Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland.
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Authors
Breen, Cathy
O'Connell, Jean
Geoghegan, Justin
O'Shea, Donal
Birney, Susie
Tully, Louise
Gaynor, Karen
O'Kelly, Mark
O'Malley, Grace
O'Donovan, Clare
Issue Date
2022-10-24
Type
Journal Article
Review
Research Support, Non-U.S. Gov't
Review
Research Support, Non-U.S. Gov't
Language
en
Keywords
Clinical practice guideline , Ireland , Obesity
Alternative Title
Abstract
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.
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.
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.
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.
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.
Description
Citation
Breen, C., O'Connell, J., Geoghegan, J., O'Shea, D., Birney, S., Tully, L., Gaynor, K., O'Kelly, M., O'Malley, G., O'Donovan, C., Lyons, O., Flynn, M., Allen, S., Arthurs, N., Browne, S., Byrne, M., Callaghan, S., Collins, C., Courtney, A., Crotty, M., … Yoder, R. (2022). Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland. Obesity facts, 15(6), 736–752. https://doi.org/10.1159/000527131
Publisher
License
© 2022 The Author(s). Published by S. Karger AG, Basel.
Journal
Obesity facts
Volume
15
Issue
6
PubMed ID
ISSN
1662-4033