Obesity in adults: a 2022 adapted clinical practice guideline for Ireland

dc.contributor.authorBreen, Cathy
dc.contributor.authorO'Connell, Jean
dc.contributor.authorGeoghegan, Justin
dc.contributor.authorO'Shea, Donal
dc.contributor.authorBirney, Susie
dc.contributor.authorTully, Louise
dc.contributor.authorGaynor, Karen
dc.contributor.authorO'Kelly, Mark
dc.contributor.authorO'Malley, Grace
dc.contributor.authorO'Donovan, Claire
dc.contributor.authorLyons, Oonagh
dc.contributor.authorFlynn, Mary
dc.contributor.authorAllen, Suzanne
dc.contributor.authorArthurs, Niamh
dc.contributor.authorBrowne, Sarah
dc.contributor.authorByrne, Molly
dc.contributor.authorCallaghan, Shauna
dc.contributor.authorCollins, Chris
dc.contributor.authorCourtney, Aoife
dc.contributor.authorCrotty, Michael
dc.contributor.authorDonohue, Ciara
dc.contributor.authorDonovan, Caroline
dc.contributor.authorDunlevy, Colin
dc.contributor.authorDuggan, Diarmuid
dc.contributor.authorFearon, Naomi
dc.contributor.authorFinucane, Francis
dc.contributor.authorFitzgerald, Ita
dc.contributor.authorFoy, Siobhan
dc.contributor.authorGarvey, John
dc.contributor.authorGibson, Irene
dc.contributor.authorGlynn, Liam
dc.contributor.authorGregg, Edward
dc.contributor.authorGriffin, Anne
dc.contributor.authorHarrington, Janas M.
dc.contributor.authorHeary, Caroline
dc.contributor.authorHeneghan, Helen
dc.contributor.authorHogan, Andrew
dc.contributor.authorHynes, Mary
dc.contributor.authorKearney, Claire
dc.contributor.authorKelly, Dervla
dc.contributor.authorNeff, Karl
dc.contributor.authorle Roux, Carel W.
dc.contributor.authorManning, Sean
dc.contributor.authorMcAuliffe, Fionnuala
dc.contributor.authorMoore, Susan
dc.contributor.authorMoran, Niamh
dc.contributor.authorMurphy, Maura
dc.contributor.authorMurrin, Celine
dc.contributor.authorO'Brien, Sarah M.
dc.contributor.authorO'Donnell, Caitrí­ona
dc.contributor.authorO'Dwyer, Sarah
dc.contributor.authorO'Grada, Cara
dc.contributor.authorO'Malley, Emer
dc.contributor.authorO'Reilly, Orlaith
dc.contributor.authorO'Reilly, Sharleen
dc.contributor.authorPorter, Olivia
dc.contributor.authorRoche, Helen M.
dc.contributor.authorRhynehart, Amanda
dc.contributor.authorRyan, Leona
dc.contributor.authorSeery, Suzanne
dc.contributor.authorSoare, Corina
dc.contributor.authorShaamile, Ferrah
dc.contributor.authorWalsh, Abigail
dc.contributor.authorWoods, Catherine
dc.contributor.authorWoods, Conor
dc.contributor.authorYoder, Ruth
dc.contributor.funderCanadian Institutes of Health Researchen
dc.description.abstractThis Clinical Practice Guideline (CPG) for the management of obesity in adults in Ireland, adapted from the Canadian CPG, defines obesity as a complex chronic disease characterised by excess or dysfunctional adiposity that impairs health. The guideline reflects substantial advances in the understanding of the determinants, pathophysiology, assessment, and treatment of obesity. It shifts the focus of obesity management toward improving patient-centred health outcomes, functional outcomes, and social and economic participation, rather than weight loss alone. It gives recommendations for care that are underpinned by evidence-based principles of chronic disease management; validate patients' lived experiences; move beyond simplistic approaches of "eat less, move more" and address the root drivers of obesity. People living with obesity face substantial bias and stigma, which contribute to increased morbidity and mortality independent of body weight. Education is needed for all healthcare professionals in Ireland to address the gap in skills, increase knowledge of evidence-based practice, and eliminate bias and stigma in healthcare settings. We call for people living with obesity in Ireland to have access to evidence-informed care, including medical, medical nutrition therapy, physical activity and physical rehabilitation interventions, psychological interventions, pharmacotherapy, and bariatric surgery. This can be best achieved by resourcing and fully implementing the Model of Care for the Management of Adult Overweight and Obesity. To address health inequalities, we also call for the inclusion of obesity in the Structured Chronic Disease Management Programme and for pharmacotherapy reimbursement, to ensure equal access to treatment based on health-need rather than ability to pay.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.identifier.citationBreen, C., O’Connell, J., Geoghegan, J., O’Shea, D., Birney, S., Tully, L., Gaynor, K., O’Kelly, M., O’Malley, G., O’Donovan, C., Lyons, O., Flynn, M., Allen, S., Arthurs, N., Browne, S., Byrne, M., Callaghan, S., Collins, C., Courtney, A., Crotty, M., Donohue, C., Donovan, C., Dunlevy, C., Duggan, D., Fearon, N., Finucane, F., Fitzgerald, I., Foy, S., Garvey, J., Gibson, I., Glynn, L., Gregg, E., Griffin, A., Harrington, J.M., Heary, C., Heneghan, H., Hogan, A., Hynes, M., Kearney, C., Kelly, D., Neff, K., le Roux, C.W., Manning, S., McAuliffe, F., Moore, S., Moran, N., Murphy, M., Murrin, C., O’Brien, S.M., O’Donnell, C., O’Dwyer, S., O’Grada, C., O’Malley, E., O’Reilly, O., O’Reilly, S., Porter, O., Roche, H.M., Rhynehart, A., Ryan, L., Seery, S., Soare, C., Shaamile, F., Walsh, A., Woods, Catherine, Woods, Conor and Yoder, R. (2022) ‘Obesity in adults: a 2022 adapted clinical practice guideline for Ireland’, Obesity Facts, 15(6), pp. 736–752. doi: 10.1159/000527131en
dc.identifier.journaltitleObesity Factsen
dc.publisherS. Karger AGen
dc.rights© 2022 The Author(s). Published by S. Karger AG, Basel DOI: 10.1159/000527131 This is an Open Access article licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense), applicable to the online version of the article only. Usage and distribution for commercial purposes requires written permission.en
dc.subjectClinical practice guidelineen
dc.titleObesity in adults: a 2022 adapted clinical practice guideline for Irelanden
dc.typeArticle (peer-reviewed)en
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