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<meta name="robots" content="INDEX,FOLLOW,NOARCHIVE,NOIMAGEINDEX" /><meta name="author" content="National Clinical Guideline Centre (UK)" /><meta name="citation_title" content="Obesity" /><meta name="citation_publisher" content="National Institute for Health and Care Excellence (NICE)" /><meta name="citation_date" content="2014/11" /><meta name="citation_author" content="National Clinical Guideline Centre (UK)" /><meta name="citation_pmid" content="25535639" /><meta name="citation_fulltext_html_url" content="https://www.ncbi.nlm.nih.gov/books/NBK264165/" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="Obesity" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="National Institute for Health and Care Excellence (NICE)" /><meta name="DC.Contributor" content="National Clinical Guideline Centre (UK)" /><meta name="DC.Date" content="2014/11" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK264165/" /><meta name="description" content="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." /><meta name="og:title" content="Obesity" /><meta name="og:type" content="book" /><meta name="og:description" content="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." /><meta name="og:url" content="https://www.ncbi.nlm.nih.gov/books/NBK264165/" /><meta name="og:site_name" content="NCBI Bookshelf" /><meta name="og:image" content="https://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-nicecg189-lrg.png" /><meta name="twitter:card" content="summary" /><meta name="twitter:site" content="@ncbibooks" /><meta name="bk-non-canon-loc" content="/books/n/nicecg189/toc/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK588750/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript">window.name="mainwindow";</script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script>
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<div class="pre-content"><div><div class="bk_prnt"><p class="small">NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.</p></div><div class="bk_msg_box bk_bttm_mrgn clearfix bk_noprnt"><div class="iconblock clearfix"><a class="img_link icnblk_img" title="Table of Contents Page" href="/books/n/nicecg189guid/"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-nicecg189guid-lrg.png" alt="Cover" height="100px" width="80px" /></a><div class="icnblk_cntnt"><ul class="messages"><li class="info icon"><span class="icon"><a href="/books/n/nicecg189guid/">A new version of this title is available</a></span></li></ul></div></div></div></div></div>
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<div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/Book"><div class="meta-content fm-sec"><div class="iconblock whole_rhythm clearfix no_top_margin"><a href="http://www.nice.org.uk/" title="National Institute for Health and Care Excellence (NICE)" class="img_link icnblk_img" ref="pagearea=logo&targetsite=external&targetcat=link&targettype=publisher"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-nicecg189-lrg.png" alt="Cover of Obesity" /></a><div class="icnblk_cntnt"><h1 id="_NBK264165_"><span itemprop="name">Obesity</span></h1><div class="subtitle">Identification, Assessment and Management of Overweight and Obesity in Children, Young People and Adults</div><p><b>Partial Update of CG43</b></p><p><i>NICE Clinical Guidelines, No. 189</i></p><p class="contrib-group"><h4>Authors</h4><span itemprop="author">National Clinical Guideline Centre (UK)</span>.</p><div class="half_rhythm">London: <a href="http://www.nice.org.uk/" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=publisher"><span itemprop="publisher">National Institute for Health and Care Excellence (NICE)</span></a>; <span itemprop="datePublished">2014 Nov</span>.</div><div><a href="/books/about/copyright/">Copyright</a> © National Clinical Guideline Centre, 2014.</div></div></div></div><div class="body-content whole_rhythm" itemprop="text"><div itemprop="description"><h2>Excerpt</h2><p>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.</p><p>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.</p></div><div><h2>Contents</h2><ul id="toc_tllNBK264165_toc_fm_sa1" class="simple-list toc toc-toggle"><li class="half_rhythm" id="toc_itm_NBK264165_toc_fm_sa1"><a class="toc-item" href="/books/n/nicecg189/fm.sa1/">National Clinical Guideline Centre</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_fm_ack"><a class="toc-item" href="/books/n/nicecg189/fm.ack/">Acknowledgements</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_fm_s6"><a class="toc-item" href="/books/n/nicecg189/fm.s6/">Guideline update</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch1"><a class="toc-item" href="/books/n/nicecg189/ch1/">1. Introduction</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch2"><a class="toc-item" href="/books/n/nicecg189/ch2/">2. Development of the guideline</a><ul id="toc_lst_NBK264165_toc_ch2" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch2_s1"><a class="toc-item" href="/books/n/nicecg189/ch2/#ch2.s1">2.1. What is a NICE clinical guideline?</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch2_s2"><a class="toc-item" href="/books/n/nicecg189/ch2/#ch2.s2">2.2. Remit</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch2_s3"><a class="toc-item" href="/books/n/nicecg189/ch2/#ch2.s3">2.3. Who developed this guideline?</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3"><a class="toc-item" href="/books/n/nicecg189/ch3/">3. Methods</a><ul id="toc_lst_NBK264165_toc_ch3" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3_s1"><a class="toc-item" href="/books/n/nicecg189/ch3/#ch3.s1">3.1. Amendments to 2006 text</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3_s2"><a class="toc-item" href="/books/n/nicecg189/ch3/#ch3.s2">3.2. Developing the review questions and outcomes</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3_s3"><a class="toc-item" href="/books/n/nicecg189/ch3/#ch3.s3">3.3. Searching for evidence</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3_s6"><a class="toc-item" href="/books/n/nicecg189/ch3/#ch3.s6">3.4. Evidence of effectiveness</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3_s19"><a class="toc-item" href="/books/n/nicecg189/ch3/#ch3.s19">3.5. Evidence of cost effectiveness</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch3_s26"><a class="toc-item" href="/books/n/nicecg189/ch3/#ch3.s26">3.6. Developing recommendations</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch4"><a class="toc-item" href="/books/n/nicecg189/ch4/">4. Guideline summary</a><ul id="toc_lst_NBK264165_toc_ch4" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch4_s1"><a class="toc-item" href="/books/n/nicecg189/ch4/#ch4.s1">4.1. Algorithm</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5"><a class="toc-item" href="/books/n/nicecg189/ch5/">5. Full list of recommendations</a><ul id="toc_lst_NBK264165_toc_ch5" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s1"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s1">5.1. Generic principles of care</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s5"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s5">5.2. Identification and classification of overweight and obesity</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s6"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s6">5.3. Measures of overweight and obesity</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s9"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s9">5.4. Classification of overweight and obesity</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s12"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s12">5.5. Assessment</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s16"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s16">5.6. Lifestyle interventions</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s20"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s20">5.7. Behavioural interventions</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s24"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s24">5.8. Physical activity</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s27"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s27">5.9. Dietary</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s31"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s31">5.10. Pharmacological interventions</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s34"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s34">5.11. Continued prescribing and withdrawal</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s38"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s38">5.12. Surgical interventions</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s41"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s41">5.13. Bariatric surgery in people with recent onset type 2 diabetes</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s42"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s42">5.14. Follow up care</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s43"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s43">5.15. Key research recommendations</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch5_s49"><a class="toc-item" href="/books/n/nicecg189/ch5/#ch5.s49">5.16. How this clinical guideline was updated</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch6"><a class="toc-item" href="/books/n/nicecg189/ch6/">6. Very-low-calorie diets</a><ul id="toc_lst_NBK264165_toc_ch6" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch6_s1"><a class="toc-item" href="/books/n/nicecg189/ch6/#ch6.s1">6.1. Introduction</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch6_s2"><a class="toc-item" href="/books/n/nicecg189/ch6/#ch6.s2">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?</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch7"><a class="toc-item" href="/books/n/nicecg189/ch7/">7. Bariatric surgery in people with recent-onset type 2 diabetes</a><ul id="toc_lst_NBK264165_toc_ch7" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch7_s1"><a class="toc-item" href="/books/n/nicecg189/ch7/#ch7.s1">7.1. Introduction</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch8"><a class="toc-item" href="/books/n/nicecg189/ch8/">8. Follow-up care packages</a><ul id="toc_lst_NBK264165_toc_ch8" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch8_s1"><a class="toc-item" href="/books/n/nicecg189/ch8/#ch8.s1">8.1. Introduction</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_ch8_s12"><a class="toc-item" href="/books/n/nicecg189/ch8/#ch8.s12">8.2. Evidence statements</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_references"><a class="toc-item" href="/books/n/nicecg189/references/">9. Reference list</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_acronyms_s1"><a class="toc-item" href="/books/n/nicecg189/acronyms.s1/">10. Acronyms and abbreviations</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_glossary"><a class="toc-item" href="/books/n/nicecg189/glossary/">11. Glossary</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appendixes_appgroup1"><a class="toc-item" href="/books/n/nicecg189/appendixes.appgroup1/">Appendices</a><ul id="toc_lst_NBK264165_toc_appendixes_appgroup1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK264165_toc_appa"><a class="toc-item" href="/books/n/nicecg189/appa/">Appendix A. Scope</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appb"><a class="toc-item" href="/books/n/nicecg189/appb/">Appendix B. Declarations of interest</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appc"><a class="toc-item" href="/books/n/nicecg189/appc/">Appendix C. Review protocols</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appd"><a class="toc-item" href="/books/n/nicecg189/appd/">Appendix D. Clinical article selection</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appe"><a class="toc-item" href="/books/n/nicecg189/appe/">Appendix E. Economic article selection</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appf"><a class="toc-item" href="/books/n/nicecg189/appf/">Appendix F. Literature search strategies</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appg"><a class="toc-item" href="/books/n/nicecg189/appg/">Appendix G. Clinical evidence tables</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_apph"><a class="toc-item" href="/books/n/nicecg189/apph/">Appendix H. Economic evidence tables</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appi"><a class="toc-item" href="/books/n/nicecg189/appi/">Appendix I. Forest plots</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appj"><a class="toc-item" href="/books/n/nicecg189/appj/">Appendix J. Excluded clinical studies</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appk"><a class="toc-item" href="/books/n/nicecg189/appk/">Appendix K. Excluded economic studies</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appl"><a class="toc-item" href="/books/n/nicecg189/appl/">Appendix L. Research recommendations</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appm"><a class="toc-item" href="/books/n/nicecg189/appm/">Appendix M. Obesity 2006 Full Guideline</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appn"><a class="toc-item" href="/books/n/nicecg189/appn/">Appendix N. Obesity 2006 Appendices</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appo"><a class="toc-item" href="/books/n/nicecg189/appo/">Appendix O. GRADE tables</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appp"><a class="toc-item" href="/books/n/nicecg189/appp/">Appendix P. Obesity 2006 Short Guideline</a></li><li class="half_rhythm" id="toc_itm_NBK264165_toc_appq"><a class="toc-item" href="/books/n/nicecg189/appq/">Appendix Q. Recommendations from NICE clinical guideline 43 (2006) that have been deleted or changed</a></li></ul></li></ul></div><div><b>Funding:</b> National Institute for Health and Care Excellence</div><div><p><b>Disclaimer:</b> Healthcare professionals are expected to take NICE clinical guidelines fully into account when exercising their clinical judgement. However, the guidance does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of each patient, in consultation with the patient and/or their guardian or carer.</p></div></div></div>
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<div class="post-content"><div><div class="half_rhythm"><a href="/books/about/copyright/">Copyright</a> © National Clinical Guideline Centre, 2014.</div><div class="small"><span class="label">Bookshelf ID: NBK264165</span><span class="label">PMID: <a href="https://pubmed.ncbi.nlm.nih.gov/25535639" title="PubMed record of this title" ref="pagearea=meta&targetsite=entrez&targetcat=link&targettype=pubmed">25535639</a></span></div><div style="margin-top:2em" class="bk_noprnt"><div class="pagination bk_noprnt"><span class="inactive page_link prev">< Prev</span><a class="active page_link next" href="/books/n/nicecg189/fm.sa1/" title="Next page in this title">Next ></a></div></div></div></div>
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<script type="text/javascript" src="/portal/portal3rc.fcgi/rlib/js/InstrumentNCBIBaseJS/InstrumentPageStarterJS.js"> </script>
|
||
</div>
|
||
</div>
|
||
<!--/.page-->
|
||
</div>
|
||
<!--/.wrap-->
|
||
</div><!-- /.twelve_col -->
|
||
</div>
|
||
<!-- /.grid -->
|
||
|
||
<span class="PAFAppResources"></span>
|
||
|
||
<!-- BESelector tab -->
|
||
|
||
|
||
|
||
<noscript><img alt="statistics" src="/stat?jsdisabled=true&ncbi_db=books&ncbi_pdid=book-toc&ncbi_acc=NBK264165&ncbi_domain=nicecg189&ncbi_report=printable&ncbi_type=fulltext&ncbi_objectid=&ncbi_pcid=/NBK264165/?report=printable&ncbi_app=bookshelf" /></noscript>
|
||
|
||
|
||
<!-- usually for JS scripts at page bottom -->
|
||
<!--<component id="PageFixtures" label="styles"></component>-->
|
||
|
||
|
||
<!-- CE8B5AF87C7FFCB1_0191SID /projects/books/PBooks@9.11 portal106 v4.1.r689238 Tue, Oct 22 2024 16:10:51 -->
|
||
<span id="portal-csrf-token" style="display:none" data-token="CE8B5AF87C7FFCB1_0191SID"></span>
|
||
|
||
<script type="text/javascript" src="//static.pubmed.gov/portal/portal3rc.fcgi/4216699/js/3879255/4121861/3501987/4008961/3893018/3821238/3400083/3426610.js" snapshot="books"></script></body>
|
||
</html> |