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Nice guidance obesity summary – Obesity: identification, assessment and management - NICE guideline

However, the NCMP uses the clinical cut-off points described above when providing feedback about the BMI of individual children to parents and carers.

Ethan Walker
Sunday, May 12, 2019
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  • See the guideline in development page for progress on the update. Read the guideline.

  • Health and public health practitioners such as GPs, practice nurses and community healthcare providers are nice guidance obesity summary that some black, Asian and other minority ethnic groups have an increased risk of type 2 diabetes. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

  • Prescribing should be started and monitored only in specialist paediatric settings In children aged 12 years and older, treatment with orlistat [I] is recommended only if physical comorbidities such as orthopaedic problems or sleep apnoea or severe psychological comorbidities are present. Only registered users can comment on this article.

Popular in guidance

Available from: www. The components of the planned weight management programme should be discussed and agreed with the person, and tailored to their preferences, initial fitness, health status, and lifestyle. Make the choice of activity with the child, and ensure it is appropriate to the child's ability and confidence. Details Type: Guideline. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes Who is it for?

Drugs which produce a feeling of satiety such as methylcellulose and sterculia [unlicensed indications] have been used in an attempt to control appetite, but there is obsity evidence for their efficacy. Provide contact details nice guidance obesity summary that the person can get in touch when gukdance are ready Adults Encourage the person's partner or spouse to support any weight management programme Base the level of intensity of the intervention on the level of risk and the potential to gain health benefits Children Be aware that the aim of weight management programmes for children and young people can vary. They can influence venues in the community such as leisure centres and services provided by commercial organisations to have a positive impact on the diet of adults using them. Adults can find published information about their local lifestyle weight management programmes, including how many people enrol in them, how much weight people lose and how good people think the programme is.

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An expedited referral means that people do not need to have tried non-surgical measures sumjary they are referred for bariatric surgery assessment. It aims to:. Ensure that: the diet is nutritionally complete the diet is followed for a maximum of 12 weeks continuously or intermittently the person following the diet is given ongoing guidahce support Before starting someone on a very-low-calorie diet as part of a multicomponent weight management strategy: consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them discuss the risks and benefits with them tell them that this is not a long-term weight management strategy, and that regaining weight may happen and is not because of their own or their clinician's failure discuss the reintroduction of food following a liquid diet with them Provide a long-term multicomponent strategy to help the person maintain their weight after the use of a very-low-calorie diet Encourage people to eat a balanced diet in the long term, consistent with other healthy eating advice [G] Children A dietary approach alone is not recommended. About What is covered This NICE Pathway covers the prevention, identification, assessment and management of obesity in adults and children. Psychological screening and support after surgery, dietary advice and support, and specialist physical activity can ensure that the benefits of surgery are maximised. Children and young people, and their parents or carers, see details of nutritional information on menus at local authority and NHS venues.

Behavioural interventions Adults and children Deliver any behavioural intervention with the support of an appropriately trained professional Adults Include the following strategies in behavioural interventions for adults, as appropriate: self-monitoring of behaviour and progress stimulus control goal setting slowing rate of eating ensuring social support problem solving assertiveness cognitive restructuring modifying thoughts reinforcement of changes relapse prevention strategies for dealing with weight regain Children Include the following strategies in behavioural interventions for children, as appropriate: stimulus control self-monitoring goal setting rewards for reaching goals problem solving Give praise to successes and encourage parents to role-model desired behaviours. Ensure that: the diet is nutritionally complete the diet is followed for a maximum of 12 weeks continuously or intermittently the person following the diet is given ongoing clinical support Before starting someone on a very-low-calorie diet as part of a multicomponent weight management strategy: consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them discuss the risks and benefits with them tell them that this is not a long-term weight management strategy, and that regaining weight may happen and is not because of their own or their clinician's failure discuss the reintroduction of food following a liquid diet with them Provide a long-term multicomponent strategy to help the person maintain their weight after the use of a very-low-calorie diet Encourage people to eat a balanced diet in the long term, consistent with other healthy eating advice [G] Children A dietary approach alone is not recommended. Data source: Local data collection, for example, from service annual reports. The environment in which people live influences their ability to achieve and maintain a healthy weight. They also ensure that systems are in place to start diabetes prevention interventions at a lower BMI threshold in people from minority ethnic groups at increased risk of type 2 diabetes. Making decisions using NICE guidelines explains how we use words to show the strength or certainty of our recommendations, and has information about prescribing medicines including off label useprofessional guidelines, standards and laws including on consent and mental capacityand safeguarding. Rather, they work with local authorities to coordinate and integrate planning and commissioning through the health and wellbeing board.

Description of condition

The interim guidance from NHS England lays out how NHS leaders and organisations will operate with their partners in integrated care systems from April Independent professional body guideline AWMSG prescribing guide TZ Guidance on solving prescribing dilemmas, including but not limited to clinical responsibility, prescribing duration, and nice guidance obesity summary therapies. Assessment Adults and children Make an initial assessment, then use clinical judgement to investigate comorbidities and other factors to an appropriate level of detail, depending on the person, the timing of the assessment, the degree of overweight or obesity, and the results of previous assessments Manage comorbidities when they are identified; do not wait until the person has lost weight Offer people who are not yet ready to change the chance to return for further consultations when they are ready to discuss their weight again and willing or able to make lifestyle changes. Subject to Notice of rights.

  • Identification, assessment, and management of overweight and obesity: summary of updated NICE guidance. This guideline was previously called obesity: identification, assessment and management of overweight and obesity in children, young people and adults.

  • When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients.

  • Lifestyle interventions Adults and children Multicomponent interventions are the treatment of choice. By continuing to use this site, you consent to our use of cookies on this device in accordance with our cookie policy.

The annual check should include:. Proportion of local obeisty and NHS venues with vending machines that contain healthy food and drink options. Children over the 95th centile are classified as being 'obese'. Actively raising the possibility of nice guidance obesity summary in one of these programmes will support people who choose to take positive action to lose weight by self-referring to a suitable programme. Encourage people to also reduce the amount of time they spend inactive, such as watching television, using a computer or playing video games. For the first 2 years after surgery, follow-up appointments are likely to be with a dietitian or a bariatric physician. Be aware that people from certain ethnic and socioeconomic backgrounds may be at greater risk of obesity, and may have different beliefs about what is a healthy weight and different attitudes towards weight management.

Clinical guideline [CG] Published: 27 November Informed consent should be obtained and documented. Published date: 27 November Nice guidance obesity a copy of the agreed goals niice actions ensure the person also does thisor put this in the person's notes Offer support depending on the person's boesity, and be responsive to changes over time Ensure any healthcare professionals who deliver interventions for weight management have relevant competencies and have had specific training Provide information in formats and languages that are suited to the person. How up-to-date is this topic? Interpret BMI with caution because it is not a direct measure of adiposity Waist circumference is not recommended as a routine measure. Comply with the approaches outlined in the Department of Health's A call to action on obesity in England [A] Aim to create a supportive environment that helps a child who is overweight or who has obesity, and their family, make lifestyle changes [B] Make decisions about the care of a child who is overweight or has obesity including assessment and agreeing goals and actions together with the child and family.

The Change4Life website gives suggestions for healthy food and drink alternatives. They have a mandatory responsibility to deliver the National Child Measurement Programme. These include learning disabilities, chronic illness, nice guidance obesity summary disability and other additional needs. The person is generally fit for anaesthesia and surgery. Adults see details of nutritional information on menus at local authority and NHS venues. People from black, Asian and other minority ethnic groups advise on what local health and wellbeing programmes should focus on and what culturally sensitive and acceptable services should look like.

Generic principles of care

Load more articles. Ensure that: the diet is nutritionally complete the diet is followed for a maximum of 12 oebsity continuously or intermittently the person following the diet is given ongoing clinical support Before starting someone on a very-low-calorie diet as part summary a multicomponent weight management strategy: consider counselling and assess for eating disorders or other psychopathology to obesify sure the diet is appropriate for them discuss the risks and benefits with them tell them that this is not a long-term weight management strategy, and that regaining weight may happen and is not because of their own or their clinician's failure discuss the reintroduction of food following a liquid diet with them Provide a long-term multicomponent strategy to help the person maintain their weight after the use of a very-low-calorie diet Encourage people to eat a balanced diet in the long term, consistent with other healthy eating advice [G] Children A dietary approach alone is not recommended. By continuing to use this site, you consent to our use of cookies on this device in accordance with our cookie policy.

It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Identification, assessment, and management of overweight and obesity: summary of updated NICE guidance. It is essential that any dietary recommendations are part of a multicomponent intervention Any dietary changes should be age appropriate and consistent with healthy eating advice For overweight and nice guidance children and young people, total energy intake should be below their energy expenditure. Behavioural interventions Adults and children Deliver any behavioural intervention with the support of an appropriately trained professional Adults Include the following strategies in behavioural interventions for adults, as appropriate: self-monitoring of behaviour and progress stimulus control goal setting slowing rate of eating ensuring social support problem solving assertiveness cognitive restructuring modifying thoughts reinforcement of changes relapse prevention strategies for dealing with weight regain Children Include the following strategies in behavioural interventions for children, as appropriate: stimulus control self-monitoring goal setting rewards for reaching goals problem solving Give praise to successes and encourage parents to role-model desired behaviours. Subject to Notice of rights. Tailor interventions to the needs and preferences of the child and the family Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings Encourage parents or carers to take main responsibility for lifestyle changes in children who are overweight or obese, especially if they are younger than 12 years. Search Join Login.

They should do so in the context of local and national priorities for funding sumary developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce ssummary inequalities. Give them information on the benefits of losing weight, healthy eating and increased physical activity. Topic pages bring together products on the same subject, for example diabetesmental health and wellbeing or children and young people. In addition, interventions and programmes should be evaluated, either locally or as part of a larger project, and practitioners should be equipped with the necessary competencies and skills to support behaviour change. Guiding principles These should be undertaken in parallel, wherever possible as part of a system-wide approach to preventing obesity. Healthcare professionals such as GPs and paediatricians ensure that they refer children and young people who are overweight or obese and have significant comorbidities or complex needs to a paediatrician with a special interest in obesity.

Publication types

It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Read the guideline. The interim guidance from NHS England lays out how NHS leaders and organisations will operate with their partners in integrated care systems from April BMJ Clinical research ed. It is essential that any dietary recommendations are part of a multicomponent intervention Any dietary changes should be age appropriate and consistent with healthy eating advice For overweight and obese children and young people, total energy intake should be below their energy expenditure.

Status: Current. Assessment Adults and children Make an initial assessment, then use clinical judgement to investigate comorbidities and other factors to an appropriate level of detail, depending on the person, the timing of the assessment, the degree of overweight or obesity, and the results of previous assessments Manage comorbidities when they are identified; do not wait until the person has lost weight Offer people who are not yet ready to change the chance to return for further consultations when they are ready to discuss their weight again and willing or able to make lifestyle changes. For men, waist circumference of less than 94 cm is low, 94— cm is high and more than cm is very high. Behavioural interventions Adults and children Deliver any behavioural intervention with the support of an appropriately trained professional Adults Include the following strategies in behavioural interventions for adults, as appropriate: self-monitoring of behaviour and progress stimulus control goal setting slowing rate of eating ensuring social support problem solving assertiveness cognitive restructuring modifying thoughts reinforcement of changes relapse prevention strategies for dealing with weight regain Children Include the following strategies in behavioural interventions for children, as appropriate: stimulus control self-monitoring goal setting rewards for reaching goals problem solving Give praise to successes and encourage parents to role-model desired behaviours. Email: ngc-office rcplondon. All problems adverse events related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.

Ensure continuity of care in the multidisciplinary team through good record keeping. Guidance on employing the collaborative process of involving nice guidance obesity summary person and their healthcare guieance to reach joint care decisions in primary care. Related articles. The choice of intervention should be agreed with the person Tailor the components of the planned weight management programme to the person's preferences, initial fitness, health status and lifestyle Children Coordinate the care of children and young people around their individual and family needs.

Management

Implantation of a duodenal—jejunal bypass sleeve for managing obesity. Data source: Local data collection, for example, intelligence gathered for the joint strategic needs assessment. This will enable them to self-manage their weight and make it less likely that they will need further lifestyle weight management interventions in the future. They also collaborate with service providers, commissioners, communities and people from black, Asian and other minority ethnic groups to develop local care pathways that promote mental health services tailored to the needs of the local population. Some population groups, such as people of Asian family origin and older people, have comorbidity risk factors that are of concern at different BMIs.

  • Encourage people to also reduce the amount of time they spend inactive, such as watching television, using obesigy computer or playing video games Children Encourage children and young people to increase their level of physical activity, even if they do not lose weight as a result, because of the other health benefits exercise can bring for example, reduced risk of type 2 diabetes and cardiovascular disease. Obesity results from an imbalance between energy intake and energy expenditure.

  • Providers also ensure that a varied range of acceptable and culturally sensitive exercise is available, and people are followed up to continue with the programme.

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Conditions and diseases Blood and immune system conditions Pathway for this topic. Commissioners clinical commissioning groups and NHS England ensure that bariatric surgery services they commission offer a follow-up care package within the bariatric service for a minimum of 2 years after surgery. People from black, Asian and other minority ethnic groups with a serious mental illness have a physical health assessment at least annually. Implantation of a duodenal—jejunal bypass sleeve for managing obesity. High risk is defined as a fasting plasma glucose level of 5.

Children and young people identified as being overweight or obese, and their parents or carers as appropriate, are given information about local lifestyle weight management programmes. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Health and wellbeing programmes can support positive behaviour changes and contribute to promoting health and preventing premature mortality. Assessment for bariatric surgery for people of Asian family origin should be considered at a lower BMI than other populations. Numerator — the number in the denominator that has data on attendance, outcomes and the views of participants and staff collected at recruitment and completion.

Published date: 27 November They refer people who are at high risk to an intensive lifestyle change programme and provide advice to those with a lower level of risk. Also, some traditions and religious practices may stop people from accessing services on certain days or certain times of the day. This is part of a shared-care model of management. To help combat the stigma and encourage people with mental health problems to access support early, the services need to be visible, accessible and responsive to the needs of the local population. Adults selecting meals in catering facilities in local authority and NHS venues such as hospitals, clinics and leisure centres have information on the nutritional content of meals to help them choose.

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They continually review the services to ensure that they are culturally appropriate, accessible and tailored to the su,mary needs of the local population. They work with ethnic minorities to ensure that programmes include a range of culturally sensitive and appropriate behaviour change interventions. Promoting health and preventing premature mortality in black, Asian and other minority ethnic groups. Back to top.

Rates of weight loss may be slower in patients with type 2 diabetes, so less strict goals than in those without diabetes may be appropriate. Particular consideration needs to be given when engaging adult men in the programmes because they are often harder to involve than other family members. Promoting health and preventing premature mortality in black, Asian and other minority ethnic groups NICE quality standard Providers of lifestyle weight management programmes should be able to meet the specific needs of women who are pregnant, planning to become pregnant or are trying to lose weight after pregnancy. They ensure that the services they provide are culturally appropriate and accessible. It is assumed that in the first year the person has 3 follow-up appointments, with annual follow-up thereafter.

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Children and young people obesity summary their parents or carers have a choice of healthy food and drink options available from vending machines in local authority and NHS venues for example hospitals, clinics guudance leisure centres. People from black, Asian and other minority ethnic groups are represented in peer and lay roles within local health and wellbeing programmes. A placeholder statement is an area of care that has been prioritised by the Quality Standards Advisory Committee but for which no source guidance is currently available. Number of self-referrals of overweight or obese adults to locally commissioned lifestyle weight management programmes. Download guidance PDF.

Then, assess:. Review the evidence across sujmary health and social care topics. Skip to main content Skip to navigation. People from black, Asian and other minority ethnic groups at high risk of type 2 diabetes are referred to an intensive lifestyle change programme. Raising awareness of lifestyle weight management programmes This quality statement is taken from the obesity in children and young people: prevention and lifestyle weight management programmes quality standard.

This should include:. Deliver any behavioural intervention with the support of an appropriately trained professional. People discharged from bariatric surgery service follow-up are offered monitoring of nutritional status at least once a year as part of a shared-care model of management. Assessing all these criteria will identify people with a BMI above 50 who could benefit from bariatric surgery. Offer people who have had bariatric surgery a follow-up care package for a minimum of 2 years within the bariatric service. Numerator — the number in the denominator that has data on attendance, outcomes and the views of participants and staff collected at recruitment and completion. Evaluating lifestyle weight management programmes This quality statement is taken from the obesity in children and young people: prevention and lifestyle weight management programmes quality standard.

Produced by:

Data source: Local data collection, for example, from local commissioning plans. Download guidance PDF. They also ensure that shared care arrangements are in place when the service user is in the care of both primary and secondary services, to ensure that the results of assessments are shared.

  • For women, waist circumference of less than 80 cm is low, 80—88 cm is high and more than 88 cm is very high.

  • Added: 25 June Acne.

  • Assessment Adults guidane children Make an initial assessment, then use clinical judgement to investigate comorbidities and other factors to an appropriate changing perceptions of the childhood obesity epidemic proportions of detail, depending on the person, the timing of the assessment, the degree of overweight or obesity, and the results of previous assessments Manage comorbidities when they are identified; do not wait until the person has lost weight Offer people who are not yet ready to change the chance to return for further consultations when they are ready to discuss their weight again and willing or able to make lifestyle changes.

  • Ensure that: epidemic proportions diet is nutritionally complete the diet is followed for a maximum of 12 weeks continuously or intermittently the person following the diet is given ongoing clinical support Before starting someone on a very-low-calorie diet as part of a multicomponent weight management strategy: consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them discuss the risks and benefits with them tell them that this is not a long-term weight management strategy, and that regaining weight may happen and is not because of their own or their clinician's failure discuss the reintroduction of food following a liquid diet with them Provide a long-term multicomponent strategy to help the person maintain their weight after the use of a very-low-calorie diet Encourage people to eat a balanced diet in the long term, consistent with other healthy eating advice [G] Children A dietary approach alone is not recommended. Rates of weight loss may be slower in patients with type 2 diabetes, so less strict goals than in those without diabetes may be appropriate.

Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. Ensure weight management programmes include behaviour change strategies to increase people's physical activity levels or decrease inactivity, improve eating behaviour and the quality of the person's diet, and reduce energy intake When choosing treatments, take into account: the person's individual preference and social circumstance and the experience and outcome of previous treatments including whether there were any barriers the person's level of risk, based on BMI and, where appropriate, waist circumference any comorbidities Document the results of any discussion. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Load more articles.

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Healthcare professionals and public health practitioners who deliver lifestyle weight management programmes for children nce young people encourage the childhood involvement of family members or carers. They ensure that the smumary of people from minority ethnic groups are represented when priorities are set and local health and wellbeing programmes are designed. Ensure weight management programmes include behaviour change strategies to increase people's physical activity levels or decrease inactivity, improve eating behaviour and the quality of the person's diet, and reduce energy intake When choosing treatments, take into account: the person's individual preference and social circumstance and the experience and outcome of previous treatments including whether there were any barriers the person's level of risk, based on BMI and, where appropriate, waist circumference any comorbidities Document the results of any discussion. The Change4Life website gives suggestions for healthy food and drink alternatives. Service providers may involve people in peer and lay roles to support raising awareness of the increased risks and importance of physical health checks among people from black, Asian and other ethnic minority groups with a serious mental illness. Encourage people to also reduce the amount of time they spend inactive, such as watching television, using a computer or playing video games.

Subject to Notice of rights. There is a need to specify interventions and actions that can be carried obesity summary to achieve a reduction in sedentary behaviour in children and young people and also methods that can be used to easily and successfully measure sedentary activity. This should include: monitoring nutritional intake including protein and vitamins and mineral deficiencies monitoring for comorbidities medication review dietary and nutritional assessment, advice and support physical activity advice and support psychological support tailored to the individual information about professionally-led or peer-support groups. The level of intervention should be higher for patients with comorbidities see section 1. Cardiac rehabilitation This quality statement is taken from the promoting health and preventing premature mortality in black, Asian and other minority ethnic groups quality standard. Maintaining details of local lifestyle weight management programmes This quality statement is taken from the obesity in adults: prevention and lifestyle weight management programmes quality standard. Commissioners such as NHS England, clinical commissioning groups and local authorities ensure that healthcare professionals, and other professionals who work with children and young people, provide information about local lifestyle weight management programmes to children and young people identified as being overweight or obese, and their parents or carers as appropriate.

Generic principles of care

Sumamry Working with people to prevent and manage overweight and obesity: the issues Person-centred care: principles for health professionals Key priorities for implementation 1 Guidance 2 Notes on the scope of the guidance 3 Implementation 4 Research recommendations 5 Other versions of this guideline 6 Related NICE guidance 7 Updating the guideline Appendix A: The Guidance Development Groups Appendix B: The Guideline Review Panel Appendix C: The algorithms Appendix D: Existing guidance on diet, physical activity and preventing obesity Changes after publication About this guideline. Data source: Local data collection, for example, GP patient records. People in peer and lay roles may be more successful at engaging with and supporting people from similar backgrounds than traditional health and wellbeing services. Evaluating lifestyle weight management programmes This quality statement is taken from the obesity in children and young people: prevention and lifestyle weight management programmes quality standard.

Data source: Local data collection, for example, from programme planning, records from meetings agendas or minutes and focus groups. Particular attention should be given to engaging people who may be less likely su,mary participate, such as people with learning difficulties or mental health problems and those from lower socioeconomic groups. It aims to improve the use of bariatric surgery and very-low-calorie diets to help people who are obese to reduce their weight. Health and public health practitioners such as GPs, practice nurses and community healthcare providers are aware that some black, Asian and other minority ethnic groups have an increased risk of type 2 diabetes.

Numerator — the number in the denominator who are given information about local lifestyle weight management programmes. Healthcare professionals Commissioners and providers People who are obese and their families and carers Is this guideline up to date? Evidence that an up to date list of local lifestyle weight management programmes for children and young people is made publically available by the local authority. Evidence of local arrangements and written clinical protocols to ensure that adults with a BMI above 50 are offered a referral for bariatric surgery assessment.

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They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce summary inequalities. Due to language and communication difficulties, or past experiences of racism and prejudice, some people from black, Asian and other minority ethnic groups may find it difficult to engage with services. Commissioners and providers seeking to obtain the views and understand the needs of people from black, Asian and other minority ethnic groups should work closely with existing community groups, faith leaders and educators who may already have links to groups and individuals with poor access to services.

Keep a copy of the agreed goals and actions ensure the person also does thisor put this in the person's notes. Adults identified as being overweight or obese are gudiance information about local lifestyle weight management programmes. If necessary, offer another consultation to fully explore the options for treatment or discuss test results. Children and young people, and their parents or carers, see healthy food and drink choices displayed prominently in local authority and NHS venues. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Commissioners clinical commissioning groups and NHS England ensure that bariatric surgery services they commission offer a follow-up care package within the bariatric service for a minimum of 2 years after surgery. This includes knowing how to use evidence-based tools.

Do not use bioimpedance as a substitute for BMI as a measure of general adiposity. Levels of gujdance 1 General advice on healthy weight and lifestyle 2 Diet and physical activity 3 Diet and physical activity; consider drugs 4 Diet and physical activity; consider drugs; consider surgery. Assess the person's view of their weight and the diagnosis, and possible reasons for weight gain. Increased public awareness may lead to more self referrals to the programmes, either by children and young people themselves or their parents or carers. Denominator — the number of people who had bariatric surgery within the past 2 years.

Aims of treatment

They also ensure that the services support people from black, Asian and other minority ethnic groups to attend and adhere to the programme by addressing the barriers to participation. Healthcare professionals should discuss the benefits and risks of both bariatric surgery and non-surgical treatment when offering referral for assessment. These include benign intracranial hypertension, sleep apnoea, obesity hypoventilation syndrome, hyperinsulinaemia, type 2 diabetes, dyslipidaemia, orthopaedic problems and psychological morbidity. How we develop NICE guidelines. Behaviour change programmes need to acknowledge those differences, be culturally appropriate, accessible and tailored to the diverse needs of the local population.

When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients summary the people using their service. Actively raising the possibility of participation in one of these programmes will support people who choose to take positive action to lose weight by self-referring to a suitable programme. Commissioners clinical commissioning groups ensure that they commission locally available services that have access to a paediatrician with a special interest in obesity for children and young people who are overweight or obese and have significant comorbidities or complex needs. We checked the public health recommendations in section 1. Adults have access to a publicly available, up-to-date list of local lifestyle weight management programmes. People from black, Asian and other minority ethnic groups referred to a cardiac rehabilitation programme are given a choice of times and settings for the sessions and are followed up if they do not attend.

Site powered by Webvision Cloud. No comments. Introduction 1 Recommendations nice guidance obesity summary Guidancw recommendations Finding more information and committee details Update information. For women, waist circumference of less than 80 cm is low, 80 cm to 88 cm is high and more than 88 cm is very high. Download guidance PDF. Numerator — the number in the denominator that have vending machines that contain healthy food and drink options. The discussion should also include the person's family, as appropriate.

Guidance on solving prescribing dilemmas, including but not limited to clinical responsibility, prescribing summary, and complementary therapies. Only registered users can comment on this nic. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Available from: www. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

  • If necessary, offer another consultation to fully explore the options for treatment or discuss test results Adults Take measurements to determine degree of overweight or obesity and discuss the implications of the person's weight.

  • Numerator — the number in the denominator offered sessions in a variety of settings including home, the community or a hospital.

  • NICE has also produced guidelines on obesity preventionmaintaining a healthy weight nice guidance obesity summary, obesiry lifestyle weight management services. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service.

  • Opportunities include registration with a general practice, consultation for related conditions such as type 2 diabetes and cardiovascular disease and other routine health checks. The numbers of people with type 2 diabetes, hypertension and coronary heart disease are shown in the Quality and outcomes framework indicators DM, HYP and CHD

Tailor interventions to the needs and preferences of the child and the family Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings Encourage parents or carers to take main responsibility for lifestyle changes in children who are overweight or nice guidance obesity summary, especially if they are younger than 12 years. Physical activity Adults Encourage adults to increase their level of physical activity even if they do not lose weight as a result, because of the other health benefits it can bring for example, reduced risk of type 2 diabetes and cardiovascular disease. Provide contact details so that the person can get in touch when they are ready Adults Encourage the person's partner or spouse to support any weight management programme Base the level of intensity of the intervention on the level of risk and the potential to gain health benefits Children Be aware that the aim of weight management programmes for children and young people can vary. Obesity: identification, assessment and management aims to improve the use of bariatric surgery and very-low-calorie diets to help people who are obese to reduce their weight. All problems adverse events related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.

It includes everyday activities such as walking or cycling for everyday journeys, active play, work-related activity, active recreation such as working out in a gymdancing, gardening or playing active games, as well as organised and competitive sport. Local authorities and NHS organisations ensure that their venues used by children and young people provide details about the nutritional content of menu items. Providers of lifestyle weight management programmes for children and young people ensure that they collect and report data to monitor and evaluate the programme. It also commissions public health services for children aged 0 to 5 years including health visiting and much of the Healthy Child Programme.

MeSH terms

Also, some traditions and religious practices may stop people from accessing services on certain days or certain times of the day. A placeholder statement is an area of care that has been prioritised sumkary the Quality Standards Advisory Committee but for which no source oebsity is currently available. Comply with the approaches outlined in the Department of Health's A call to action on obesity in England [A] Aim to create a supportive environment that helps a child who is overweight or who has obesity, and their family, make lifestyle changes [B] Make decisions about the care of a child who is overweight or has obesity including assessment and agreeing goals and actions together with the child and family. Children and young people and their parents or carers selecting meals in catering facilities in local authority and NHS venues have information on the nutritional content of meals to help them choose.

  • Assessment Adults and children Make an initial assessment, then use clinical judgement to investigate comorbidities and other factors to an appropriate level of detail, depending on the person, the timing of the assessment, the degree of overweight or obesity, and the results of previous assessments Manage comorbidities when they are identified; do not wait until the person has lost weight Offer people who are not yet ready to change the chance to return for further consultations when they are ready to discuss their weight again and willing or able to make lifestyle changes. Tailor interventions to the needs and preferences of the child and the family Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings Encourage parents or carers to take main responsibility for lifestyle changes in children who are overweight or obese, especially if they are younger than 12 years.

  • Changing perceptions of the childhood obesity epidemic proportions offer cardiac rehabilitation programmes on different days, at different times and venues such as community centres or places giudance worship and ensure that they are culturally appropriate and suitable. Commissioners clinical commissioning groups and NHS England ensure that local shared-care models of disease management are agreed between primary care and tier 3 services for people who are discharged from bariatric surgery service follow-up, and that a named person or unit responsible for recalling people and performing ongoing checks is clearly specified.

  • Obesity: identification, assessment and management aims to improve the use of bariatric surgery and very-low-calorie diets to help people who are obese to reduce their weight. More Public health.

  • The person commits to the need for long-term follow-up. Bariatric surgery assessments for adults with a BMI of 35 or more diagnosed with type 2 diabetes within the past 10 years.

We checked this guideline in Summary and are planning to update it. Ensure continuity of care in the multidisciplinary team through good record keeping. Physical activity Adults Encourage adults to increase their level of physical activity even if they do not lose weight as a result, because of the other health benefits it can bring for example, reduced risk of type 2 diabetes and cardiovascular disease. Search Join Login.

Local authorities and NHS nice guidance can set an example by providing healthy food and drink choices at their venues. Diagnostics guidance Review new diagnostic technologies for adoption in the NHS. Offer people who are not yet ready to change the chance to return for further consultations when they are ready to discuss their weight again and willing or able to make lifestyle changes. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners Public Health England, NHS England, local authorities, clinical commissioning groups gather intelligence and gain understanding of the diversity of the local population and its needs. Children and young people, and their parents or carers, can access data on attendance, outcomes and the views of participants and staff from lifestyle weight management programmes. People from certain ethnic communities have a higher risk of developing type 2 diabetes than those in the white European population.

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This guideline covers identifying, assessing and managing obesity in children aged 2 years and overyoung sjmmary and adults. For women, waist circumference of less than 80 cm is low, 80—88 cm is high and more than 88 cm is very high. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes Who is it for? Obesity results from an imbalance between energy intake and energy expenditure.

If necessary, offer nice guidance obesity summary consultation to fully explore the options for treatment or discuss test results Adults Take measurements to determine degree of overweight or obesity and discuss the implications of the person's weight. Obesity results from an imbalance between energy intake and energy expenditure. No comments. Weight management programmes should include behaviour change strategies to increase people's physical activity levels or decrease inactivity, improve eating behaviour and the quality of the person's diet, and reduce energy intake. Lifestyle interventions Adults and children Multicomponent interventions are the treatment of choice. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. The focus may be on either weight maintenance or weight loss, depending on the person's age and stage of growth Encourage parents of children and young people who are overweight or obese to lose weight if they are also overweight or obese.

Make arrangements skmmary appropriate healthcare professionals to offer information, nice guidance obesity summary and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. Email: ngc-office rcplondon. Tailor interventions to the needs and preferences of the child and the family Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings Encourage parents or carers to take main responsibility for lifestyle changes in children who are overweight or obese, especially if they are younger than 12 years. Only registered users can comment on this article.

What is covered

Changes should be sustainable. We checked this guideline in May and are planning to update it. Prescribing should be started and monitored only in specialist paediatric settings In children aged 12 years and older, treatment with orlistat [I] is recommended only if physical comorbidities such as orthopaedic problems or sleep apnoea or severe psychological comorbidities are present.

BMJ Clinical research ed. Encourage adults to do nice guidance obesity summary least 30 minutes of moderate or greater intensity physical activity on 5 or more days a week. Give them information on the benefits of losing weight, healthy eating and increased physical activity Recognise that surprise, anger, denial or disbelief about their health situation may diminish people's ability or willingness to change. Multicomponent interventions are the treatment of choice for people who are overweight or obese. More Public health.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management obesity summary. Informed consent should be obtained and documented. Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. Obesity results from an imbalance between energy intake and energy expenditure. Pharmacological interventions Adults Consider pharmacological treatment only after dietary, exercise and behavioural approaches have been started and evaluated Consider drug treatment for people who have not reached their target weight loss or have reached a plateau on dietary, activity and behavioural changes Make the decision to start drug treatments after discussing the potential benefits and limitations with the person, including the mode of action, adverse effects and monitoring requirements, and the potential impact on the person's motivation. Make the choice of activity with the child, and ensure it is appropriate to the child's ability and confidence.

Goals and outcome measures Background information Diagnosis Management Prescribing information Supporting obesjty How this topic was developed References. For women, waist circumference of less than 80 cm is low, 80—88 cm is high and more than 88 cm is very high. Interpret BMI with caution because it is not a direct measure of adiposity Waist circumference is not recommended as a routine measure.

Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. See the guideline in development page for progress on the update. Healthcare professionals Commissioners and providers People who are obese and their families and carers. Obesity results from an imbalance between energy intake and energy expenditure. We checked this guideline in May and are planning to update it. Pharmacological interventions Adults Consider pharmacological treatment only after dietary, exercise and behavioural approaches have been started and evaluated Consider drug treatment for people who have not reached their target weight loss or have reached a plateau on dietary, activity and behavioural changes Make the decision to start drug treatments after discussing the potential benefits and limitations with the person, including the mode of action, adverse effects and monitoring requirements, and the potential impact on the person's motivation. It is also associated with decreased life expectancy and has significant effects on demands on the health service and the economy for example from hospital admissions or time off work.

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Comply with the approaches outlined in the Department of Heath's a call to action on obesity in England. Clinical judgement should be used when considering risk nice guidance obesity summary in these groups. Numerator — the gukdance in the denominator who had a discussion with their healthcare professional about their associated health risks in relation to their BMI. No comments yet. Healthcare professionals should discuss the benefits and risks of both bariatric surgery and non-surgical treatment when offering referral for assessment. The list should include details of programmes that have been commissioned by the local authority or clinical commissioning group and other public, private or voluntary evidence-based programmes.

Principles of weight management for children and young people Obesity summary the BMI of gkidance is more complicated than for adults because it changes as they grow and mature. Swallowable gastric balloon capsule for weight loss. Adults and children 1. For men, a waist circumference of less than 94 cm is low risk, 94— cm is high risk and more than cm is very high risk.

Assessment Adults and children Make an initial assessment, then use clinical judgement to investigate comorbidities and other factors to an appropriate level of detail, depending on the person, the timing of the assessment, the degree of overweight or obesity, and the results of previous assessments Manage nicce when they fuidance identified; do not wait until the person has lost weight Offer people who are not yet ready to change the chance to return for further consultations when they are ready to discuss their weight again and willing or able to make lifestyle changes. Clinical guideline [CG] Published: 27 November The terms 'overweight' and 'obesity' are used to describe excess body fat. Some other population groups, such as people of Asian family origin and older people, have comorbidity risk factors that are of concern at different BMIs lower for adults of an Asian family origin and higher for older people.

People from black, Asian and other minority ethnic groups may not engage with services summary may have a poor experience of those programmes and associated services if they are not culturally sensitive and appropriate. Denominator — the number of people from black, Asian and other minority ethnic groups who are at high risk of type 2 diabetes referred to an intensive lifestyle change programme. Service providers primary and secondary care providers ensure that adults with a BMI of 35 or more who have been diagnosed with type 2 diabetes in the past 10 years are offered an expedited referral for bariatric surgery assessment.

NICE recommends that summary for practitioners should be based on theoretically informed, evidence-based best practice. Adults who were diagnosed with type 2 diabetes within the past 10 years and whose body mass index a measure of height and weight, often shortened to BMI is 35 or more are offered a referral to find out if they could benefit from an operation to help them lose weight called bariatric surgery. They continually review the services to ensure that they are culturally appropriate, accessible and tailored to the diverse needs of the local population. Service providers such as primary care, community care and paediatric services ensure that children and young people who are overweight or obese and have significant comorbidities or complex needs and have been referred to the service have access to a paediatrician with a special interest in obesity. The choice of intervention should be agreed with the person Tailor the components of the planned weight management programme to the person's preferences, initial fitness, health status and lifestyle Children Coordinate the care of children and young people around their individual and family needs.

  • Different weight classes are defined according to a person's body mass index BMI.

  • Children and young people and their parents or carers have a choice of healthy food and drink options available from vending machines in local authority and NHS obesity summary for example hospitals, clinics and leisure centres. Adults whose body mass index a measure of height and weight, often shortened to BMI is 30 or more have a discussion with their healthcare professional about the choice of other services for weight loss that are available, such as a weight-loss clinic, if they have not been able to lose weight through dieting or weight-loss programmes.

  • How we develop NICE guidelines. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

  • Nutritional information should be available in a variety of formats appropriate to the target audience. Opportunities include registration with a general practice, consultation for related conditions such as type 2 diabetes and cardiovascular disease and other routine health checks.

More Public health. Local commissioners and providers of healthcare have a responsibility to enable the obesitu to be applied when individual professionals and people using services wish to use it. Provide information on patient support programmes Children Drug treatment is not generally recommended for children younger than 12 years In children younger than 12 years, drug treatment may be used only in exceptional circumstances, if severe comorbidities are present. Recommendations This guideline includes recommendations on: identification and classification assessment lifestylebehaviouraldietary and pharmacological interventions physical activity surgeryincluding bariatric surgery for people with recent-onset type 2 diabetes Who is it for?

Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. Provide contact details so that the person obesiyy get in touch when they are ready Adults Encourage the person's partner or spouse to support any weight management programme Base the level of intensity of the intervention on the level of risk and the potential to gain health benefits Children Be aware that the aim of weight management programmes for children and young people can vary. Site powered by Webvision Cloud. Read the guideline.

Subject to Notice of rights. Changes should be sustainable. Interpret BMI with caution because it is not a direct measure of adiposity Waist circumference is not recommended as a routine measure.

Lifestyle interventions Adults and children Multicomponent interventions are the treatment of choice. Provide contact details so that the person can get in touch when they are ready Adults Encourage the person's partner or spouse to support any weight management programme Base the level of nice guidance obesity summary of the intervention on the level of risk and the potential to gain health benefits Children Be aware that the aim of weight management programmes for children and young people can vary. Preventing weight regain This quality statement is taken from the obesity in adults: prevention and lifestyle weight management programmes quality standard. Provide contact details so that the person can get in touch when they are ready. Lifestyle weight management for overweight and obese children and young people Lifestyle weight management services In this guidance, lifestyle weight management services sometimes called tier 2 services refers to services that help people in a particular geographical location who are overweight or obese.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Young nice guidance obesity summary who are overweight or obese and are no longer growing taller will ultimately need to lose weight to improve their BMI. About What is covered This NICE Pathway covers the prevention, identification, assessment and management of obesity in adults and children. National Institute for Health and Care Excellence. Providers of lifestyle weight management programmes should take into account the cultural and communication needs of people who are completing a lifestyle weight management programme when agreeing a plan to prevent weight regain. When adults are identified as being overweight or obese it is important that they are given information about local lifestyle weight management programmes.

  • Take into account the age and maturity of the child, and the preferences of the child and the parents Adults and children Offer regular, non-discriminatory long-term follow-up by a trained professional.

  • The interim guidance from NHS England lays out how NHS leaders and organisations will operate with their partners in integrated care systems from April

  • Published date: 27 November

  • Liraglutide for managing overweight and obesity NICE technology appraisal guidance The list should include details of programmes that have been commissioned by the local authority or clinical commissioning group and other public, private or voluntary evidence-based programmes.

Referring adults for niec surgery assessment This quality statement is taken from the obesity: clinical assessment and management quality standard. If the person is overweight or obese, the programme should result in weight loss. People are informed of their BMI when it is calculated and advised about any associated health risks. Local data collection, for example, from cardiac rehabilitation programme data collection system. Commissioners Public Health England, NHS England, local authorities, clinical commissioning groups gather intelligence and gain understanding of the diversity of the local population and its needs. This guideline was previously called obesity: identification, assessment and management of overweight and obesity in children, young people and adults.

When exercising their judgement, healthcare professionals are expected to take these recommendations fully into account. Commissioners and providers seeking to obtain the views and understand the needs of people from black, Asian and other minority summaary groups should work closely with existing community groups, faith leaders and educators who may already have links to groups and individuals with poor access to services. The plan should involve collaboration between named tier 3 specialists and primary care. Providers of lifestyle weight management programmes should take into account the cultural and communication needs of people who are completing a lifestyle weight management programme when agreeing a plan to prevent weight regain. Lifestyle weight management programmes focus on diet, physical activity and behaviour change to help people who are overweight or obese.

Changes should be sustainable. All problems adverse events nice guidance obesity summary to a medicine gkidance medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme. Download guidance PDF. Advise people who have been obese and have lost weight that they may need to do 60—90 minutes of activity a day to avoid regaining weight Encourage adults to build up to the recommended activity levels for weight maintenance, using a managed approach with agreed goals Recommend types of physical activity, including: activities that can be incorporated into everyday life, such as brisk walking, gardening or cycling [H] supervised exercise programmes other activities, such as swimming, aiming to walk a certain number of steps each day, or stair climbing Take into account the person's current physical fitness and ability for all activities.

The components of the planned weight management programme should be discussed and agreed with the person, and tailored nice guidance obesity summary their preferences, initial fitness, health status, and lifestyle. Published date: 27 November Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. This website uses cookies to analyse the traffic, to personalise content and ads, and to provide social media features. Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. See the General Medical Council's Prescribing guidance: prescribing unlicensed medicines for further information.

Provide contact details so that the person can get in touch when they are ready Adults Encourage the person's partner or spouse to support any weight management programme Base the level of intensity of the intervention nice guidance obesity summary the level of risk and the potential to gain health benefits Children Be aware that the aim of weight management programmes for children and young people can vary. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. The components of the planned weight management programme should be discussed and agreed with the person, and tailored to their preferences, initial fitness, health status, and lifestyle. Subject to Notice of rights. Healthcare professionals Commissioners and providers People who are obese and their families and carers Is this guideline up to date? NICE guideline NICE shared decision making guideline TZ Guidance on employing the collaborative process of involving a person and their healthcare professional to reach joint care decisions in primary care.

Details Type: Guideline. This guideline covers identifying, guidqnce and managing obesity in children aged 2 years and overyoung people and adults. For men, waist circumference of less than 94 cm is low, 94— cm is high and more than cm is very high. The terms 'overweight' and 'obesity' are used to describe excess body fat.

For women, waist circumference of less than 80 cm is low, 80—88 cm is high and more than 88 cm is very high. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Load more articles. This website uses cookies to analyse the traffic, to personalise content and ads, and to provide social media features.

  • Tailor obestiy to the needs and preferences of the child and the family Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings Encourage parents or carers to take main responsibility for lifestyle changes in children who are overweight or obese, especially if they are younger than 12 years.

  • Schools are therefore not covered by this quality statement. Single-anastomosis duodeno-ileal bypass with sleeve gastrectomy for treating morbid obesity.

  • Status: Current. Skip to main content Skip to navigation.

  • Identification and classification of overweight and obesity Use clinical judgement to decide when to measure a person's height and weight. How we develop NICE guidelines.

Deliver any behavioural intervention with nice guidance obesity summary support of an appropriately trained professional. Naltrexone—bupropion for managing overweight and obesity. Rather, they work with local authorities to coordinate and integrate planning and commissioning through the health and wellbeing board. Clinicians should liaise with the local bariatric unit about patient-specific nutritional deficiencies and necessary treatment.

This website uses cookies to analyse the traffic, to personalise content nice guidance obesity ads, and to provide social media features. The format of this information should be suitable for children and young guidqnce with sensory impairment. Tailor interventions to the needs and preferences of the child and the family Ensure that interventions for children who are overweight or have obesity address lifestyle within the family and in social settings Encourage parents or carers to take main responsibility for lifestyle changes in children who are overweight or obese, especially if they are younger than 12 years. Commissioners clinical commissioning groups ensure that they commission locally available tier 3 services, or equivalent, and that there are agreed pathways for referral to these services. Adults 1.

The focus may be on either weight maintenance or weight loss, depending on the person's age and stage of growth Encourage parents of children and young people who are overweight or obese to lose weight if they are also overweight or obese. Goals and outcome measures Background information Diagnosis Management Prescribing information Supporting evidence How this topic was developed References. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Available from: www.

  • Different weight classes are defined according to a person's body mass index BMI.

  • Children and young people and their parents or carers can easily find healthy foods and drinks when using catering facilities in local authority or NHS venues. Evidence summaries Review the best available evidence for selected medicines.

  • They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

  • It will also help adults to select lifestyle weight management programmes. Sedentary activities include sitting, lying down and sleeping.

Summary on solving prescribing dilemmas, including but not limited to clinical responsibility, prescribing duration, and complementary therapies. It is not mandatory to apply the recommendations, and lbesity guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. Make arrangements for appropriate healthcare professionals to offer information, support and counselling on additional diet, physical activity and behavioural strategies when drug treatment is prescribed. How we develop NICE guidelines. More Public health. Goals and outcome measures Background information Diagnosis Management Prescribing information Supporting evidence How this topic was developed References.

Using lower BMI thresholds to trigger action to reduce the risk of conditions such as type nice guidance diabetes has been recommended for guidanxe of black African, African—Caribbean and Asian family origin. How we develop NICE guidelines. The surgeon in the multidisciplinary team should:. It is important for general practice teams and other healthcare professionals to offer a referral to a local lifestyle weight management programme to adults who are overweight or obese with comorbidities in order to improve their health outcomes. Find out what the person has already tried and how successful this has been, and what they learned from the experience.

Our cookie obesiyy provides further information on what cookies are and how we use them, we have also provided details on where you can find out how to disable summary delete cookies on your device. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management services. Take into account the age and maturity of the child, and the preferences of the child and the parents Adults and children Offer regular, non-discriminatory long-term follow-up by a trained professional. Weight management programmes should include behaviour change strategies to increase people's physical activity levels or decrease inactivity, improve eating behaviour and the quality of the person's diet, and reduce energy intake. How we develop NICE guidelines.

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