Prevention of Obesity among Adults: Evidence- and Consensus-Based Guideline.

IF 3.9 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Obesity Facts Pub Date : 2025-05-22 DOI:10.1159/000546415

Peter von Philipsborn, Melanie Bahlke, Christina Breidenassel, Christina Holzapfel, Christine Joisten, Sandra Plachta-Danielzik, Monika Nothacker, Diana Rubin, Marion Rung-Friebe, Martina de Zwaan, Hans Hauner

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引用次数: 0

Abstract

Background: The prevalence of obesity is rising globally. Evidence-informed guidance on preventing obesity is needed, but most existing obesity guidelines are focussed on treatment.

Methods: We developed an evidence- and consensus-based guideline on the prevention of obesity among adults. Following international best practice recommendations for guideline development, we systematically searched for relevant systematic reviews and conducted a structured consensus process involving 34 experts including 5 patient representatives. The guideline's target group is the adult population of Germany, but most recommendations are likely to be applicable internationally.

Results: We developed 24 recommendations for the general public, health care professionals, and policy makers. The guideline recommends, among others, a healthy diet in line with existing food-based dietary guidelines, regular physical activity, as well as appropriate sleep and stress management. Smoking cessation is recommended even when associated with weight gain. Offering qualified advice and counselling on diet and physical activity to all individuals in primary care is suggested. Potential effects of medication on body weight should be considered in prescription decisions. Implementation of evidence-informed policies for promoting healthy food and physical activity environments is recommended.

Conclusions: Evidence-based approaches for preventing obesity on the individual and societal levels exist and should be implemented more widely.

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预防成人肥胖：基于证据和共识的指南。

背景：肥胖症的患病率在全球范围内呈上升趋势。预防肥胖的循证指导是必要的，但大多数现有的肥胖指南都侧重于治疗。方法：我们制定了一个基于证据和共识的成人肥胖预防指南。根据指南制定的国际最佳实践建议，我们系统地检索了相关的系统评价，并进行了有34名专家参与的结构化共识过程，其中包括5名患者代表。该指南的目标人群是德国的成年人口，但大多数建议可能适用于国际。结果：我们为公众、卫生保健专业人员和政策制定者提出了24条建议。除其他外，该指南建议按照现有的以食物为基础的饮食指南进行健康饮食，定期进行身体活动，以及适当的睡眠和压力管理。即使与体重增加有关，也建议戒烟。建议向所有初级保健人员提供关于饮食和身体活动的合格建议和咨询。在决定处方时应考虑药物对体重的潜在影响。建议实施循证政策，促进健康食品和体育活动环境。结论：以证据为基础的预防肥胖的方法在个人和社会层面都存在，并应更广泛地实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Facts 医学-内分泌学与代谢

CiteScore

6.80

自引率

5.60%

发文量

审稿时长

6-12 weeks

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.