Obesity (National Clinical Guideline Centre for Acute and Chronic Conditions (Great Britain)) / National Clinical Guideline Centre for Acute and Chronic Conditions (Great Britain).

Format:

Book

Author/Creator:

National Clinical Guideline Centre for Acute and Chronic Conditions (Great Britain), author, issuing body.

Language:

English

Subjects (All):

Obesity in children.

Outcome assessment (Medical care).

Physical Description:

1 online resource (154 pages)

Place of Publication:

London : National Institute for Health and Care Excellence, 2014.

Summary:

NICE issued guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children in 2006 (CG43). This was a joint clinical and public health guideline developed by the National Collaborating Centre for Primary Care (now merged as part of the National Clinical Guidelines Centre) and NICE's Centre for Public Health Excellence. Despite the guidance, there remain significant variations in existing service provision for people with obesity and, in many places, the multicomponent programmes that are required for both prevention and treatment are limited. The 2013 Royal College of Physicians report "Action on obesity: comprehensive care for all" reported that access to surgery for obesity in some areas of the UK did not reflect the guideline recommendations. The 2006 guideline was reviewed for update in 2011, leading to this partial update. This guideline addresses 3 main areas - follow-up care packages after bariatric surgery; the role of bariatric surgery in the management of recent-onset type 2 diabetes; very-low-calorie diets including their effectiveness, safety and effective management strategies for maintaining weight loss after such diets.

Contents:

National Clinical Guideline Centre

Acknowledgements

Guideline update

1. Introduction

2. Development of the guideline

2.1. What is a NICE clinical guideline?

2.2. Remit

2.3. Who developed this guideline?

3. Methods

3.1. Amendments to 2006 text

3.2. Developing the review questions and outcomes

3.3. Searching for evidence

3.4. Evidence of effectiveness

3.5. Evidence of cost effectiveness

3.6. Developing recommendations

4. Guideline summary

4.1. Algorithm

5. Full list of recommendations

5.1. Generic principles of care

5.2. Identification and classification of overweight and obesity

5.3. Measures of overweight and obesity

5.4. Classification of overweight and obesity

5.5. Assessment

5.6. Lifestyle interventions

5.7. Behavioural interventions

5.8. Physical activity

5.9. Dietary

5.10. Pharmacological interventions

5.11. Continued prescribing and withdrawal

5.12. Surgical interventions

5.13. Bariatric surgery in people with recent onset type 2 diabetes

5.14. Follow up care

5.15. Key research recommendations

5.16. How this clinical guideline was updated

6. Very-low-calorie diets

6.1. Introduction

6.2. Review question: In people who are overweight or obese, what is the clinical and cost effectiveness of very-low-calorie diets in reducing weight?

7. Bariatric surgery in people with recent-onset type 2 diabetes

7.1. Introduction

8. Follow-up care packages

8.1. Introduction

8.2. Evidence statements

9. Reference list

10. Acronyms and abbreviations

11. Glossary

Appendices

Appendix A. Scope

Appendix B. Declarations of interest

Appendix C. Review protocols

Appendix D. Clinical article selection

Appendix E. Economic article selection

Appendix F. Literature search strategies

Appendix G. Clinical evidence tables

Appendix H. Economic evidence tables

Appendix I. Forest plots

Appendix J. Excluded clinical studies

Appendix K. Excluded economic studies

Appendix L. Research recommendations

Appendix M. Obesity 2006 Full Guideline

Appendix N. Obesity 2006 Appendices

Appendix O. GRADE tables

Appendix P. Obesity 2006 Short Guideline

Appendix Q. Recommendations from NICE clinical guideline 43 (2006) that have been deleted or changed.

Notes:

Description based on publisher supplied metadata and other sources.