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This is followed by information on the panels ratings of the benefits, harms, balance of benefits vs. harms, patient values and preferences, applicability, and overall recommendation statement for each intervention or comparison of treatments. Conflicting perspectives of obesity causation and intervention amongst overweight people, health professionals and policy makers, Blame, shame, and lack of support: a multilevel study on obesity management, Weight bias and health care utilization: a scoping review, Obesity Canada Clinical Practice Guidelines Expert Panel, 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children [summary], Table 13-10-0096-20: Body mass index, overweight or obese, self-reported, adult, age groups (18 years and older), Current and predicted prevalence of obesity in Canada: a trend analysis, Energy balance and its components: implications for body weight regulation, Malleability of weight-biased attitudes and beliefs: a meta-analysis of weight bias reduction interventions, Personalizing obesity assessment and care planning in primary care: patient experience and health outcomes in everyday life and health, Clinical review: modified 5 As: minimal intervention for obesity counseling in primary care, The relationship of waist circumference and BMI to visceral, subcutaneous, and total body fat: sex and race differences, The influence of age, sex and body mass index on the effectiveness of brisk walking for obesity management in adults: a systematic review and meta-analysis, Medical nutrition therapy and weight loss questions for the evidence analysis library prevention of type 2 diabetes project: systematic reviews, Position of the Academy of Nutrition and Dietetics: interventions for the treatment of overweight and obesity in adults, Long-term persistence of hormonal adaptations to weight loss, Long-term persistence of adaptive thermogenesis in subjects who have maintained a reduced body weight, Defining the optimal dietary approach for safe, effective and sustainable weight loss in overweight and obese adults, Eight-year weight losses with an intensive lifestyle intervention: the look AHEAD study, Are behavioural interventions doomed to fail? LW$:K){(64R~-Rr_H|k^{ 9/e Advancing psychology to benefit society and improve lives, Placing Clinical Practice Guidelines in Context, A Closer Look at APAs Clinical Practice Guideline, Obesity and Overweight in Children and Adolescents (PDF, 54KB), Multicomponent Behavioral Interventions for Weight Management in Children and Adolescents: A systematic evidence review (PDF, 3.25MB), Multicomponent Behavioral Interventions for Weight Management in Children and Adolescents: Appendixes (PDF, 4.86MB), Obesity and Overweight Evidence Grid (XLS, 27KB), Clinical Practice Guideline for the Treatment of Depression Across Three Age Cohorts, Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder (PTSD), APA Clinical Practice Guideline Development, APA Mental and Behavioral Health Registry (MBHR), 2022 American Psychological Association. In this grid, the key questions incorporated from the appendix document of the systematic review is presented across the top row.
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Each column in the grid reflects a particular treatment or treatment comparison from the review while each row reflects a particular outcome (i.e., mean zBMI reduction). 646 0 obj << /Linearized 1 /O 648 /H [ 1169 2175 ] /L 1580465 /E 69484 /N 94 /T 1567426 >> endobj xref 646 35 0000000016 00000 n 0000001051 00000 n 0000003344 00000 n 0000003562 00000 n 0000003774 00000 n 0000004205 00000 n 0000005064 00000 n 0000005686 00000 n 0000006484 00000 n 0000006665 00000 n 0000006688 00000 n 0000008979 00000 n 0000009831 00000 n 0000010327 00000 n 0000010350 00000 n 0000012322 00000 n 0000012345 00000 n 0000014212 00000 n 0000014235 00000 n 0000016068 00000 n 0000016091 00000 n 0000018054 00000 n 0000018077 00000 n 0000020167 00000 n 0000020190 00000 n 0000022482 00000 n 0000022505 00000 n 0000024343 00000 n 0000024422 00000 n 0000024500 00000 n 0000029636 00000 n 0000033446 00000 n 0000040414 00000 n 0000001169 00000 n 0000003321 00000 n trailer << /Size 681 /Info 633 0 R /Root 647 0 R /Prev 1567415 /ID[<81acdf39eb82d115893343c0d23d4e2d>] >> startxref 0 %%EOF 647 0 obj << /Type /Catalog /Pages 627 0 R /Outlines 550 0 R /FICL:Enfocus 643 0 R /Metadata 625 0 R >> endobj 679 0 obj << /S 2794 /O 3143 /Filter /FlateDecode /Length 680 0 R >> stream 6{8>qXo"x&}sE/x!)65SIMpxYGBoKbT3. Challenges to self-management support in chronic Diseases, Weight maintenance and additional weight loss with liraglutide after low-calorie-diet-induced weight loss : the SCALE Maintenance randomized study, Effect of naltrexone plus bupropion on weight loss in overweight and obese adults (COR-I): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial, SCALE Obesity and Prediabetes NN8022-1839 Study Group, A randomized, controlled trial of 3.0 mg of liraglutide in weight management, Effect of orlistat on weight regain and cardiovascular risk factors following a very-low-energy diet in abdominally obese patients:a 3-year randomized, placebo-controlled study, Long term pharmacotherapy for obesity and overweight: updated meta-analysis [published erratum in, American Association of Diabetes Educators, Addressing obesity via diabetes self-management education and training, Unrealistic weight loss expectations in candidates for bariatric surgery, Behavioural interventions for preventing and treating obesity in adults, Weight loss strategies for obese adults: personalized weight management program vs. standard care, Report card on access to obesity treatment for adults in Canada 2019, Obesity prevention and management strategies in Canada: shifting paradigms and putting people first, Inequities in healthcare: a review of bias and discrimination in obesity treatment, Management of obesity: improvement of healthcare training and systems for prevention and care, Inequalities in access to bariatric surgery in Canada, Lose 40 pounds in 4 weeks: regulating commercial weight-loss programs, AGREE II: advancing guideline development, reporting and evaluation in health care, Working minds: a practitioners guide to cognitive task analysis, Developing clinical practice guidelines: reviewing, reporting, and publishing guidelines; updating guidelines; and the emerging issues of enhancing guideline implementability and accounting for comorbid conditions in guideline development, Grades of recommendation for antithrombotic agents: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition), Medical therapy for pulmonary arterial hypertension: updated ACCP evidence-based clinical practice guidelines, Clinical practice guideline development manual: a quality-driven approach for translating evidence into action, Obesity as a chronic medical disease [policy], Obesity: preventing and managing the global epidemic Report of a WHO Consultation (WHO Technical Report Series 894), A critical analysis of obesity prevention policies and strategies, Canadian Task Force on Preventive Health Care, Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care, Obesity as a disease: the Obesity Society 2018 position statement, The orbitofrontal cortex functionally links obesity and white matter hyperintensities, Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes, Lobsit chez ladulte : ligne directrice de pratique clinique, Recommendation on instrument-based screening for depression during pregnancy and the postpartum period, Recommendations for equitable COVID-19 pandemic recovery in Canada, Recommendation on screening for chlamydia and gonorrhea in primary care for individuals not known to be at high risk, www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.191707/-/DC2, www.cmaj.ca/lookup/suppl/doi:10.1503/cmaj.191707/-/DC1, https://www.cmaj.ca/lookup/doi/10.1503/cmaj.191707/tab-related-content, www.canada.ca/en/public-health/services/reports-publications/obesity-canada-snapshot.html, www.canada.ca/en/public-health/services/health-promotion/healthy-living/obesity-canada/health-economic-implications.html, www.who.int/news-room/fact-sheets/detail/obesity-and-overweight, www.evidencepartners.com/products/distillersr-systematic-review-software/, https://policybase.cma.ca/en/permalink/policy11700, Family medicine, general practice, primary care. The effect size along with relevant information (i.e., confidence interval) is presented at the intersection of rows and columns. fIZ$pc&BG;8ARt4FX0;`K HWmo8_1-EJl&EM,y-%3$%9(Ry{fwW-GGW0(J$)!i PE=ba?)k\/ETNx6Hf0lNMrCm^0tU$_SGW3 !,Yq[U>/T7>y"##DE ^m92[BIgW=T=#kGK9GT~)YgJwNue-SWDqviZP:6L. 9 million children, adolescents, and adults, Obesity in Canada Health and economic implications, Obesity and overweight in Canada: an updated cost-of-illness study, The incidence of co-morbidities related to obesity and overweight: a systematic review and meta-analysis, Weight discrimination and risk of mortality, Adiposity-based chronic disease as a new diagnostic term: the American Association of Clinical Endocrinologists and American College Of Endocrinology position statement, Proposal for a scientifically correct and medically actionable disease classification system (ICD) for obesity, Transcriptional basis for rhythmic control of hunger and metabolism within the AgRP neuron, The arcuate nucleus mediates GLP-1 receptor agonist liraglutide-dependent weight loss, Three pillars for the neural control of appetite, Understanding and addressing the epidemic of obesity: an energy balance perspective, Insulin in the ventral tegmental area reduces hedonic feeding and suppresses dopamine concentration via increased reuptake, The gut-brain axis, the human gut microbiota and their integration in the development of obesity, Brain reward-system activation in response to anticipation and consumption of palatable food is altered by glucagon-like peptide-1 receptor activation in humans, A proposed clinical staging system for obesity, Waist circumference as measure of abdominal fat compartments, Waist circumference as a vital sign in clinical practice: a Consensus Statement from the IAS and ICCR Working Group on Visceral Obesity, International Atherosclerosis Society; International Chair on Cardiometabolic Risk Working Group on Visceral Obesity, Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement, The epidemiology of obesity: a big picture, Using the Edmonton obesity staging system to predict mortality in a population-representative cohort of people with overweight and obesity, Edmonton Obesity Staging System prevalence and association with weight loss in a publicly funded referral-based obesity clinic, Edmonton Obesity Staging System: association with weight history and mortality risk, The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners [published erratum in, Report card on access to obesity treatment for adults in Canada 2017, Are physicians equipped to address the obesity epidemic? The 2018 guideline recommends interventions for the treatment of overweight and obesity in children and adolescents aged 218. See Placing Clinical Practice Guidelines in Context for guidance on the use of this guideline. L 6a=Ryb> Ha5ey ]S6;!`x,)PfV)b@>&y@P6 K3FJy}P6a!hHKxg+(sfdnb[ ?wD/Mh8qFdmQt`ZK_ hEr3@S9f=}VNLn)3_efb ',6"e/c'xw^][S365A54@;Cn,:+/2^8>]>/YCh=@IhZht0062q dosv&lGW*^"[j60$*fk36-iVBNb7oy&Zs(=Xz9YI7I .WlVXdMl6Z9^:=7a;hg=X8O),Gz74Yg|4jM^TKt^.6/ZuSF6OoFo/juZc6' #Q'+= ~2tf6iyz:e?3z891jgYIPq]!^@c24L~H5! }_Z7?B4 nTTx]uZpj"_%;hZ,YdspA.JV03Pl3[lB/K%x ^B/W++++++l: Recommendations are based on a systematic review of the scientific evidence, a weighing of the benefits and harms of interventions, consideration of what is known about patient values and preferences, and consideration of the applicability of the evidence across demographic groups and settings. See A Closer Look at APAs Clinical Practice Guideline for the Treatment of Obesity and Overweight in Children and Adolescents.