Advertisement

Sign up for our daily newsletter

Advertisement

Nice guidelines obesity 2012 – Obesity prevention

September

William Murphy
Sunday, April 7, 2019
Advertisement
  • Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.

  • Effective lifestyle weight management programmes for adults can be delivered by a range of organisations and in different locations. Healthcare professionals should take into account the cultural and communication needs of adults who are overweight or obese with comorbidities when making a referral to a lifestyle weight management programme.

  • Introduction List of quality statements Quality statement 1: Informing people noce their BMI Quality statement 2: Discussion on the choice of interventions Quality statement 3: Referring children and young nice guidelines for specialist care Quality statement 4: Referring adults with type 2 diabetes for bariatric surgery assessment Quality statement 5: Referring adults for bariatric surgery assessment Quality statement 6: Follow-up care after bariatric surgery Quality statement 7: Nutritional monitoring after discharge from the bariatric surgery service Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team Update information About this quality standard. Download guidance PDF.

Find out more

When exercising their judgement, professionals and practitioners are expected to take this guideline fully obesity 2012 account, alongside the individual needs, preferences and values of their patients or the people using their service. 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 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.

Peer and lay roles This quality statement is taken from the promoting health and preventing premature guidleines in black, Asian and obesity 2012 minority ethnic groups quality standard. A lot of countries have lower obesity rates than the United States. Service providers such as GP practices, community health services, mental health services and independent providers collaborate with local communities and people from black, Asian and other minority ethnic groups, healthcare professionals and commissioners to develop local care pathways that promote mental health services tailored to the needs of the local population. Implantation of a duodenal—jejunal bypass sleeve for managing obesity. Give them information on the benefits of losing weight, healthy eating and increased physical activity.

The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. Next Introduction Safeguarding children. See the guideline in development page for progress on the update. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management services. It does not cover preventing people from becoming overweight or obese, or lifestyle weight management programmes for people who are overweight or obese.

Introduction Working with people to prevent and manage overweight obseity obesity: the issues Person-centred care: principles for health professionals Key priorities for implementation 1 Guidance 2 Notes on nice guidelines obesity 2012 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. Find out how to use quality standards and how we develop them. NICE has also produced a guideline on obesity. 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.

Quality standard

Numerator — the number in the denominator who have a postoperative follow-up care package within the bariatric service. The 2012 process should incorporate a programme of physical training, disease education, and nutritional, psychological and behavioural intervention Advise people of the benefits of pulmonary rehabilitation and the commitment needed to gain these. Main article: Anti-obesity medication. Locations may include their own home, a community or social centre, a GP practice or other local health clinic. Numerator — the number in the denominator who are referred to a paediatrician with a special interest in obesity.

Commissioners clinical commissioning groups, NHS England and local authorities in sustainability and transformation partnership areas ensure that intensive lifestyle change programmes are available for people from black, Asian and other minority nice guidelines groups at high risk of type 2 diabetes. Person-centred care People have the right to be involved in discussions and make informed decisions about their care, as described in your care. When monitoring and comparing groups of children and young people BMI z scores may be used. Retrieved Encourage your child to try a variety of different fruits, vegetables, and proteins from an early age. Adults with any other comorbidities in addition to being overweight or obese, such as type 2 diabetes, hypertension, cardiovascular disease, osteoarthritis, dyslipidaemia and sleep apnoea. Reasonable adaptations should be made to the programmes to make them accessible to these groups and to assess their impact on health inequalities.

NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle services for overweight or obesity 2012 adults. Healthcare professionals Commissioners and providers People who are obese and their families and carers Is this guideline up to date? This guideline covers identifying, assessing and managing obesity in children aged 2 years and overyoung people and adults. How we develop NICE guidelines.

Measure BMD to assess fracture risk in people aged under 40 years. 2012 NICE guidance is subject to regular review and may be updated or obeisty. One or more falls in the last 12 months. Men and women with a year probability between the upper and lower assessment threshold should be referred for bone mineral density measurement and their fracture probability reassessed. Obesity may result from an underlying condition such as an endocrine disease or condition or may be associated with various syndromes such as Prader-Willi syndrome.

Introduction 1 Recommendations 2 Research recommendations Finding more information and committee nice guidelines obesity 2012 Update information. Download guidance PDF. World Health Organization obesity and overweight: fact sheet They work with us to promote it to commissioners and service providers:. Ethnic differences exist in the prevalence of obesity and the related risk of ill health.

Healthcare professionals Commissioners and providers People who are obese and their families and carers Is this guideline up to date? It does not cover preventing people from becoming overweight or obeisty, or lifestyle weight management programmes for people who are overweight or obese. Obesity in children and young people: prevention a 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. The guideline aimed to ensure that obesity became a priority at both strategic and delivery levels. 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.

Introduction List of quality statements Quality statement 1: Vending machines Quality gudielines 2012 Nutritional information at the point of choosing food and drink options Quality statement 3: Prominent placement of healthy options Quality statement 4: Maintaining details of local lifestyle weight management programmes Quality statement 5: Raising awareness of lifestyle weight management programmes Quality statement 2102 Family involvement in lifestyle weight management programmes Quality statement 7: Evaluating lifestyle weight management programmes Quality statement 8 placeholder : Reducing sedentary behaviour Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team About this quality standard. Comments from national and local stakeholder organisations were invited, mainly concerning implementation at a local level and implications for delivery. Quality standard Tools and resources History Overview. 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. 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.

What is covered

Weight loss programs involve lifestyle changes including diet jice, physical activity and behavior therapy. 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. Weight loss with these drugs is modest. Service providers primary care services, community care services and services in the wider public, community and voluntary sectors ensure that they work with established community groups and educational or religious leaders to identify and recruit members of the local community who can support people from black, Asian and other minority ethnic groups and represent the diverse needs of the local population. Numerator — the number in the denominator that has data on attendance, outcomes and the views of participants and staff collected at recruitment and completion.

  • Guidance Tools and resources Evidence History Overview. Download PDF.

  • Service providers primary and secondary care providers ensure nice guidelines obesity 2012 healthcare professionals are able to accurately measure and record height and weight, and are able to determine BMI centile using age- and gender-specific charts for children and young people. Clinical judgement is needed when considering whether to refer to tier 3 services at lower BMI values.

  • Obesity is directly linked to a number of different illnesses including type 2 diabetes, fatty liver disease, hypertension, gallstones and gastro-oesophageal reflux disease see NICE's guidelines on gallstones and gastro-oesophageal reflux diseaseas well as psychological and psychiatric morbidities. How we develop NICE guidelines.

  • Obesity Reviews. However, a trial in Sweden looked at the effectiveness of a smartphone app to educate young children on healthy eating and physical activity.

  • NICE's guideline on obesity was reviewed inleading to this update.

How we develop NICE guidelines. Obesity is directly linked to a number of different illnesses including type 2 diabetes, fatty liver disease, nice guidelines obesity 2012, gallstones and gastro-oesophageal reflux disease see NICE's guidelines on gallstones and gastro-oesophageal reflux diseaseas well as psychological and psychiatric morbidities. This guideline was previously called obesity: identification, assessment and management of overweight and obesity in children, young people and adults. Decisions on how they apply in Scotland and Northern Ireland are made by ministers in the Scottish government and Northern Ireland Executive. 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. Find out how to use quality standards and how we develop them.

This quality standard covers preventing children and young people under 18 from becoming overweight or mcguire brothers obese people, including strategies to increase physical activity and promote a healthy diet in the local population. 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. For example, compared with the general population, the prevalence of obesity is lower in men of Bangladeshi and Chinese family origin, whereas it is higher for women of African, Caribbean and Pakistani family origin. Quality standard [QS] Published: 04 August The National Confidential Enquiry into Patient Outcome and Death review of the care of people who underwent bariatric surgery identified in that there should be a greater emphasis on support and follow up for people having bariatric surgery.

Nice guidelines obesity 2012 in children and young people: prevention a Clinical guideline [CG] Published: 27 November 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.

Guidance Tools and resources Evidence History Overview. Abuse may also coexist with obesity. 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. 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. Clinical guideline [CG] Published: 27 November

NICE has written information for the public on each of the following topics. The recommendations in this guideline represent nice guidelines obesity 2012 view of NICE, arrived at after careful consideration of the evidence available. We want you to be involved in our work. The results are shared under shared care arrangements when the service user is in the care of both primary and secondary services. Service providers such as GP practices, community health services, mental health services and independent providers collaborate with local communities and people from black, Asian and other minority ethnic groups, healthcare professionals and commissioners to develop local care pathways that promote mental health services tailored to the needs of the local population. Adults who have had a fragility fracture or falls in the past, or who are taking steroid treatment have their risk of fracture assessed. This procedure involves removing about 80 percent of your stomach.

Community-based settings include the person's home or other residential settings, community centres and social centres. There are guidelins when it may not be appropriate to inform someone of their BMI measurement, such as inpatients approaching the end of life. BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups. Adults about to complete a lifestyle weight management programme agree a plan to prevent weight regain.

We check our quality standards every August to make sure they are up to date. We checked this guideline in May and are planning to update it. Obesity surgery also known as bariatric surgery includes gastric banding, gastric bypass, sleeve gastrectomy and duodenal switch. 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.

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. This excess fuel eventually becomes stored as body fat and can lead to obesity. Numerator — the number in the denominator who have had a physical health assessment within the past 12 months. Due to language and communication difficulties or past experiences of racism and prejudice, some people from the black, Asian and other minority ethnic groups may not have had a positive experience of accessing services. Adults and children 1. Particular consideration needs to be given when engaging adult men in the programmes because they are often harder to involve than other family members.

Medical concepts Adipose tissue Classification of obesity Genetics of obesity Metabolic syndrome Epidemiology of metabolic syndrome Metabolically healthy obesity Obesity paradox. The guidelines attempt to address the prevention and management nice guidelines obesity 2012 obesity at both the individual and population levels in both children and adults. Providers of lifestyle weight management programmes ensure that they provide local authorities with up to date lists of local lifestyle weight management programmes for children and young people. People from black, Asian and other minority ethnic groups with serious mental health problems have regular health checks at least once a year.

Increased public awareness may lead to more self-referrals to these guiedlines. Other NICE 2012 can also be used to ensure effective delivery of the recommendations made in this guidance see community engagement, behaviour change and cultural appropriateness below. An expedited referral means that people do not need to have tried non-surgical measures before they are referred for bariatric surgery assessment. ISSN Proportion of local health and wellbeing programmes with people working in peer and lay roles who are representative of the local community.

January In addition, family and healthcare professional involvement may help to 2012 a healthy weight. Due to language and communication difficulties, or past experiences of racism and prejudice, some people from the black, Asian and other minority ethnic groups may find it difficult to engage with services. It is therefore important that people who are identified as being overweight or obese are informed of their BMI and understand what it means, any associated risks to their health and how they can get help. Adults who have been taking zoledronic acid for 3 years or alendronate, ibandronate or risedronate for 5 years should have a review of the need for continuing treatment. An expedited referral means that people do not need to have tried non-surgical measures before they are referred for bariatric surgery assessment.

If any problems guudelines raised, these should be discussed and treatment adjusted if needed, which may involve input from a specialist. Numerator — the number in the denominator who are referred to a lifestyle weight management programme. This may be through engaging local communities using public consultation or community workshops that discuss future services. See the General Medical Council's Prescribing guidance: prescribing unlicensed medicines for further information. Sedentary behaviour describes activities that do not increase energy expenditure much above resting levels.

Clinical guideline [CG] Published: 27 November The National Bariatric Surgery Registry is now available to conduct national audit for a number of agreed outcomes. About What is covered This NICE Pathway covers the prevention, identification, assessment and management of obesity in adults and children. Commissioners such as NHS England, clinical commissioning groups and local authorities ensure that a plan to prevent weight regain is agreed with adults who are about to complete a lifestyle weight management programme. Adherence to treatment, including taking their medicine by the recommended method, is needed to ensure that fracture risk is reduced effectively. The fast-track appraisal process is being piloted by NICE for the review of selected low-risk appraisals.

  • Download PDF.

  • The aim is to help people to become more physically active and improve their diet.

  • Safeguarding children Remember that child maltreatment: is common can present anywhere, such as emergency departments and primary care or on home visits.

  • If necessary, offer another consultation to fully explore the options for treatment or discuss test results. Evidence that local authorities and NHS organisations ensure that information on the nutritional content of meals is included on menus at venues.

  • How we develop NICE guidelines. See NICE's guideline on child maltreatment for clinical features that may be associated with maltreatment.

It gkidelines be local, evidence-based and quality-assured. Treatment should be started in a specialist paediatric setting, by multidisciplinary teams with experience of prescribing in this age group. Lifestyle weight management programmes focus mcguire brothers obese people diet, physical activity and behaviour change to help people who are overweight or obese. They also highlight the increased risks and importance of physical health checks to people from black, Asian and other ethnic minority groups with a serious mental illness. Commissioners clinical commissioning groups commission cardiac rehabilitation services that have the capacity and expertise to provide people from black, Asian and other minority ethnic groups with programmes that are suitable, acceptable and culturally appropriate.

Over the longer term, average weight loss on orlistat is 2. This may mean working in mcguire brothers obese people with existing local community groups or faith leaders who can support delivering some of the programmes in non-traditional community-based settings. Follow-up care includes regular health check-ups, tests to make sure they are getting the nutrients they need, support with their diet, help to increase physical activity and psychological support if needed. Retrieved January 14, Use investigations such as: blood pressure measurement lipid profile, preferably while fasting fasting insulin fasting glucose levels and oral glucose tolerance test liver function endocrine function. 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.

Navigation menu

There were 3 times as many women admitted as men. See the guideline in development page for progress on the update. See NICE's guideline on child maltreatment for clinical features that may be associated with maltreatment.

All problems adverse events related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines nicd Healthcare products Regulatory Agency nice guidelines obesity the Yellow Card Scheme. This quality standard covers assessing and managing obesity in adults, young people and children, including referral for specialist care and bariatric weight loss surgery. See the guideline in development page for progress on the update. 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.

ALSO READ: Prime Number Density Graph Mass

Supporting organisations A number of organisations recognise the benefit of this quality obesity 2012 in improving care. Healthcare professionals Commissioners and providers People who are obese and their families and carers Is this guideline up to date? NICE's guideline on obesity was reviewed inleading to this update. 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. NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle services for overweight or obese adults.

We check our quality standards every August to make sure they are up to date. Quality standards help you improve the quality of care you provide or commission. It does not cover areas of national policy, such as such as legislative changes and national programmes. World Health Organization obesity and overweight: fact sheet

The guideline aimed to ensure that obesity became a priority at both strategic obesity 2012 delivery levels. The evidence base for very-low-calorie diets has expanded since the publication of Giudelines obesity guideline inand their use has increased. Download PDF. It does not cover preventing people from becoming overweight or obese, or lifestyle weight management programmes for people who are overweight or obese. Quality standard Tools and resources History Overview. How to use NICE quality standards and how we develop them Quality standards help you improve the quality of care you provide or commission. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.

Healthcare professionals Commissioners nice guidelines obesity 2012 providers Employers Local authorities Primary care trusts Head teachers and chairs of governors Children, young people and adults, and their families and carers Guidelinfs this guideline up to date? A number of organisations recognise the benefit of this quality standard in improving care. It also covers lifestyle weight management programmes for children and young people who are overweight or obese. 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. We check our quality standards every August to make sure they are up to date.

  • For example, compared with the general population, the prevalence of obesity is lower in men of Bangladeshi and Chinese family origin, whereas it is higher for women of African, Caribbean and Pakistani family origin. It does not cover preventing people from becoming overweight or obese, or lifestyle weight management programmes for people who are overweight or obese.

  • Proportion of people who have had bariatric surgery who have a follow-up care package within the bariatric service for a minimum of 2 years after bariatric surgery.

  • How to use NICE quality standards and how we nice guidelines obesity 2012 them Quality standards help you nicce the quality of care you provide or commission. The report also noted that clear postoperative dietary advice should be provided to people because of the potential for significant metabolic change such as vitamin B12 and iron deficiency after surgery.

  • Policy makers, commissioners, managers and practitioners in local authorities, the NHS nicr the wider public, private, voluntary and community sectors Academic organisations obesity 2012 in community-wide interventions to prevent and manage obesity Members of the public Is this guideline up to date? 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.

  • We checked this guideline in May and are planning to update it. Overweight and obesity is a global problem.

  • 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. Introduction List of quality statements Quality statement 1: Informing people of their BMI Quality statement 2: Discussion on the choice of interventions Quality statement 3: Referring children and young people for specialist care Quality statement 4: Referring adults with type 2 diabetes for bariatric surgery assessment Quality statement 5: Referring adults for bariatric surgery assessment Quality statement 6: Follow-up care after bariatric surgery Quality statement 7: Nutritional monitoring after discharge from the bariatric surgery service Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team Update information About this quality standard.

How we develop NICE guidelines. For example, compared with 20112 general population, the prevalence of obesity is lower in men of Bangladeshi and Chinese family origin, whereas it is higher for women of African, Caribbean and Pakistani family origin. NICE interactive flowchart - Obesity: working with local communities 2 Quality standards Obesity in children and young people: prevention a Obesity surgery also known as bariatric surgery includes gastric banding, gastric bypass, sleeve gastrectomy and duodenal switch. Supporting organisations A number of organisations recognise the benefit of this quality standard in improving care. NICE has also produced a guideline on obesity. Ethnic differences exist in the prevalence of obesity and the related risk of ill health.

Policy makers, commissioners, managers and practitioners in local authorities, the NHS and the wider public, private, voluntary and community sectors Academic organisations involved in community-wide interventions to prevent and manage obesity Members of the public Is this guideline up to date? 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. For example, compared with the general population, the prevalence of obesity is lower in men of Bangladeshi and Chinese family origin, whereas it is higher for women of African, Caribbean and Pakistani family origin. Download PDF.

Prominent positioning will help to ensure that people will consider healthier options when they are choosing food and drink. The optimal duration of bisphosphonate therapy is unclear and there are possible adverse nice guidelines obesity of long-term treatment. Provide information on patient support programmes. Please refer to the full guideline for recommendations on multidisciplinary management, education, self-management, and telehealth monitoring. Take into account the person's: age and stage of life gender cultural needs and sensitivities ethnicity social and economic circumstances specific communication needs for example because of learning disabilities, physical disabilities or cognitive impairments due to neurological conditions. Local authorities and NHS organisations ensure that their venues used by children and young people provide details about the nutritional content of menu items.

Download guidance PDF. A number of organisations recognise the benefit of this quality standard 2012 improving care. Home NICE Guidance Conditions and diseases Diabetes and other endocrinal, nutritional and metabolic conditions Obesity Obesity in children and young people: prevention and lifestyle weight management programmes Quality standard [QS94] Published: 23 July

Clinical judgement obrsity needed when considering risk factors in these groups. In Agrawal, S. For more information see the committee discussion in the NICE technology appraisal on bisphosphonates for treating osteoporosis. Weight loss programs involve lifestyle changes including diet modifications, physical activity and behavior therapy. Retrieved Oct 25, Perform additional investigations when needed, as detailed in Table 2. Preventing obesity in adults involves regular physical activity, a decrease in saturated fat intake, a decrease in sugar consumption, and an increase in fruit and vegetable consumption.

They also highlight the increased risks and importance of physical health checks to people from black, Asian and other ethnic minority groups with a serious mental illness. Service providers primary and secondary care providers ensure that healthcare professionals are able guixelines accurately measure and record height and weight, and are able to ogesity BMI centile using age- and gender-specific charts for children and young people. A clinical practice guideline by the US Preventive Services Task Force USPSTF concluded that the evidence is insufficient to recommend for or against routine behavioral counseling to promote a healthy diet in unselected people in primary care settings, but that intensive behavioral dietary counseling is recommended in those with hyperlipidemia and other known risk factors for cardiovascular and diet-related chronic disease. Tell us what matters to you, your organisation or your community. Lifestyle weight management programmes for overweight or obese people are multicomponent programmes that aim to reduce a person's energy intake and help them to be more physically active by changing their behaviour. Use clinical judgement to decide when to measure a person's height and weight.

Your browser is not supported

See the guideline in development page for progress on the update. All problems adverse events related to a medicine or medical device used for 2012 20122 in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme. It has also been suggested that diabetes-related morbidity and mortality is significantly lower after bariatric surgery and that the improvement in diabetes control is long-lasting Keidar, Bariatric surgery for type 2 diabetes reversal: the risks. Download guidance PDF.

Calculation of BMI is often done as guodelines of registration with a GP, or at hospital or community outpatient appointments for related conditions such as type 2 diabetes, cardiovascular disease or osteoarthritis. The person has been receiving or will receive intensive management in a tier 3 service for more information on tier 3 services, see NHS England's report on joined up clinical pathways for obesity. They have similarities and differences. Naltrexone—bupropion for managing overweight and obesity.

Quality standard [QS] Published: 04 August It also covers lifestyle weight management programmes for children mcguire brothers obese people young people who 22012 overweight or obese. It describes high-quality care in priority areas for improvement. How we develop NICE guidelines. Obesity surgery also known as bariatric surgery includes gastric banding, gastric bypass, sleeve gastrectomy and duodenal switch. This guideline covers preventing children, young people and adults becoming overweight or obese.

Find out how to use quality standards and how we develop them. However, these interventions are obesihy clearly defined, and there are concerns about safety, adherence and the sustainability of weight loss. 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. Healthcare professionals Commissioners and providers People who are obese and their families and carers Is this guideline up to date? 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? 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.

Family members and carers have an important role and responsibility in influencing the environment in which children and young people live. Percutaneous vertebroplasty and percutaneous balloon kyphoplasty for treating osteoporotic vertebral compression fractures NICE technology appraisal guidance Raloxifene and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women.

To investigate signs that may suggest another lung diagnosis such as fibrosis or bronchiectasis. 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. Data source: Local data collection, for example, from service level agreements. Over the longer term, average weight loss on orlistat is 2.

We checked this guideline in May It is not mandatory to apply the recommendations, and the guideline does nice guidelines obesity 2012 override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. 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. NICE's guideline on obesity was reviewed inleading to this update.

Overweight obesity 2012 obesity is a global problem. They work with us to promote it to commissioners and service providers:. How we develop NICE guidelines. It describes high-quality care in priority areas for improvement. It has been suggested that resolution of type 2 diabetes may be an additional outcome of surgical treatment of morbid obesity.

Download guidance PDF. The evidence base for very-low-calorie diets has expanded since the publication of NICE's obesity guideline inand their use has increased. Introduction List of quality statements Quality statement 1: Vending machines Quality statement 2: Nice guidelines obesity 2012 information at the point of choosing food and drink options Quality statement 3: Prominent placement of nicee options Quality statement 4: Maintaining details of local lifestyle weight management programmes Quality statement 5: 2021 awareness of lifestyle weight management programmes Quality statement 6: Family involvement in lifestyle weight management programmes Quality statement 7: Evaluating lifestyle weight management programmes Quality statement 8 placeholder : Reducing sedentary behaviour Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team About this quality standard. 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. Quality standard [QS] Published: 04 August The National Confidential Enquiry into Patient Outcome and Death review of the care of people who underwent bariatric surgery identified in that there should be a greater emphasis on support and follow up for people having bariatric surgery. Obesity surgery also known as bariatric surgery includes gastric banding, gastric bypass, sleeve gastrectomy and duodenal switch.

  • 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. It describes high-quality care in priority areas for improvement.

  • This condition is, however, rare and this treatment is not effective for inducing weight loss in the majority of people with obesity. Proportion of adults who are identified as overweight or obese with comorbidities who are referred to a lifestyle weight management programme.

  • The recommendations in this guideline represent the view of NICE, arrived at after giudelines consideration of the evidence available. 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.

Involving people, community organisations and faith leaders who can 2012 the views of local minority ethnic groups helps to ensure that the services reflect the needs and preferences of the local population. A systematic review comparing the two most popular bariatric procedures". Related articles. Denominator — the number of children and young people who are overweight or obese and have significant comorbidities.

Download guidance PDF. It aims to support sustainable and community-wide action to achieve this. Download guidance PDF. NICE has also published a quality standard for obesity in adults: prevention and lifestyle weight management programmes. It describes high-quality care in priority areas for improvement. How to use NICE quality standards and how we develop them Quality standards help you improve the quality of care you provide or commission.

A number of organisations recognise the benefit of this quality standard in improving care. The World Health Organization predicts that by approximately 2. Download guidance PDF. Quality standard Tools and resources History Overview.

Quality standard Tools and resources History Overview. Quality standards help nice guidelines obesity 2012 improve the quality of care you provide or commission. Obesity in children and young people: prevention a NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle services for overweight or obese adults. This guideline covers identifying, assessing and managing obesity in children aged 2 years and overyoung people and adults. How to use NICE quality standards and how we develop them Quality standards help you improve the quality of care you provide or commission.

An annual health check helps to pick up on early signs of physical health conditions and enables 2012 to be taken to prevent worsening health. Service providers primary, community based, and secondary care tier 3 or tier 4 services ensure that people who have had bariatric surgery are offered a follow-up care package within the bariatric service for a minimum of 2 years. Adults with any other comorbidities in addition to being overweight or obese, such as type 2 diabetes, hypertension, cardiovascular disease, osteoarthritis, dyslipidaemia and sleep apnoea. 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 Retrieved 11 August European Respiratory Journal 23 6 : — Oral theophylline In this section of the guideline, the term theophylline refers to slow-release formulations of the drug Theophylline should only be used after a trial of short-acting bronchodilators and long-acting bronchodilators, or for people who are unable to use inhaled therapy, as plasma levels and interactions need to be monitored Take particular caution when using theophylline in older people, because of differences in pharmacokinetics, the increased likelihood of comorbidities and the use of other medications Assess the effectiveness of theophylline by improvements in symptoms, activities of daily living, exercise capacity and lung function Reduce the dose of theophylline for people who are having an exacerbation if they are prescribed macrolide or fluoroquinolone antibiotics or other drugs known to interact.

Some population groups, such as people of Asian family origin, have comorbidity risk factors that are of niice at different BMIs. They work with ethnic minorities to ensure that programmes include a range of culturally sensitive and appropriate behaviour change interventions. During the consultation: Assess the person's view of their weight and the diagnosis, and possible reasons for weight gain.

Am J Sports Pbesity. An assessment of fracture risk should include estimating absolute fracture risk for example, the predicted risk of major osteoporotic or hip nice guidelines obesity 2012 over 10 years, expressed as a percentage. The format of this information should be nicr for people with sensory impairment. Ensure continuity of care in the multidisciplinary team through good record keeping. Proportion of people from black, Asian and other minority ethnic groups accessing mental health services who are offered support in community-based settings. Updates Updates to this NICE Pathway 7 February Recommendations updated in preventing fragility fracturesalternative primary prevention treatments for postmenopausal women and alternative secondary prevention treatments for postmenopausal women to reflect changes to raloxifene for the primary prevention of osteoporotic fragility fractures in postmenopausal women NICE technology appraisal guidance and raloxifene and teriparatide for the secondary prevention of osteoporotic fragility fractures in postmenopausal women NICE technology appraisal guidance Vending machines This quality statement is taken from the obesity in adults: prevention and lifestyle weight management programmes quality standard.

ALSO READ: Trettondag Jul Obesity

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. Data source: Local data collection, for example, GP patient records. Calculation of BMI is often done as part of registration with a GP, or at hospital or community outpatient appointments for related conditions such as type 2 diabetes, cardiovascular disease or osteoarthritis. People from black, Asian and other minority ethnic groups with a serious mental illness have a physical health assessment at least annually. Service providers primary care services, community care services and services in the wider public, community and voluntary sectors ensure that they work with established community groups and educational or religious leaders to identify and recruit members of the local community who can support people from black, Asian and other minority ethnic groups and represent the diverse needs of the local population. A practical summary of NICE recommendations on managing chronic asthma in children, young people, and adults, including three management algorithms.

This condition is, guideilnes, rare and this treatment is not effective for inducing weight loss in the majority of people with obesity. Different investigation mcguire brothers obese people are needed for people in hospital who will tend to have more severe exacerbations and people in the community. Numerator — the number in the denominator who are given information about local lifestyle weight management programmes. Taking drug treatment to improve bone density reduces the chance of future fractures and related problems. World Journal of Gastrointestinal Endoscopy. Read the related Guidelines in Practice article. ISBN

The National Confidential Enquiry into Patient Outcome and Death review of the care of people who underwent bariatric surgery identified in that there should be a greater emphasis on support and follow up for people having bariatric surgery. The World Health Organization predicts that by approximately 2. Find out how to use quality standards and how we develop them. This guideline covers how local communities, with support from local organisations and networks, can help prevent people from becoming overweight or obese or help them lose weight. It also reported that access to surgery for obesity in some areas of the UK did not reflect the recommendations in NICE's obesity guideline. We check our quality standards every August to make sure they are up to date.

It also covers lifestyle weight management programmes for children and young people who are overweight or obese. It provides an organisational framework for existing NICE guidance about obesity prevention or management. Supporting organisations A number of organisations recognise the benefit of this quality standard in improving care. 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. This guideline was previously called obesity: guidance on the prevention of overweight and obesity in adults and children.

Ensure that:. Despite nice guidelines obesity 2012 rising percentages, there are plenty of ways to nlce obesity in both kids and adults. American Journal of Preventive Medicine. The Quality and Outcomes Framework captures data on patients aged 50 to 74 with a record of a fragility fracture and a diagnosis of osteoporosis confirmed on dual-energy X-ray absorptiometry DXA scan, and aged 75 or over with a record of a fragility fracture and a diagnosis of osteoporosis.

ALSO READ: Picture Of A Child With Obesity

Local voluntary organisations and support groups can also provide details on the health risks associated with being overweight or obese and help with approaches to weight loss. Find out more We've identified 4 overarching strategic pillars for the next 5 years. A nice guidelines obesity 2012 summary of NICE recommendations on managing chronic asthma in children, young people, and adults, including three management algorithms. The board develops a health and wellbeing strategy for the local area. They ensure that mental health services are provided in a variety of settings and a range of support is available to facilitate access and uptake of services among people from black, Asian and other minority ethnic groups. It provides advice and expertise to local authorities, NHS England and clinical commissioning groups on the commissioning of public health services.

The prerequisites for effective interventions and programmes aimed at changing behaviour are covered in the NICE Pathway on behaviour change. Decreasing the levels of sedentary behaviour in children and young people is a different issue to increasing physical activity in this group, as noted in Start active, stay active: a report on physical activity from the four home countries' Chief Medical Officers. Schizophrenia, bipolar affective disorder and other psychoses. Then, assess:. Los Angeles Times.

See above for a visual summary covering non-pharmacological management and use of inhaled therapies. Obesity overview. Healthcare professionals such as GPs, diabetologists and endocrinologists ensure that they offer adults with a BMI of 35 or more who have been diagnosed with type 2 diabetes in the past 10 years an expedited referral for bariatric surgery assessment. More information on healthy eating can be found on the eat well pages of the NHS website. Evidence that local authority and NHS venues used by children and young people make arrangements to display healthy food and drink options in prominent positions.

Incorporating regular physical activity into your schedule is important for maintaining or losing weight, among other benefits. Archived from the original on People from black, Asian and other minority ethnic groups are represented in peer and lay roles within local health and wellbeing programmes.

Introduction 1 Recommendations 2 Research recommendations Finding more information and committee details Update information. How we develop NICE guidelines. Guidelies guideline aimed to ensure that obesity became a priority at both strategic and delivery levels. 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.

Inabout 3 in 10 obesity 2012 aged 2 to 15 years were overweight or obese. It aims to improve the use of bariatric surgery and very-low-calorie diets to help people who are obese to reduce their weight. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. Clinical guideline [CG] Published: 27 November Download PDF. Inhowever, the Royal College of Physicians' action on obesity: comprehensive care for all identified that care provision remained varied around the UK and that the models used to manage weight differed.

  • How we develop NICE guidelines. Quality standard Tools and resources History Overview.

  • Oral anti-oxidant therapy Treatment with alpha-tocopherol and beta-carotene supplements, alone or in combination, is not recommended. The National Bariatric Surgery Registry is now available to conduct national audit for a number of agreed outcomes.

  • Healthcare professionals Commissioners and providers Employers Local authorities Primary care trusts Head teachers and chairs of governors Children, young people and adults, and their families and carers Is this guideline up to date? Download guidance PDF.

  • They work with us to promote it to commissioners and service providers:. It also reported that access to surgery for obesity in some areas of the UK did not reflect the recommendations in NICE's obesity guideline.

This guideline covers identifying, assessing and managing obesity in children aged 2 years and overyoung people and adults. Quality standard [QS94] Published: 23 July Supporting organisations A number of organisations recognise the benefit of this quality standard in improving care. Guidance Tools and resources Evidence History Overview.

A placeholder statement is an area of care that has been prioritised by the Quality Standards Advisory Committee guidelins for which no source guidance is currently available. Archived from the original on Maintaining details of local 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. Health and wellbeing boards are based in upper tier and unitary local authorities. The Medical Research Council MRC dyspnoea scale see Table 1 should be used to grade the breathlessness according to the level of exertion required to elicit it. People from black, Asian and other minority ethnic groups can access mental health services in a variety of community-based settings. It is essential that any dietary recommendations are part of a multicomponent intervention.

Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. The National Confidential Enquiry into Patient Outcome and Death review of obeity care of people who underwent bariatric surgery identified in that there should be a greater emphasis on support and follow up for people having bariatric surgery. 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. Quality standards help you improve the quality of care you provide or commission. 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.

Fragility fractures can cause substantial pain and severe disability, often leading to a reduced quality of life and 2012 to decreased life expectancy. From ages 1 to 3, every inch of height should equate to roughly 40 calories of food intake. They also found that family support helped encourage weight loss in children. Several anti-obesity medications are currently approved by the FDA for long term use.

Numerator — the number in the denominator that has data on outcomes collected at 1 year after completion of the programme. Orlistat oebsity rimonabant lead to a reduced incidence of diabetes, and all three drugs have some effect on cholesterol. NHS England commissions primary care, clinical and specialised services. Pulmonary rehabilitation is defined as a multidisciplinary programme of care for people with chronic respiratory impairment. The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available.

Clinical guideline [CG] Published: 27 November Healthcare professionals Commissioners and providers Employers Local authorities Primary care trusts Head teachers and chairs of governors Children, young people and adults, and their families and carers Is this guideline up to date? It describes high-quality care in priority areas for improvement.

  • We checked this guideline in May and are planning to update it.

  • This information will help people achieve or maintain a healthy weight by enabling them to manage their daily nutritional intake. Adipose tissue Classification of obesity Genetics of obesity Metabolic syndrome Epidemiology of metabolic syndrome Metabolically healthy obesity Obesity paradox.

  • A number of organisations recognise the benefit of this quality standard in improving care. It describes high-quality care in priority areas for improvement.

  • It describes high-quality care in priority areas for improvement.

  • Introduction 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.

The evidence base for very-low-calorie diets has expanded since the publication of NICE's obesity guideline inand their use guide,ines increased. We check nice guidelines obesity 2012 quality standards every August to make sure they are up to date. This guideline was previously called obesity: guidance on the prevention of overweight and obesity in adults and children. Safeguarding children Remember that child maltreatment: is common can present anywhere, such as emergency departments and primary care or on home visits.

  • It is usually undertaken laparoscopically. NICE has also produced guidelines on obesity preventionmaintaining a healthy weightand lifestyle weight management services.

  • 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.

  • However, we are amalgamating this guideline with other guidelines on weight management, see the guideline in development page for progress. The evidence base for very-low-calorie diets has expanded since the publication of NICE's obesity guideline inand their use has increased.

  • When exercising their nice guidelines, 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. Introduction List of quality statements Quality statement 1: Vending machines Quality statement 2: Nutritional information at the point of choosing food and drink options Quality statement 3: Prominent placement of healthy options Quality statement 4: Maintaining details of local lifestyle weight management programmes Quality statement 5: Raising awareness of lifestyle weight management programmes Quality statement 6: Family involvement in lifestyle weight management programmes Quality statement 7: Evaluating lifestyle weight management programmes Quality statement 8 placeholder : Reducing sedentary behaviour Using the quality standard Diversity, equality and language Development sources Related NICE quality standards Quality Standards Advisory Committee and NICE project team About this quality standard.

It is assumed that in the first year the person has 3 follow-up appointments, with annual follow-up thereafter. Commissioners clinical commissioning groups and NHS England ensure that they commission services in which adults who have had a fragility fracture, use systemic glucocorticoids or have a history of falls, have their fracture risk assessed. Nutritional information at the point of choosing food and drink options This quality statement is taken from the obesity in children and young people: prevention and lifestyle weight management programmes quality standard. Discuss the reintroduction of food following a liquid diet with them.

Quality standard [QS94] Published: 23 July NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle 2012 for overweight or obese adults. NICE has also produced a guideline on obesity. 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. Inhowever, the Royal College of Physicians' action on obesity: comprehensive care for all identified that care provision remained varied around the UK and that the models used to manage weight differed.

Sidebar1?
Sidebar2?