Albert Lecube, Sharona Azriel, Esther Barreiro, Guadalupe Blay, Juana Carretero-Gómez, Andreea Ciudin, José Manuel Fernández, Lilliam Flores, Ana de Hollanda, Eva Martínez, Inka Miñambres, Violeta Moize, Cristóbal Morales, Violeta Ramírez, Javier Salvador, María José Soler, Marta Supervía, Víctor Valentí, Germán Vicente-Rodríguez, Nuria Vilarrasa, María M Malagón
{"title":"The Spanish GIRO guideline: a paradigm shift in the management of obesity in adults.","authors":"Albert Lecube, Sharona Azriel, Esther Barreiro, Guadalupe Blay, Juana Carretero-Gómez, Andreea Ciudin, José Manuel Fernández, Lilliam Flores, Ana de Hollanda, Eva Martínez, Inka Miñambres, Violeta Moize, Cristóbal Morales, Violeta Ramírez, Javier Salvador, María José Soler, Marta Supervía, Víctor Valentí, Germán Vicente-Rodríguez, Nuria Vilarrasa, María M Malagón","doi":"10.1159/000544880","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Current obesogenic environments, along with intrinsic factors, contribute to the obesity pandemic, which impacts the quality of life and healthcare for individuals with obesity. In addition, discrimination and stigma related to obesity remain widespread in our society. In this scenario, the Spanish Society for the Study of Obesity (SEEDO), in collaboration with 38 recognized scientific societies and 12 patients' organisation, have elaborated the Spanish guideline for obesity management in adults, referred to as the GIRO guideline. GIRO aims to drive a shift in obesity management and serve as a guide for healthcare professionals (HCPs) to address this chronic and multifactorial disease.</p><p><strong>Methods: </strong>A comprehensive systematic review was conducted and completed with experts' contribution, with a particular focus on Spanish society. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Experts selected the recommendations and determined their strength through consensus.</p><p><strong>Results: </strong>A total of 121 recommendations were proposed, including 32 adopted from the Canadian Adult Obesity Clinical Practice Guidelines and 89 specific recommendations created for the Spanish context, distributed across five areas of application: 1) Recognition of obesity as a chronic disease; 2) Obesity assessment; 3) Multidisciplinary approach to obesity treatment; 4) Recommendations for obesity management in special populations; and 5) Implementation of the GIRO guideline and future challenges.</p><p><strong>Conclusion: </strong>The GIRO recommendations are intended to serve as a useful and interactive tool for HCPs, policymakers and other stakeholders to ensure access to and quality of healthcare for individuals living with obesity.</p>","PeriodicalId":19414,"journal":{"name":"Obesity Facts","volume":" ","pages":"1-20"},"PeriodicalIF":3.9000,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Obesity Facts","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1159/000544880","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Current obesogenic environments, along with intrinsic factors, contribute to the obesity pandemic, which impacts the quality of life and healthcare for individuals with obesity. In addition, discrimination and stigma related to obesity remain widespread in our society. In this scenario, the Spanish Society for the Study of Obesity (SEEDO), in collaboration with 38 recognized scientific societies and 12 patients' organisation, have elaborated the Spanish guideline for obesity management in adults, referred to as the GIRO guideline. GIRO aims to drive a shift in obesity management and serve as a guide for healthcare professionals (HCPs) to address this chronic and multifactorial disease.
Methods: A comprehensive systematic review was conducted and completed with experts' contribution, with a particular focus on Spanish society. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Experts selected the recommendations and determined their strength through consensus.
Results: A total of 121 recommendations were proposed, including 32 adopted from the Canadian Adult Obesity Clinical Practice Guidelines and 89 specific recommendations created for the Spanish context, distributed across five areas of application: 1) Recognition of obesity as a chronic disease; 2) Obesity assessment; 3) Multidisciplinary approach to obesity treatment; 4) Recommendations for obesity management in special populations; and 5) Implementation of the GIRO guideline and future challenges.
Conclusion: The GIRO recommendations are intended to serve as a useful and interactive tool for HCPs, policymakers and other stakeholders to ensure access to and quality of healthcare for individuals living with obesity.
期刊介绍：
''Obesity Facts'' publishes articles covering all aspects of obesity, in particular epidemiology, etiology and pathogenesis, treatment, and the prevention of adiposity. As obesity is related to many disease processes, the journal is also dedicated to all topics pertaining to comorbidity and covers psychological and sociocultural aspects as well as influences of nutrition and exercise on body weight. The editors carefully select papers to present only the most recent findings in clinical practice and research. All professionals concerned with obesity issues will find this journal a most valuable update to keep them abreast of the latest scientific developments.
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