Ostalo
CROATIAN GUIDELINES FOR THE TREATMENT OF ADULTS WITH OBESITY
DAVOR ŠTIMAC
; Zavod za gastroenterologiju, Klinika za internu medicinu, Klinički bolnički centar Rijeka / Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
SANJA KLOBUČAR MAJANOVIĆ
orcid.org/0000-0002-0287-4735
; Zavod za endokrinologiju, dijabetes i bolesti metabolizma, Klinika za internu medicinu, Klinički bolnički centar Rijeka / Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
MAJA BARETIĆ
; Zavod za endokrinologiju, Klinika za unutarnje bolesti, Klinički bolnički centar Zagreb / Referalni centar za liječenje debljine Ministarstva zdravstva Republike Hrvatske / Medicinski fakultet, Sveučilište u Zagrebu, Zagreb, Hrvatska
MIROSLAV BEKAVAC BEŠLIN
; Opća bolnica Varaždin, Varaždin, Hrvatska
ANDREJ BELANČIĆ
; Odjel za kliničku farmakologiju, Klinički bolnički centar Rijeka / Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
ŽELJKA CRNČEVIĆ ORLIĆ
; Specijalna bolnica Medico / Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
VELJKO ĐORĐEVIĆ
; Medicinski fakultet, Sveučilište u Zagrebu, Zagreb, Hrvatska
DARKO MARČINKO
; Klinika za psihijatriju i psihološku medicinu, Klinički bolnički centar Zagreb / Medicinski fakultet, Sveučilište u Zagrebu, Zagreb, Hrvatska
DAVOR MILIČIĆ
; Klinika za bolesti srca i krvnih žila, Klinički bolnički centar Zagreb / Medicinski fakultet, Zagreb, Sveučilište u Zagrebu, Zagreb, Hrvatska
GORANA MIROŠEVIĆ
; Zavod za endokrinologiju, dijabetes i bolesti metabolizma, Klinika za internu medicinu, Klinički bolnički centar „Sestre milosrdnice” / Stomatološki fakultet, Sveučilište u Zagrebu, Zagreb, Hrvatska
SANJA MUSIĆ MILANOVIĆ
; Hrvatski zavod za javno zdravstvo, Služba za promicanje zdravlja, Zagreb / Medicinski fakultet, Sveučilište u Zagrebu / Škola narodnog zdravlja „Andrija Štampar“, Zagreb, Hrvatska
DINKA PAVIČIĆ BALDANI
; Odjel za metode pomognute oplodnje, Klinika za ženske bolesti i porode, Klinički bolnički centar Zagreb / Medicinski fakultet, Sveučilište u Zagrebu, Zagreb, Hrvatska
ALESSANDRA POKRAJAC BULIAN
; Odsjek za psihologiju, Filozofski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
SANJIN RAČKI
; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka / Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
DARIO RAHELIĆ
; Sveučilišna klinika za dijabetes, endokrinologiju i bolesti metabolizma Vuk Vrhovac, Klinička bolnica Merkur / Medicinski fakultet, Hrvatsko katoličko sveučilište / Medicinski fakultet, Sveučilište Josipa Jurja Strossmayera u Osijeku, Osijek, Hrvatska
ŽELJKO REINER
; Zavod za bolesti metabolizma, Odjel za unutarnje bolesti, Klinički bolnički centar Zagreb, Zagreb, Hrvatska
ALEN RUŽIĆ
; Klinika za bolesti srca i krvnih žila, Klinički bolnički centar Rijeka / Medicinski fakultet, Sveučilište u Rijeci, Rijeka, Hrvatska
MIROSLAV SAMARŽIJA
; Klinika za plućne bolesti, Klinički bolnički centar Zagreb / Medicinski fakultet, Sveučilište u Zagrebu, Zagreb, Hrvatska
Sažetak
Obesity is a chronic metabolic disease characterized by abnormal and excessive adipose tissue accumulation in the body. Although most people are concerned mainly for aesthetic reasons, obesity is primarily a health problem because it is associated with a wide range of diseases and shorter life expectancy. Obesity has recently been put in focus due to the COVID-19 pandemic since it has been revealed that patients with obesity are at an increased risk of both hospitalization and death related to COVID-19. In clinical practice, obesity is assessed by body mass index (BMI), whilst for additional assessment of visceral adipose tissue accumulation and distribution, which poses a greater risk of metabolic and cardiovascular disease development, waist circumference is used. A complex interaction among biological, behavioral, social and environmental factors is included in the regulation of energy balance and fat storage. Body weight control goals emphasize the importance of a realistic approach to weight loss in order to reduce health risks. They include promoting weight loss, maintenance of achieved lower/optimal body weight, and prevention of weight regain. Control of obesityrelated comorbidities and improvement of the quality of life of people living with overweight or obesity is an important aspect of treatment. Obesity treatment is primarily based on lifestyle changes and permanent acceptance of healthy habits. A combination of diet with an overall energy value of 500 kcal less than daily energy needs and regular physical activity are of utmost importance for reduction of excess weight, as well as its subsequent maintenance. The cognitive-behavioral approach is aimed at overcoming psychological barriers to the adoption and application of effective behaviors in weight control. Pharmacotherapy for weight loss is indicated as an adjunct to a low-calorie diet and increased physical activity in adults with a BMI ≥30 kg/m2, but also in overweight adults with a BMI ≥27 to <30 kg/m2 in the presence of at least one obesity-related comorbidity. Surgical approach is indicated in adults with BMI >35 kg/m2 with obesity-related comorbidities and in adults with BMI >40 kg/m2 with or without comorbidities. Bariatric surgery is the most effective therapeutic method for treating people with morbid obesity, and thus can ensure long-term weight loss. These guidelines can be easily applied in everyday clinical practice, and their goal is recognition and treatment of persons with overweight and obesity by each physician, with special emphasis on appropriate communication, motivational interviewing/conversation, and education.
Ključne riječi
obesity; treatment; guidelines
Hrčak ID:
285231
URI
Datum izdavanja:
7.11.2022.
Posjeta: 3.182 *