The Saudi Clinical Practice Guideline for the Management of Overweight and Obesity in Adults

Overview

Journal Saudi Med J

Specialty General Medicine

Date 2016 Sep 22

PMID 27652370

Citations 31

Authors

Assim A Alfadda

Madhawi M Al-Dhwayan

Abdulhameed A Alharbi

Basema K Al Khudhair

Omar M Al Nozha

Nawal M Al-Qahtani

Saad H Alzahrani

Wedad M Bardisi

Reem M Sallam

John J Riva

Jan L Brozek

Holger J Schunemann

Ainsley Moore

Affiliations

Soon will be listed here.

Abstract

Objective: To assist healthcare providers in evidence-based clinical decision-making for the management of overweight and obese adults in Saudi Arabia.

Methods: The Ministry of Health, Riyadh, Kingdom of Saudi Arabia assembled an expert Saudi panel to produce this clinical practice guideline in 2015. In collaboration with the methodological working group from McMaster University, Hamilton, Canada, using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach, which describes both the strength of recommendation and the quality of evidence

Results: After identifying 11 questions, corresponding recommendations were agreed upon as guidance for the management of overweight and obese adults. These included strong recommendations in support of lifestyle interventions rather than usual care alone, individualized counseling interventions rather than generic educational pamphlets, physical activity rather than no physical activity, and physical activity in addition to diet rather than diet alone. Metformin and orlistat were suggested as conditional recommendations for the management of overweight and obesity in adults. Bariatric surgery was recommended, conditionally, for the management of obese adults (body mass index of ≥40 or ≥35 kg/m2 with comorbidities).

Conclusions: The current guideline includes recommendation for the non-pharmacological, pharmacological, and surgical management of overweight and obese adults. In addition, the panel recommends conducting research priorities regarding lifestyle interventions and economic analysis of drug therapy within the Saudi context, as well as long term benefits and harms of bariatric surgery.

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Al Saud L, Altowairqi S, Showail A, Alzahrani B, Arnous M, Alsuhaibani R J Family Med Prim Care. 2024; 13(9):3688-3694.

PMID: 39464901 PMC: 11504810. DOI: 10.4103/jfmpc.jfmpc_7_24.

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