Executive Summary of Evidence and Consensus-Based Clinical Practice Guidelines for Management of Obesity and Overweight in Midlife Women: An AIIMS-DST Initiative.

Autor: Ranjan P; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India., Vikram NK; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India., Choranur A; President, Indian Menopause Society, Former Professor and Head, Department of Obstetrics and Gynaecology, Osmania Medical College, Hyderabad, India., Pradeep Y; Department of Obstetrics and Gynaecology, Era Medical College and University, Hyderabad, India.; Department of Obstetrics and Gynaecology, RML Institute of Medical Sciences, KGMU, Lucknow, Uttar Pradesh, India.; Vice President Elect, Federation of Obstetric and Gynaecological Societies of India, India., Ahuja M; President, Society of Meaningful Life Management, India.; Associate Editor, Journal of Midlife Health, India., Meeta M; Associate Editor, Journal of Midlife Health, India., Puri M; Department of Obstetrics and Gynaecology, LHMC and SSK Hospital, Delhi, India., Malhotra A; Department of Home Science, Lakshmibai College, University of Delhi, Delhi, India., Kumari A; Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India., Chopra S; Department of Home Science, University of Delhi, Delhi, India., Batra A; Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.; President, Association of Obstetricians & Gynaecologists of Delhi (AOGD), Professor, Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, Mumbai, India., Balsalkar G; Department of Obstetrics and Gynaecology, Seth GS Medical College, Mumbai, India., Goswami D; Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India., Guleria K; Department of Obstetrics and Gynaecology, University College of Medical Sciences, New Delhi, India., Sarkar S; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India., Kachhawa G; Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India., Verma A; Department of Home Science, University of Delhi, Delhi, India., Kumari MK; Department of Obstetrics and Gynaecology, Apollo Medical College, Hyderabad, Telangana, India., Madan J; National President, Indian Dietetic Association, India., Dabral A; Department of Obstetrics and Gynaecology, VMMC, and Safdarjung Hospital, New Delhi, India., Kamath S; Ex-Professor of Medicine and Dean, LT Municipal Medical College and General Hospital, Mumbai, India.; Ex-Professor of Medicine and Dean, Seth G S Medical College and KEM Hospital, Mumbai, India., Rathore AM; Department of Obstetrics and Gynaecology, University College of Medical Sciences, New Delhi, India., Kumar R; Academy of Family Physicians of India, India., Venkataraman S; Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, India., Kaloiya G; Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India., Bhatla N; Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India., Kumari SS; President, The Federation of Obstetric and Gynaecological Societies of India, India., Baitha U; Department of Medicine, All India Institute of Medical Sciences, New Delhi, India., Prakash A; Department of Medicine, LHMC and SSK Hospital, Lucknow, Uttar Pradesh, India., Tiwaskar M; Secretary, Association of Physicians of India, India., Tewary K; Secretary, Association of Physicians of India, India., Misra A; Fortis-C-DOC Centre of Excellence for Diabetes, Metabolic Diseases and Endocrinology, Lucknow, Uttar Pradesh, India.; Chairman, National Diabetes, Obesity and Cholesterol Foundation (N-DOC), Lucknow, Uttar Pradesh, India.; President, Diabetes Foundation (India), Lucknow, Uttar Pradesh, India., Guleria R; Director, All India Institute of Medical Sciences, New Delhi, India.
Jazyk: angličtina
Zdroj: Journal of mid-life health [J Midlife Health] 2022 Jan-Mar; Vol. 13 (1), pp. 34-49. Date of Electronic Publication: 2022 May 02.
DOI: 10.4103/jmh.jmh_7_22
Abstrakt: Weight gain is an independent risk factor for decline in cardiometabolic and overall health-related quality of life in midlife women. The AIIMS-DST initiative aims to develop and validate stepwise recommendations specific for weight management in midlife women. The key clinical questions specific to weight management in midlife women were finalized with the help of a multidisciplinary team of experts in the guideline development group. Phase I including a systematic and/or narrative review, grading of evidence, and expert opinion was sought to develop clinical practice recommendations for each clinical question. Phase II focused on validation of clinical practice recommendations using the peer-review, Delphi method, and GRADE approach. The guidelines provide clinical practice points to address challenges encountered by midlife women in their attempts to manage obesity via lifestyle modification techniques. The initiation of discussion would help the health-care provider to identify the weight management needs of the women, educate women on different modalities of weight management, and empower them to incorporate corrective lifestyle behaviors. Before initiating the management, a comprehensive assessment of clinical and lifestyle-related parameters should be completed. A personalized behavioral lifestyle modification program addressing the midlife-specific barriers for optimal metabolic, musculoskeletal, and mental health should be planned. A consistent follow-up is required for maintenance of corrective eating and activity habits by addressing midlife-specific barriers for sustenance of healthy weight. These recommendations will be useful in opportunistic screening and management of obesity in midlife women across health-care settings.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 Journal of Mid-life Health.)
Databáze: MEDLINE
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