TAILIEUCHUNG - Obesity

Document "Obesity" presentation of content: General aspects, management of obesity, obesity in the elderly, cascades, stakeholders and management options, management options relative to available resources, pharmacotherapy, lifestyle changes, surgery, obesity and the elderly. | WGO Global Guideline Obesity full version 1 World Gastroenterology Organisation Global Guideline Obesity Review team Lisbeth Mathus-Vliegen co-chair The Netherlands James Toouli co-chair Australia Michael Fried Switzerland Aamir Ghafoor Khan Pakistan James Garisch South Africa Richard Hunt Canada Suleiman Fedail Sudan Davor Stimac Croatia Ton Lemair Netherlands Justus Krabshuis France External experts Pedro Kaufmann Uruguay Eve Roberts Canada Gabriele Riccardi Italy Contents 1 General aspects 2 Management of obesity 3 Obesity in the elderly 4 Cascades 5 Appendices and evidence World Gastroenterology Organisation 2011 WGO Global Guideline Obesity full version 2 1 General aspects Definitions Body mass index BMI weight in kilograms divided by the square of the individual s height in meters . The International Obesity Task Force IOTF definition of obesity based on Caucasians with a Western lifestyle sets cut-off points of 25 kg m2 for adult excess weight and 30 kg m2 for obesity. These BMI cut-off points are considered to have a more international basis than other definitions. The BMI index ranges for children and teenagers should take the normal differences in body fat between boys and girls and differences in body fat at various ages into account . Centers for Disease Control and Prevention CDC definition BMI 95th percentile for age overweight BMI between the 85th and 95th percentiles at risk of overweight European Childhood Obesity Group classification BMI 85th percentile for age overweight BMI 95th percentile for age obesity Key management points Diet and lifestyle modification with or without medications is the first step if this fails then surgery should be considered. The first treatment step is the basis for every subsequent step and consists of a diet a less sedentary lifestyle exercise and behavioral modification. If weight loss of 5-10 is not achieved within 6 months the next step is the same basic treatment combined with medication. The last step

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