European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians
Introduction: Obesity affects nearly 1 in 4 European adults increasing their risk for mortality and physical and psychological morbidity. Obesity is a chronic relapsing disease characterized by abnormal or excessive adiposity with risks to health. Medical nutrition therapy based on the latest scient...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2022-12-01
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| Series: | Obesity Facts |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/528083 |
| _version_ | 1797955238354747392 |
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| author | Maria Hassapidou Antonis Vlassopoulos Marianna Kalliostra Elisabeth Govers Hilda Mulrooney Louisa Ells Ximena Ramos Salas Giovanna Muscogiuri Teodora Handjieva Darleska Luca Busetto Volkan Demirhan Yumuk Dror Dicker Jason Halford Euan Woodward Pauline Douglas Jennifer Brown Tamara Brown |
| author_facet | Maria Hassapidou Antonis Vlassopoulos Marianna Kalliostra Elisabeth Govers Hilda Mulrooney Louisa Ells Ximena Ramos Salas Giovanna Muscogiuri Teodora Handjieva Darleska Luca Busetto Volkan Demirhan Yumuk Dror Dicker Jason Halford Euan Woodward Pauline Douglas Jennifer Brown Tamara Brown |
| author_sort | Maria Hassapidou |
| collection | DOAJ |
| description | Introduction: Obesity affects nearly 1 in 4 European adults increasing their risk for mortality and physical and psychological morbidity. Obesity is a chronic relapsing disease characterized by abnormal or excessive adiposity with risks to health. Medical nutrition therapy based on the latest scientific evidence should be offered to all Europeans living with obesity as part of obesity treatment interventions. Methods: A systematic review was conducted to identify the latest evidence published in the November 2018–March 2021 period and to synthesize them in the European guidelines for medical nutrition therapy in adult obesity. Results: Medical nutrition therapy should be administered by trained dietitians as part of a multidisciplinary team and should aim to achieve positive health outcomes, not solely weight changes. A diverse range of nutrition interventions are shown to be effective in the treatment of obesity and its comorbidities, and dietitians should consider all options and deliver personalized interventions. Although caloric restriction-based interventions are effective in promoting weight reduction, long-term adherence to behavioural changes may be better supported via alternative interventions based on eating patterns, food quality, and mindfulness. The Mediterranean diet, vegetarian diets, the Dietary Approaches to Stop Hypertension, portfolio diet, Nordic, and low-carbohydrate diets have all been associated with improvement in metabolic health with or without changes in body weight. In the November 2018–March 2021 period, the latest evidence published focused around intermittent fasting and meal replacements as obesity treatment options. Although the role of meal replacements is further strengthened by the new evidence, for intermittent fasting no evidence of significant advantage over and above continuous energy restriction was found. Pulses, fruit and vegetables, nuts, whole grains, and dairy foods are also important elements in the medical nutrition therapy of adult obesity. Discussion: Any nutrition intervention should be based on a detailed nutritional assessment including an assessment of personal values, preferences, and social determinants of eating habits. Dietitians are expected to design interventions that are flexible and person centred. Approaches that avoid caloric restriction or detailed eating plans (non-dieting approaches) are also recommended for improvement of quality of life and body image perceptions. |
| first_indexed | 2024-04-10T23:30:05Z |
| format | Article |
| id | doaj.art-d003f5bfa65b494b9d9336cd9382644e |
| institution | Directory Open Access Journal |
| issn | 1662-4025 1662-4033 |
| language | English |
| last_indexed | 2024-04-10T23:30:05Z |
| publishDate | 2022-12-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Obesity Facts |
| spelling | doaj.art-d003f5bfa65b494b9d9336cd9382644e2023-01-12T07:42:25ZengKarger PublishersObesity Facts1662-40251662-40332022-12-01161112810.1159/000528083528083European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of DietitiansMaria Hassapidou0Antonis Vlassopoulos1Marianna Kalliostra2Elisabeth Govers3https://orcid.org/0000-0002-1968-7303Hilda Mulrooney4https://orcid.org/0000-0001-7257-5119Louisa Ells5https://orcid.org/0000-0003-0559-4832Ximena Ramos Salas6Giovanna Muscogiuri7Teodora Handjieva Darleska8Luca Busetto9Volkan Demirhan Yumuk10https://orcid.org/0000-0001-6463-4916Dror Dicker11Jason Halford12Euan Woodward13Pauline Douglas14https://orcid.org/0000-0001-6515-2310Jennifer Brown15Tamara Brown16https://orcid.org/0000-0003-1285-7098Department of Nutritional Sciences and Dietetics, International Hellenic University, Thessaloniki, GreeceESDN Obesity, European Federation of the Associations of Dieticians, Naarden, The NetherlandsESDN Obesity, European Federation of the Associations of Dieticians, Naarden, The NetherlandsESDN Obesity, European Federation of the Associations of Dieticians, Naarden, The NetherlandsESDN Obesity, European Federation of the Associations of Dieticians, Naarden, The NetherlandsObesity Institute, School of Health, Leeds Beckett University, Leeds, UKObesity Canada, University of Alberta, Edmonton, AB, CanadaUnità di Endocrinologia, Diabetologia e Andrologia, Dipartimento di Medicina Clinica e Chirurgia, Università Federico II – Naples, Naples, ItalyDepartment of Pharmacology and Toxicology, Faculty of Medicine, Medical University, Sofia, BulgariaDepartment of Medicine, University of Padova, Padova, ItalyDivision of Endocrinology, Metabolism and Diabetes, Istanbul University-Cerrahpaşa, Cerrahpaşa Medical Faculty, Istanbul, TurkeyInternal Medicine and Obesity Clinic, Hasharon Hospital-Rabin Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, IsraelSchool of Psychology, University of Leeds, Leeds, UKEuropean Association for the Study of Obesity, Teddington, UKNutrition Innovation Center for Food and Health (NICHE), School of Biomedical Sciences, Ulster University, Coleraine, UKObesity Canada, University of Alberta, Edmonton, AB, CanadaApplied Obesity Research Centre in the School of Health, Leeds Beckett University, Leeds, UKIntroduction: Obesity affects nearly 1 in 4 European adults increasing their risk for mortality and physical and psychological morbidity. Obesity is a chronic relapsing disease characterized by abnormal or excessive adiposity with risks to health. Medical nutrition therapy based on the latest scientific evidence should be offered to all Europeans living with obesity as part of obesity treatment interventions. Methods: A systematic review was conducted to identify the latest evidence published in the November 2018–March 2021 period and to synthesize them in the European guidelines for medical nutrition therapy in adult obesity. Results: Medical nutrition therapy should be administered by trained dietitians as part of a multidisciplinary team and should aim to achieve positive health outcomes, not solely weight changes. A diverse range of nutrition interventions are shown to be effective in the treatment of obesity and its comorbidities, and dietitians should consider all options and deliver personalized interventions. Although caloric restriction-based interventions are effective in promoting weight reduction, long-term adherence to behavioural changes may be better supported via alternative interventions based on eating patterns, food quality, and mindfulness. The Mediterranean diet, vegetarian diets, the Dietary Approaches to Stop Hypertension, portfolio diet, Nordic, and low-carbohydrate diets have all been associated with improvement in metabolic health with or without changes in body weight. In the November 2018–March 2021 period, the latest evidence published focused around intermittent fasting and meal replacements as obesity treatment options. Although the role of meal replacements is further strengthened by the new evidence, for intermittent fasting no evidence of significant advantage over and above continuous energy restriction was found. Pulses, fruit and vegetables, nuts, whole grains, and dairy foods are also important elements in the medical nutrition therapy of adult obesity. Discussion: Any nutrition intervention should be based on a detailed nutritional assessment including an assessment of personal values, preferences, and social determinants of eating habits. Dietitians are expected to design interventions that are flexible and person centred. Approaches that avoid caloric restriction or detailed eating plans (non-dieting approaches) are also recommended for improvement of quality of life and body image perceptions.https://www.karger.com/Article/FullText/528083medical nutrition therapyobesityguidelinesweight loss |
| spellingShingle | Maria Hassapidou Antonis Vlassopoulos Marianna Kalliostra Elisabeth Govers Hilda Mulrooney Louisa Ells Ximena Ramos Salas Giovanna Muscogiuri Teodora Handjieva Darleska Luca Busetto Volkan Demirhan Yumuk Dror Dicker Jason Halford Euan Woodward Pauline Douglas Jennifer Brown Tamara Brown European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians Obesity Facts medical nutrition therapy obesity guidelines weight loss |
| title | European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians |
| title_full | European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians |
| title_fullStr | European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians |
| title_full_unstemmed | European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians |
| title_short | European Association for the Study of Obesity Position Statement on Medical Nutrition Therapy for the Management of Overweight and Obesity in Adults Developed in Collaboration with the European Federation of the Associations of Dietitians |
| title_sort | european association for the study of obesity position statement on medical nutrition therapy for the management of overweight and obesity in adults developed in collaboration with the european federation of the associations of dietitians |
| topic | medical nutrition therapy obesity guidelines weight loss |
| url | https://www.karger.com/Article/FullText/528083 |
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