Guideline Recommendations for Obesity Management

Ryan, Donna H.; Kahan, Scott

doi:10.1016/j.mcna.2017.08.006

Cited by 136 publications

(122 citation statements)

References 13 publications

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“…Overweight and obesity, as well as their related noncommunicable diseases, are largely preventable and reversible. The current mainstream weight-reduction measures primarily include the lifestyle modi cation (e.g., reducing the number of calories consumed from fats and sugars, and engaging in regular physical activity), anti-obesity drugs and bariatric surgery [14,15]. The lifestyle modi cation therapies are often accompanied with the long treatment duration and poor compliance of patients, which lead to the weight regain easily [16,17].…”

Section: Introductionmentioning

confidence: 99%

Effect of Warm-Needling Acupuncture in Overweight and Obese Adults: Protocol for a Systematic Review and Meta-Analysis

Yao¹,

Chen²,

Zheng³

et al. 2020

Preprint

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Background: Overweight and obesity are chronic metabolic diseases characterized by abnormal or excessive fat accumulation that presents a risk to health. Warm-needling acupuncture (WNA), which combines the characteristics of acupuncture and moxibustion, has been commonly used to manage obesity with reasonable weight control in recent years. Therefore, our objective is to systematically appraise the efficacy and safety of WNA for overweight and obesity.Methods: Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE (via PubMed), Excerpt Medica Database (EMBASE), ALT HealthWatch, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Allied and Complementary Medicine Database (AMED), the Chinese Biomedical Literature Database (CBM), Wanfang Data, and grey literature (trial registries, conference proceedings and academic degree dissertations) will be searched for the identification of articles. All randomized controlled trials (RCTs) involving WNA independently or as an adjunct to other active therapies, compared with the same therapies alone, will be included. The principal outcome will be the difference in BMI from baseline to the end of studies. Secondary outcomes include the change of weight, waist circumference, percentage of body fat, serum lipid before and after treatment. The severity and incidence of adverse events will be measured as the safety assessment. Study selection, data extraction, and assessment of risk of bias will be performed independently by two reviewers. A third reviewer will resolve and determine disagreements. The Review Manager software (V.5.3.5) and Stata software (V.14.0) will be used for data synthesis. Furthermore, the quality of the evidence for the results will be described according to the Grading of Recommendations Assessment, Development and Evaluation system (GRADE) with GRADEprofiler software (V.3.6.1).Discussion: This is the first systematic review to evaluate the effect of WNA in the management of obesity. This program will provide a high-quality synthesis of the current evidence to identify whether WNA is an effective therapeutic approach for overweight and obesity.Systematic review registration: PROSPERO CRD42019146380.

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Section: Introductionmentioning

confidence: 99%

Effect of Warm-Needling Acupuncture in Overweight and Obese Adults: Protocol for a Systematic Review and Meta-Analysis

Yao¹,

Chen²,

Zheng³

et al. 2020

Preprint

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“…[5][6][7] Therefore, distinguishing lean and fat mass allows an adequate evaluation of the nutritional status in individuals presenting high values of BMI. [5][6][7] Therefore, distinguishing lean and fat mass allows an adequate evaluation of the nutritional status in individuals presenting high values of BMI.…”

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confidence: 99%

“…Additionally, BMI is an index more appropriate to measure body size and, in cases of high body weight, does not distinguish high lean mass from high body fat. [5][6][7] Therefore, distinguishing lean and fat mass allows an adequate evaluation of the nutritional status in individuals presenting high values of BMI. Bioelectrical impedance analysis (BIA) is a technique suitable for use in clinical routine given it is a noninvasive and portable method, enabling to evaluate body fat as well as other body composition components such as lean mass.…”

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confidence: 99%

High abdominal adiposity and low phase angle in overweight renal transplant recipients

Ferreira

Silva

Costa

et al. 2019

Clinical Transplantation

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Obesity is associated with increased risk of cardiovascular disease (CVD). Body mass index (BMI) is the most used parameter for obesity screening. However, the evaluation of CVD risk in overweight individuals should include the assessment of body fat distribution and body composition. Renal transplant recipients (RTR) have a high CVD risk and frequently present weight gain and loss of lean mass. The aim of this study was to evaluate body fat distribution and body composition in overweight RTR. This cross‐sectional study was conducted with 86 RTR and 86 hypertensive individuals (comparison group, CG) presenting BMI 25‐35 Kg/m2 and 45‐70 years. Anthropometric evaluation included BMI, waist circumference, waist‐to‐height ratio, and a body shape index. Body composition was evaluated with bioelectrical impedance analysis (BIA). Glomerular filtration rate was estimated (eGFR) by CKD‐EPI equation. RTR group (RTRG) and CG presented similar age and BMI. RTRG when compared to CG presented lower percentage of women and eGFR; higher central adiposity; and lower values of reactance, intracellular water, body cell mass and phase angle, more consistently observed in women. This study suggests that overweight RTR present higher abdominal adiposity and impairment in BIA parameters that are sensitive indicators of impaired membrane integrity, water distribution, and body cell mass.

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“…Estudiosos destacam que as principais deficiências de micronutrientes verificadas nessa população são cálcio, vitaminas A, D (ROUST; DIBAISE, 2017), C, B12 (THOMAS-VALDÉS et al, 2016), tiamina, ferro, betacaroteno (WOLF et al, 2015), ácido fólico (FRAME-PETERSON et al, 2017; KRZIZEK et al, 2017), selênio e zinco (LIMA et al, 2013).Mais estudos são necessários para avaliar se a deficiência de vitaminas é causa ou consequência do excesso de tecido adiposo(THOMAS-VALDÉS et al, 2016). É consenso que o rastreamento da deficiência de micronutrientes e tratamento precoce por meio de atendimento individualizado são importantes para prevenir futuras complicações(FRAME-PETERSON et al, 2017;ROUST;DIBAISE, 2017;RYAN;KAHAN, 2018). As diretrizes que tratam do manejo dietético na obesidade não são mandatórias e devem ser interpretadas com base no julgamento clínico(RYAN; KAHAN, 2018).…”

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Macro e micronutrientes na orientação nutricional para obesidade

Magno

Coimbra

Kaippert

et al. 2019

hu rev

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A obesidade é uma doença crônica e tem se tornado uma epidemia em todo o mundo. Sua etiologia é multifatorial e o tratamento complexo, envolvendo dieta, exercícios físicos, fármacos e, em casos mais graves, cirurgia. De acordo com os guias e consensos, nacionais e internacionais, a distribuição dos macronutrientes fica em torno de 35% a 65% do valor energético total (VET) de carboidratos, 15 a 25% do VET de proteínas e 20 a 40% do VET de lipídios. Por meio de uma revisão de literatura, foram encontradas recomendações controversas. Conforme análise crítica dos pesquisadores envolvidos e de acordo com resultados de pesquisas recentes, concluiu-se que dieta hipocalórica (restrição de 500 a 750 kcal/dia), hiperproteica (>25% do VET), hipoglicídica e normolipídica foi eficaz na perda e manutenção do peso a longo prazo. Em relação aos lipídios, verificou-se que a dieta deve ser mais qualitativa, com a redução na ingestão de colesterol, gorduras saturadas e trans. O consumo de fibras deve ser estimulado. Dietas restritivas não se mostraram sustentáveis por um longo período, mas podem ser usadas em um período determinado. Além disso, a alta prevalência de deficiência de micronutrientes em indivíduos com obesidade foi consensual entre os autores, inclusive antes da cirurgia bariátrica. Concluiu-se que a adesão dietética e, consequentemente, o balanço negativo são fatores decisivos para a promoção da perda de peso. O planejamento alimentar deve ser flexível e individualizado e o contato entre o nutricionista e o paciente deve ser constante, visando a reeducação alimentar. O presente artigo realizou uma análise crítica das recomendações de macro e micronutrientes na obesidade visando contribuir para o tratamento dietético dessa população.

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Guideline Recommendations for Obesity Management

Cited by 136 publications

References 13 publications

Effect of Warm-Needling Acupuncture in Overweight and Obese Adults: Protocol for a Systematic Review and Meta-Analysis

Effect of Warm-Needling Acupuncture in Overweight and Obese Adults: Protocol for a Systematic Review and Meta-Analysis

High abdominal adiposity and low phase angle in overweight renal transplant recipients

Macro e micronutrientes na orientação nutricional para obesidade

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