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Obesity Management

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1. Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome: A Workshop Report

Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome: A Workshop Report AMERICANTHORACICSOCIETY DOCUMENTS KnowledgeGapsinthePerioperativeManagementofAdultswith ObstructiveSleepApneaandObesityHypoventilationSyndrome An Of?cial American Thoracic Society Workshop Report Najib T. Ayas, Cheryl R. Laratta, John M. Coleman, Anthony G. Doufas, Matthias Eikermann, Peter C. Gay, Daniel J. Gottlieb, Indira Gurubhagavatula, David R. Hillman, Roop Kaw, Atul Malhotra (...) syndrome? Introduction Methods Committee Composition Workshop Structure and Literature Review Document Development Perioperative Outcomes of Patients with Sleep- disordered Breathing Screening for Obstructive Sleep Apnea in Surgical Patients Obstructive Sleep Apnea Endotypes and Potential Relevance in the Perioperative Period Role of Algorithms in the Perioperative Management of Obstructive Sleep Apnea and Obesity Hypoventilation Syndrome Perioperative Use of Positive Airway Pressure Obesity

2018 American Thoracic Society

2. The Obesity Paradox in Kidney Disease: How to Reconcile It With Obesity Management (PubMed)

The Obesity Paradox in Kidney Disease: How to Reconcile It With Obesity Management Obesity, a risk factor for de novo chronic kidney disease (CKD), confers survival advantages in advanced CKD. This so-called obesity paradox is the archetype of the reverse epidemiology of cardiovascular risks, in addition to the lipid, blood pressure, adiponectin, homocysteine, and uric acid paradoxes. These paradoxical phenomena are in sharp contradistinction to the known epidemiology of cardiovascular risks (...) in the general population. In addition to advanced CKD, the obesity paradox has also been observed in heart failure, chronic obstructive lung disease, liver cirrhosis, and metastatic cancer, as well as in the elderly. These are populations in whom protein-energy wasting and inflammation are strong predictors of early death. Both larger muscle mass and higher body fat provide longevity in these patients, whereas thinner body habitus and weight loss are associated with higher mortality. Muscle mass appears

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2017 Kidney international reports

3. Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition

Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition Assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition Guideline Updates for the Integrated Management of Childhood Illness (IMCI)GUIDELINE Assessing and managing children at primary health-care facilities to prevent overweight and obesity (...) in the context of the double burden of malnutrition UPDATES FOR THE INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS (IMCI)Guideline: assessing and managing children at primary health-care facilities to prevent overweight and obesity in the context of the double burden of malnutrition. Updates for the Integrated Management of Childhood Illness (IMCI) ISBN 978-92-4-155012-3 © World Health Organization 2017 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial- ShareAlike

2017 World Health Organisation Guidelines

4. Cost-Effectiveness of Total Knee Arthroplasty vs Nonoperative Management in Normal, Overweight, Obese, Severely Obese, Morbidly Obese, and Super-Obese Patients: A Markov Model. (PubMed)

Cost-Effectiveness of Total Knee Arthroplasty vs Nonoperative Management in Normal, Overweight, Obese, Severely Obese, Morbidly Obese, and Super-Obese Patients: A Markov Model. We estimated the cost-effectiveness of performing total knee arthroplasty (TKA) vs nonoperative management (NM) among 6 body mass index (BMI) cohorts.A Markov model was used to compare the cost-utility of TKA and NM in 6 BMI groups (nonobese [BMI 18.5-24.9], overweight [25-29.9], obese [30-34.9], severely obese [35-39.9 (...) ], morbidly obese [40-49.9], and super-obese [50+] patients) over a 15-year period. Model parameters for transition probability (ie, revision, re-revision, death), utility, and costs were estimated from the literature. Direct medical costs but not indirect societal costs were included in the model. Costs and utilities were discounted 3% annually. The primary outcome was the incremental cost-effectiveness ratio (ICER) of TKA vs NM. One-way and probabilistic sensitivity analyses of the model parameters were

2018 Journal of Arthroplasty

5. Cost-Effectiveness of Total Hip Arthroplasty Versus Nonoperative Management in Normal, Overweight, Obese, Severely Obese, Morbidly Obese, and Super Obese Patients: A Markov Model. (PubMed)

Cost-Effectiveness of Total Hip Arthroplasty Versus Nonoperative Management in Normal, Overweight, Obese, Severely Obese, Morbidly Obese, and Super Obese Patients: A Markov Model. We estimated the cost-effectiveness of performing total hip arthroplasty (THA) vs nonoperative management (NM) among 6 body mass index (BMI) cohorts.We constructed a state-transition Markov model to compare the cost utility of THA and NM in the 6 BMI groups over a 15-year period. Model parameters for transition (...) probability (risk of revision, re-revision, and death), utility, and costs (inflation adjusted to 2017 US dollars) were estimated from the literature. Direct medical costs of managing hip arthritis were accounted in the model. Indirect societal costs were not included. A 3% annual discount rate was used for costs and utilities. The primary outcome was the incremental cost-effectiveness ratio (ICER) of THA vs NM. One-way and Monte Carlo probabilistic sensitivity analyses of the model parameters were

2018 Journal of Arthroplasty

6. Obesity Management Task Force of the European Association for the Study of Obesity Released "Practical Recommendations for the Post-Bariatric Surgery Medical Management". (PubMed)

Obesity Management Task Force of the European Association for the Study of Obesity Released "Practical Recommendations for the Post-Bariatric Surgery Medical Management". Bariatric patients may face specific clinical problems after surgery, and multidisciplinary long-term follow-up is usually provided in specialized centers. However, physicians, obstetricians, dieticians, nurses, clinical pharmacists, midwives, and physical therapists not specifically trained in bariatric medicine may encounter (...) post-bariatric patients with specific problems in their professional activity. This creates a growing need for dissemination of first level knowledge in the management of bariatric patients. Therefore, the Obesity Management Task Force (OMTF) of the European Association for the Study of Obesity (EASO) decided to produce and disseminate a document containing practical recommendations for the management of post-bariatric patients. The list of practical recommendations included in the EASO/OMTF

2018 Obesity Surgery

7. Weight management: lifestyle services for overweight or obese adults

Weight management: lifestyle services for overweight or obese adults W Weight management: lifestyle services eight management: lifestyle services for o for ov verweight or obese adults erweight or obese adults Public health guideline Published: 28 May 2014 nice.org.uk/guidance/ph53 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent (...) . Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Weight management: lifestyle services for overweight or obese adults (PH53) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

8. Obesity: identification, assessment and management

Obesity: identification, assessment and management Obesity: identification, assessment and Obesity: identification, assessment and management management Clinical guideline Published: 27 November 2014 nice.org.uk/guidance/cg189 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful (...) in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Obesity: identification, assessment and management (CG189) © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 64Contents

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

9. Genomics and Obesity: We Need Both Population and Individualized Approaches in the Prevention and Management of Obesity

Genomics and Obesity: We Need Both Population and Individualized Approaches in the Prevention and Management of Obesity Genomics and Obesity: We Need Both Population and Individualized Approaches in the Prevention and Management of Obesity | | Blogs | CDC Search Form Controls TOPIC ONLY Search The CDC cancel submit Search Form Controls TOPIC ONLY Search The CDC cancel submit Note: Javascript is disabled or is not supported by your browser. For this reason, some items on this page (...) will be unavailable. For more information about this message, please visit this page: . About this Site Get Email Updates To receive email updates about this page, enter your email address: Enter Email Address Submit Button Genomics and Obesity: We Need Both Population and Individualized Approaches in the Prevention and Management of Obesity Posted on January 29, 2018 by Muin J, Khoury, Office of Public Health Genomics, Centers for Disease Control and Prevention, Atlanta, Georgia Obesity is a serious, global

2018 CDC Genomics and Health Impact Blog

10. Effects of a new intervention based on the Health at Every Size approach for the management of obesity: The "Health and Wellness in Obesity" study. (PubMed)

Effects of a new intervention based on the Health at Every Size approach for the management of obesity: The "Health and Wellness in Obesity" study. Health at Every Size® (HAES®) is a weight-neutral approach focused on promoting healthy behaviors in people with different body sizes. This study examined multiple physiological, attitudinal, nutritional, and behavioral effects of a newly developed, intensive, interdisciplinary HAES®-based intervention in obese women. This was a prospective, seven

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2018 PLoS ONE

11. Efficacy of Endoscopic Interventions for the Management of Obesity: a Meta-analysis to Compare Endoscopic Sleeve Gastroplasty, AspireAssist, and Primary Obesity Surgery Endolumenal. (PubMed)

Efficacy of Endoscopic Interventions for the Management of Obesity: a Meta-analysis to Compare Endoscopic Sleeve Gastroplasty, AspireAssist, and Primary Obesity Surgery Endolumenal. Novel endoscopic procedures (endoscopic sleeve gastroplasty (ESG), AspireAssist (AA), and primary obesity surgery endolumenal (POSE)) have been developed for treatment of obesity. We aimed to conduct a systematic review and meta-analysis to evaluate and compare the efficacy of these three endoscopic procedures.Main

2019 Obesity Surgery

12. Is reducing appetite beneficial for body weight management in the context of overweight and obesity? A systematic review and meta-analysis from clinical trials assessing body weight management after exposure to satiety enhancing and/or hunger reducing pro (PubMed)

Is reducing appetite beneficial for body weight management in the context of overweight and obesity? A systematic review and meta-analysis from clinical trials assessing body weight management after exposure to satiety enhancing and/or hunger reducing pro This review aims to investigate whether interventions that enhance satiety and/or reduce hunger lead to beneficial effects on body weight management in the context of overweight and obesity. A comprehensive review protocol was prepared before (...) are supported to improve body weight management, but studies specifically designed to demonstrate a causal link remain needed.© 2019 World Obesity Federation.

2019 Obesity Reviews

13. Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management (PubMed)

Practical Recommendations of the Obesity Management Task Force of the European Association for the Study of Obesity for the Post-Bariatric Surgery Medical Management Bariatric surgery is today the most effective long-term therapy for the management of patients with severe obesity, and its use is recommended by the relevant guidelines of the management of obesity in adults. Bariatric surgery is in general safe and effective, but it can cause new clinical problems and is associated with specific (...) diagnostic, preventive and therapeutic needs. For clinicians, the acquisition of special knowledge and skills is required in order to deliver appropriate and effective care to the post-bariatric patient. In the present recommendations, the basic notions needed to provide first-level adequate medical care to post-bariatric patients are summarised. Basic information about nutrition, management of co-morbidities, pregnancy, psychological issues as well as weight regain prevention and management is derived

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2017 Obesity facts

14. Contributory Risk and Management of Comorbidities of Hypertension, Obesity, Diabetes Mellitus, Hyperlipidemia, and Metabolic Syndrome in Chronic Heart Failure: A Scientific Statement From the American Heart Association

Contributory Risk and Management of Comorbidities of Hypertension, Obesity, Diabetes Mellitus, Hyperlipidemia, and Metabolic Syndrome in Chronic Heart Failure: A Scientific Statement From the American Heart Association Circulation. 2016;134:e535–e578. DOI: 10.1161/CIR.0000000000000450 December 6, 2016 e535 CLINICAL STATEMENTS AND GUIDELINES T he comorbidities of hypertension, diabetes mellitus, obesity, hyperlipidemia, and metabolic syndrome are common in patients with heart failure (HF (...) of overweight and obesity 6 in the general population and in patients with increased cardiovascular risk, and a recent report from the Eighth Joint Na- tional Committee addressed the management of hypertension. 7 However, these guidelines did not specifically address the management of such comorbidities in patients with HF. Similarly, the most recent ACCF/AHA HF practice guidelines 8 in 2013 addressed the overall management of comorbidities in patients with HF in broad terms, but again, specific

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2016 American Heart Association

15. Pharmacological Management of Obesity

Pharmacological Management of Obesity Pharmacological Management of Obesity | National Guideline Clearinghouse success fail JUL Aug 12 2018 2019 30 Sep 2016 - 13 Jul 2018 COLLECTED BY Organization: Formed in 2009, the Archive Team (not to be confused with the archive.org Archive-It Team) is a rogue archivist collective dedicated to saving copies of rapidly dying or deleted websites for the sake of history and digital heritage. The group is 100% composed of volunteers and interested parties (...) have an account? The AHRQ National Guideline Clearinghouse (NGC, guideline.gov) Web site will not be available after July 16, 2018 because federal funding through AHRQ will no longer be available to support the NGC as of that date. For additional information, read our . Guideline Synthesis Pharmacological Management of Obesity Guidelines Being Compared: Department of Veterans Affairs (VA) VA/DoD clinical practice guideline for screening and management of overweight and obesity. 2014 Jan 01

2016 National Guideline Clearinghouse (partial archive)

16. Obesity Prevention and Management

Obesity Prevention and Management 1 Quality Department Guidelines for Clinical Care Ambulatory Obesity Guideline Team Team Leader Kelly A Orringer, MD Pediatrics Team Members R Van Harrison, PhD Medical Education Satyen S Nichani, MBBS General Medicine Margaret A Riley, MD Family Medicine Amy E Rothberg, MD Endocrinology Lori E Trudeau, MS, RD Nutrition Services Yvette White, RN, CPNP, MS, MHSA Ambulatory Care Services Initial Release July, 2013 Minor/Interim Revision July, 2016 Ambulatory (...) of the circumstances presented by the patient. Obesity Prevention and Management Patient population: Patients aged 2 years and older seen in primary care Objectives: Prevention of obesity in patients and weight management in overweight and obese patients Key points Problem. One-third or more of American adults, adolescents, and children are obese. Obesity rates have tripled in one generation, resulting in increases in associated medical comorbidities and care costs. [C]. Weight classification. BMI (body mass index

2016 University of Michigan Health System

17. Weight management: lifestyle services for overweight or obese children and young people

Weight management: lifestyle services for overweight or obese children and young people W Weight management: lifestyle services eight management: lifestyle services for o for ov verweight or obese children and erweight or obese children and y young people oung people Public health guideline Published: 23 October 2013 nice.org.uk/guidance/ph47 © NICE 2018. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our (...) of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Weight management: lifestyle services for overweight or obese children and young people (PH47) © NICE 2018. All rights

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

18. Recommendations for growth monitoring, prevention and management of overweight and obesity in children and youth in primary health care 2015

Recommendations for growth monitoring, prevention and management of overweight and obesity in children and youth in primary health care 2015 Guidelines CMAJ ©2015 8872147 Canada Inc. or its licensors CMAJ, April 7, 2015, 187(6) 411 CME T he prevalence of obesity in Canadian children has risen dramatically from the late 1970s, more than doubling among both boys and girls. 1 Based on growth curves generated by the World Health Organization, the prevalence of overweight and obesity in Canadian (...) with an increased risk of cardiovas- cular disease and diabetes in adolescence 7 and later in life. 8,9 It is now recognized that obesity is a complex problem that will require action from multiple sectors and “systems thinking.” 10 Within primary care, the chronic disease model has been proposed as a framework for managing obesity, supporting children and families to manage body weight over time. 10 For childhood obesity, the complexity may include parents’ knowledge, parenting style and the family activity

2015 CPG Infobase

19. Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care

Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care Guidelines CMAJ ©2015 8872147 Canada Inc. or its licensors CMAJ 1 T he prevalence of obesity in adults has increased worldwide and has almost dou- bled in Canada, from 14% in 1978/79 1 to 26% in 2009–2011, 2 with 2% of men and 5% of women having a body mass index (BMI) score greater than 40 (Appendix 1, available at www .cmaj.ca/lookup (...) a healthy weight, increase physical activity and eat a healthy diet. 10 Primary care providers have an important role in preventing and managing obesity through services offered to patients. Overweight or obese status is commonly assessed using the BMI. The internationally rec- ognized cut-off BMI values for adults are as fol- lows: underweight (< 18.5), normal weight (18.5–24.9), overweight (25–29.9) and obese (= 30). The obese category is further broken down by BMI into class I (30.0–34.9), class II

2015 CPG Infobase

20. Awareness, Care, and Treatment In Obesity Management of Patients With Hemophilia (ACTION) to Inform Hemophilia Obesity Patient Empowerment (HOPE)

Awareness, Care, and Treatment In Obesity Management of Patients With Hemophilia (ACTION) to Inform Hemophilia Obesity Patient Empowerment (HOPE) Awareness, Care, and Treatment In Obesity Management of Patients With Hemophilia (ACTION) to Inform Hemophilia Obesity Patient Empowerment (HOPE) - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save (...) this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Awareness, Care, and Treatment In Obesity Management of Patients With Hemophilia (ACTION) to Inform Hemophilia Obesity Patient Empowerment (HOPE) (ACTION to HOPE) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our

2018 Clinical Trials

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