seery S; National Clinical Programme for Obesity, Dublin, Ireland.; Soare C; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Shaamile F; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Walsh A; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland.; Woods C; Department of Physical Education and Sports Science, University of Limerick, Limerick, Ireland.; Woods C; Department of Endocrinology, Naas General Hospital, Kildare, and Tallaght University Hospital, Dublin, Ireland.; Yoder R; Level 3 and 4 Obesity Services, St Columcille's and St Vincent's University Hospitals, Dublin, Ireland. |
| Source: | Obesity facts [Obes Facts] 2022; Vol. 15 (6), pp. 736-752. Date of Electronic Publication: 2022 Oct 24. |
| Publication Type: | Journal Article; Review; Research Support, Non-U.S. Gov't; Practice Guideline |
| Language: | English |
| Journal Info: | Publisher: Karger Country of Publication: Switzerland NLM ID: 101469429 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1662-4033 (Electronic) Linking ISSN: 16624025 NLM ISO Abbreviation: Obes Facts Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Basel : Karger |
| MeSH Terms: | Obesity*/therapy ; Obesity*/psychology ; Overweight*/therapy; Adult ; Humans ; Ireland ; Canada ; Weight Loss ; Chronic Disease |
| Abstract: | Background: This Clinical Practice Guideline (CPG) for the management of obesity in adults in Ireland, adapted from the Canadian CPG, defines obesity as a complex chronic disease characterised by excess or dysfunctional adiposity that impairs health. The guideline reflects substantial advances in the understanding of the determinants, pathophysiology, assessment, and treatment of obesity.; Summary: It shifts the focus of obesity management toward improving patient-centred health outcomes, functional outcomes, and social and economic participation, rather than weight loss alone. It gives recommendations for care that are underpinned by evidence-based principles of chronic disease management; validate patients' lived experiences; move beyond simplistic approaches of "eat less, move more" and address the root drivers of obesity.; Key Messages: People living with obesity face substantial bias and stigma, which contribute to increased morbidity and mortality independent of body weight. Education is needed for all healthcare professionals in Ireland to address the gap in skills, increase knowledge of evidence-based practice, and eliminate bias and stigma in healthcare settings. We call for people living with obesity in Ireland to have access to evidence-informed care, including medical, medical nutrition therapy, physical activity and physical rehabilitation interventions, psychological interventions, pharmacotherapy, and bariatric surgery. This can be best achieved by resourcing and fully implementing the Model of Care for the Management of Adult Overweight and Obesity. To address health inequalities, we also call for the inclusion of obesity in the Structured Chronic Disease Management Programme and for pharmacotherapy reimbursement, to ensure equal access to treatment based on health-need rather than ability to pay.; (© 2022 The Author(s). Published by S. Karger AG, Basel.) |
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| Grant Information: | Canada CIHR |
| Contributed Indexing: | Keywords: Clinical practice guideline; Ireland; Obesity |
| Entry Date(s): | Date Created: 20221024 Date Completed: 20221128 Latest Revision: 20260213 |
| Update Code: | 20260213 |
| PubMed Central ID: | PMC9801383 |
| DOI: | 10.1159/000527131 |
| PMID: | 36279848 |
| Database: | MEDLINE |
Journal Article; Review; Research Support, Non-U.S. Gov't; Practice Guideline