title: [Update on current care guidelines: management of adult obesity].
abstract: Diagnosis is based on body mass index and waist circumference. The aim of treatment is to prevent and alleviate obesity comorbidities (e.g. type 2 diabetes, cardiovascular diseases, sleep apnoea and osteoarthritis) through a permanent weight reduction of at least 5%. The core element in management is lifestyle counselling on eating and exercise behaviours. This should be organised in primary care. Modalities supporting lifestyle changes include very-low-energy diets and orlistat drug therapy. Obesity surgery is indicated in cases of morbid obesity, if the appropriate conservative therapies do not lead to substantial weight loss. A flowchart presenting treatment options at different levels of health care is introduced.
mesh_terms: D000328:Adult; D019440:Anti-Obesity Agents / Q000627:therapeutic use; D050110:Bariatric Surgery; D015992:Body Mass Index; D003376:Counseling; D004032:Diet; D015444:Exercise; D006801:Humans; D007783:Lactones / Q000627:therapeutic use; D008019:Life Style; D009765:Obesity / Q000150:complications / Q000517:prevention & control*; D000077403:Orlistat; D055105:Waist Circumference; D015431:Weight Loss
chemical_list: D019440:Anti-Obesity Agents; D007783:Lactones; D000077403:Orlistat