The Saudi clinical practice guideline for the management of overweight and obesity in adults

被引：43

作者：

Alfadda, Assim A. ^{[1
,2
]}

Al-Dhwayan, Madhawi M. ^{[1
,4
]}

Alharbi, Abdulhameed A. ^{[7
,8
]}

Al Khudhair, Basema K. ^{[5
]}

Al Nozha, Omar M. ^{[9
]}

Al-Qahtani, Nawal M. ^{[10
]}

Alzahrani, Saad H. ^{[6
]}

Bardisi, Wedad M. ^{[11
]}

Sallam, Reem M. ^{[1
,3
]}

Riva, John J. ^{[12
]}

Brozek, Jan L. ^{[13
]}

Schunemann, Holger J. ^{[13
]}

Moore, Ainsley ^{[12
]}

机构：

[1] King Saud Univ, Obes Res Ctr, Riyadh, Saudi Arabia

[2] King Saud Univ, Dept Med, Riyadh, Saudi Arabia

[3] King Saud Univ, Dept Pathol, Clin Chem Unit, Riyadh, Saudi Arabia

[4] King Saud Univ, Coll Med, Dept Community Hlth Sci, Riyadh, Saudi Arabia

[5] King Saud Univ, Coll Appl Med Sci, Post Grad Program Family Med, Riyadh, Saudi Arabia

[6] King Fahad Med City Riyadh, Minist Hlth, Obes Endocrine & Metab Ctr, Riyadh, Saudi Arabia

[7] King Fahad Med City Riyadh, Dept Prevent Med, Riyadh, Saudi Arabia

[8] Yanbu Gen Hosp, Minist Hlth, Dept Prevent Med, Yanbu, Saudi Arabia

[9] Taibah Univ, Dept Med, Madinah, Saudi Arabia

[10] Minist Hlth, Family Med Post Grad Ctr, Khobar, Saudi Arabia

[11] Prince Abdul Majeed Hlth Ctr, Directorate Hlth Affairs, Directorate Publ Hlth, Jeddah, Saudi Arabia

[12] McMaster Univ, Dept Family Med, Hamilton, ON, Canada

[13] McMaster Univ, Dept Clin Epidemiol & Biostat & Med, Hamilton, ON, Canada

来源：

SAUDI MEDICAL JOURNAL | 2016年 / 37卷 / 10期

关键词：

LIFE-STYLE INTERVENTION; WEIGHT-LOSS; COST-EFFECTIVENESS; BARIATRIC SURGERY; TASK-FORCE; PREVENTION; RECOMMENDATIONS; STRENGTH; EXERCISE; THERAPY;

D O I：

10.15537/smj.2016.10.14353

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: To assist healthcare providers in evidence-based clinical decision-making for the management of overweight and obese adults in Saudi Arabia. Methods: The Ministry of Health, Riyadh, Kingdom of Saudi Arabia assembled an expert Saudi panel to produce this clinical practice guideline in 2015. In collaboration with the methodological working group from McMaster University, Hamilton, Canada, using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, which describes both the strength of recommendation and the quality of evidence Results: After identifying 11 questions, corresponding recommendations were agreed upon as guidance for the management of overweight and obese adults. These included strong recommendations in support of lifestyle interventions rather than usual care alone, individualized counseling interventions rather than generic educational pamphlets, physical activity rather than no physical activity, and physical activity in addition to diet rather than diet alone. Metformin and orlistat were suggested as conditional recommendations for the management of overweight and obesity in adults. Bariatric surgery was recommended, conditionally, for the management of obese adults (body mass index of >= 40 or >= 35 kg/m(2) with comorbidities). Conclusions: The current guideline includes recommendation for the non-pharmacological, pharmacological, and surgical management of overweight and obese adults. In addition, the panel recommends conducting research priorities regarding lifestyle interventions and economic analysis of drug therapy within the Saudi context, as well as long term benefits and harms of bariatric surgery.

引用

页码：1151 / 1162

页数：12