Interdisziplinäre Leitlinie der Qualität S3 zur „Prävention und Therapie der Adipositas”

Hauner, Hans; Moß, Anja; Berg, Aloys; Bischoff, Stephan C.; Colombo-Benkmann, Mario; Ellrott, Thomas; Heintze, Christoph; Kanthak, Ute; Kunze, Detlef; Stefan, Norbert; Teufel, Martin; Wabitsch, Martin; Wirth, Alfred

doi:10.1055/s-0037-1618857

Cited by 63 publications

(76 citation statements)

References 316 publications

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“…Eine wesentliche Voraussetzung für den Erfolg konservativer Adipositastherapien sind realistische Behandlungsziele, die an die individuellen Bedingungen der Betroffenen angepasst sind [2,3]. Nach der aktuellen S3-Leitlinie: "Prävention und Therapie der Adipositas" ist das Ziel der Gewichts- Wie kann Adipositas konservativ therapiert werden?…”

Section: Ziele Der Adipositastherapieunclassified

“…Dabei umfasst das "Gewichtsmanagement" ▶ nicht nur die Phase der Gewichtsreduktion, ▶ sondern auch die langfristige Stabilisierung des reduzierten Körpergewichts [3]. Dieser multimodale Therapieansatz bildet die Basis für alle weiteren konservativen und chirurgischen Interventionen zur Gewichtsreduktion (▶ Abb.…”

Section: Ziele Der Adipositastherapieunclassified

“…Zumindest theoretisch kann eine Ernährungs-therapie nur dann langfristig erfolgreich sein, wenn ▶ Lebensstiländerungen akzeptiert werden und ▶ die Empfehlungen in der Praxis umsetzbar sind [2]. Zu solchen individuellen Ernährungstherapien liegen bisher keine validen Studiendaten vor [2,3]. Ernährungsformen zur Gewichtsreduktion sollen ▶ ausreichend lange (meist 6-24 Monate) ▶ mit einem Energiedefizit von etwa 500 kcal, in Einzelfällen auch höher, erfolgen ▶ ohne gesundheitliche Schäden (z.…”

Section: Ziele Der Adipositastherapieunclassified

“…B. Mangel an Mikronährstoffen) hervorzurufen [2]. Die Energiereduktion kann dabei sowohl über eine alleinige Senkung der aufgenommen Fettmenge [27], des Kohlenhydratverzehrs [28] oder eine Kombination aus beiden Ernährungsstrategi-en [29] erreicht werden [2,3]. .…”

Section: Ziele Der Adipositastherapieunclassified

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Konservative Therapie der Adipositas – wann und wie?

Blüher

2015

Dtsch med Wochenschr

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With a prevalence of 24 %, obesity is a frequent disease in the general population in Germany. Obesity requires an effective prevention and treatment, mainly because it significantly increases the risk of developing type 2 diabetes, cardiovascular, orthopaedic, psychologic and other disorders. The indication for the treatment of obesity is based on BMI and body fat distribution, but also includes considerations based on comorbidities. Main treatment goals include body weight reduction and weight maintenance after weight loss. To achieve these goals, a conservative treatment strategy is primarily recommended which consists of energy-reduced diet with a daily deficit of 500 kcal, increased physical activity, behavioral modifications or treatment. Several multimodal conservative treatment programs have been evaluated. If individual treatment targets could not be achieved, stepwise conservative treatment intensification should be initiated with very low calorie diets, pharmacotherapy and / or endoscopic obesity therapies. Surgical interventions represent an additional step in the obesity treatment algorithm, which have been shown to be more effective than conservative approaches with regard to weight and body fat reduction, improvement in obesity-related comorbidities, long-term weight maintenance and reduced mortality.

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Section: Ziele Der Adipositastherapieunclassified

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Konservative Therapie der Adipositas – wann und wie?

Blüher

2015

Dtsch med Wochenschr

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“…If obesity is also present, then dietary recommendations should be based on the German Obesity Guidelines (73). …”

Section: Accompanying Aspects Dietmentioning

confidence: 99%

Treatment of lipoedema using liposuction

Rapprich¹,

Baum²,

Kaak³

et al. 2015

Phlebologie

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SummaryBackground: Lipedema is a painful, genetically induced, abnormal deposition of subcutaneous fat in the extremities of women. The pathogenesis is unknown. Also unknown is the number of women affected in Germany. This study presents the epidemiology of the disease. There are currently two treatment options available: Complex physical decongestive therapy and liposuction. Liposuction is the only method that removes fat permanently. An additional study proves its effectiveness and highlights its vital role as part of a comprehensive treatment concept. Patients and methods: As part of the epidemiological research, all patients of a general practioner were examined for leg problems. The liposuction study included the preand postoperative examination of 85 patients, which was carried out using a questionnaire. Results: Lipedema were diagnosed in 5 % of all patients of the GP practice. In all 85 pa-

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Evaluation of an approach–avoidance training intervention for children and adolescents with obesity: A randomized placebo‐controlled prospective trial

Warschburger

Gmeiner

Morawietz

et al. 2018

Euro Eating Disorders Rev

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This study evaluated the efficacy of approach-avoidance training as an additional treatment for children and adolescents with obesity seeking inpatient treatment. Two hundred thirty-two participants (8-16 years, 53.9% girls) were randomly assigned either to multisession approach-avoidance (IG) or to placebo training (CG). As outcomes, cognitive biases post intervention, body mass index, eating behaviour, food intake, self-regulation, and weight-related quality of life were assessed, also at 6- and 12-month follow-up. Modification of approach-avoidance bias was observed, but lacked in transfer over sessions and in generalization to attention and association bias. After 6 months, the IG reported less "problematic" food consumption, higher self-regulation, and higher quality of life; effects did not persist until the 12-month follow-up; no significant interaction effects were observed regarding weight course. Despite there was no direct effect on weight course, approach-avoidance training seems to be associated with promising effects on important pillars for weight loss. Further research concerning clinical effectiveness is warranted.

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Interdisziplinäre Leitlinie der Qualität S3 zur „Prävention und Therapie der Adipositas”

Cited by 63 publications

References 316 publications

Konservative Therapie der Adipositas – wann und wie?

Konservative Therapie der Adipositas – wann und wie?

Treatment of lipoedema using liposuction

Evaluation of an approach–avoidance training intervention for children and adolescents with obesity: A randomized placebo‐controlled prospective trial

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