Copyright © 2006, National Institute for Health and Clinical Excellence.
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Bookshelf ID: NBK63696PMID: 22497033
Obesity: The Prevention, Identification, Assessment and Management of Overweight and Obesity in Adults and Children
NICE Clinical Guidelines, No. 43
Centre for Public Health Excellence at NICE (UK); National Collaborating Centre for Primary Care (UK).
London: National Institute for Health and Clinical Excellence (UK); December 2006.
Excerpt
This is the first national guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children in England and Wales. The guidance aims to: stem the rising prevalence of obesity and diseases associated with it; increase the effectiveness of interventions to prevent overweight and obesity; improve the care provided to adults and children with obesity, particularly in primary care.
The recommendations are based on the best available evidence of effectiveness, including cost effectiveness. They include recommendations on the clinical management of overweight and obesity in the NHS, and advice on the prevention of overweight and obesity that applies in both NHS and non-NHS settings.
Contents
- Sibutramine (Reductil): marketing authorisation suspended
- Foreword
- Acknowledgements
- Abbreviations and glossary of terms
- Guidance Development Groups
- Registered stakeholder organisations
- Working with people to prevent and manage overweight and obesity: the issues
- Person-centred care: principles for health professionals
- Training
- Section 1. Executive summary, introduction and methods
- 1. Executive summary and recommendations
- 2. Development of the guidance
- 3. Obesity
- 4. Methodology
- 4.1 Introduction
- 4.2 The developers
- 4.3 Developing key questions
- 4.4 Identifying the evidence
- 4.5 Reviewing and grading the evidence
- 4.6 Developing recommendations
- 4.7 Relation between the guidance and technology appraisals
- 4.8 Relation between the guidance and national service frameworks
- 4.9 Relation between the guidance and ‘Choosing health’
- 4.10 External review
- References
- Section 2. Identification and classification
- Section 3. Prevention
- 6. Prevention evidence summary: determinants of weight gain and weight maintenance (‘energy balance’)
- 7. Prevention evidence summary: interventions to raise awareness
- 8. Prevention evidence summary: interventions for pre-school children and family-based interventions (‘early years’)
- 9. Prevention evidence summary: school-based interventions
- 10. Prevention evidence summary: workplace interventions
- 11. Prevention evidence summary: interventions led by health professionals (‘Community 1’)
- 12. Prevention evidence summary: broader community interventions (‘Community 2’)
- 13. Prevention evidence summary: interventions aimed at black, minority ethnic groups, vulnerable groups and vulnerable life stages (‘BMEGs’)
- Reference List
- Section 4. Management of obesity 1
- Section 5. Management of obesity 2
- Section 6. Health economics
- Section 7. Research recommendations
- Appendices
- Appendix 1 Scope of work
- Appendix 2 Key questions & review parameters
- Appendix 3 The effectiveness of public health interventions to identify individuals who would benefit
- Appendix 4 Determinants of weight gain and weight maintenance
- Appendix 5 Raising awareness of what constitutes a healthy weight range
- Appendix 6 The effectiveness of interventions to prevent weight gain or maintain a healthy weight in children aged between 2 and 5 years
- Appendix 7 School based interventions to prevent obesity
- Appendix 8 Workplace interventions to prevent obesity
- Appendix 9 Community-based interventions to prevent obesity
- Appendix 10 The effectiveness of broader community-based interventions to prevent obesity
- Appendix 11 The effectiveness of interventions to prevent weight gain targeted at black and minority ethnic groups, at vulnerable groups and at individuals at vulnerable life stages
- Appendix 12 Treatment of overweight and obesity in non clinical settings
- Appendix 13 Management of child obesity in clinical settings evidence tables
- Appendix 14 Management of child obesity in clinical settings excluded studies
- Appendix 15 Management of adult obesity in clinical settings evidence tables
- Appendix 16 Management of adult obesity in clinical settings excluded studies
- Appendix 17 Summary estimates for interventions
- Appendix 18 Health Economics: Public Health
- PDF version of this title (7.3M)
- Review Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with 'best practice' recommendations. [Obes Rev. 2006]
- Screening and Interventions for Childhood Overweight [ 2005]
- Screening and interventions for overweight in children and adolescents: recommendation statement. [Pediatrics. 2005]
- Review Screening and interventions for childhood overweight: a summary of evidence for the US Preventive Services Task Force. [Pediatrics. 2005]
- The obesity epidemic in Australia: can public health interventions work? [Asia Pac J Clin Nutr. 2003]
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