RT Journal Article
SR Electronic
T1 The Saudi clinical practice guideline for the management of overweight and obesity in adults
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1151
OP 1162
DO 10.15537/smj.2016.10.14353
VO 37
IS 10
A1 Assim A. Alfadda
A1 Madhawi M. Al-Dhwayan
A1 Abdulhameed A. Alharbi
A1 Basema K. Al Khudhair
A1 Omar M. Al Nozha
A1 Nawal M. Al-Qahtani
A1 Saad H. Alzahrani
A1 Wedad M. Bardisi
A1 Reem M. Sallam
A1 John J. Riva
A1 Jan L. Brożek
A1 Holger J. Schünemann
A1 Ainsley Moore
YR 2016
UL http://smj.org.sa/content/37/10/1151.abstract
AB 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 evidenceResults: 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.