Discrepancies Between Recommendations in Evidence-Based Guidelines for the Management of Obesity in Adolescents and Adults: An Evidence Map.
Uložené v:
| Názov: | Discrepancies Between Recommendations in Evidence-Based Guidelines for the Management of Obesity in Adolescents and Adults: An Evidence Map. |
|---|---|
| Autori: | Brauchmann J; Department of Pediatric Endocrinology and Diabetology, Center for Social-Pediatric Care, Charité Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Berlin, Germany., Laudenbach L; Department of Medical Psychology, Hannover Medical School, Hannover, Germany., Kapp P; Institute for Evidence in Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany., Grummich K; Institute for Evidence in Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany., Lischka J; Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria.; Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria., Vanersa N; Institute of Clinical Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany., Rocha EPAA; Institute of Clinical Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany., Ernst G; Department of Medical Psychology, Hannover Medical School, Hannover, Germany., Meerpohl JJ; Institute for Evidence in Medicine, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.; Cochrane Germany, Cochrane Germany Foundation, Freiburg, Germany., Tannen A; Institute of Clinical Nursing Science, Charité Universitätsmedizin Berlin, Berlin, Germany., Weghuber D; Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria.; Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria., Weihrauch-Blüher S; Department of Conservative and Operative Pediatric and Adolescent Medicine, Clinic for Pediatrics I/Pediatric Endocrinology, University Hospital Halle/S, Halle (Saale), Germany., Wiegand S; Department of Pediatric Endocrinology and Diabetology, Center for Social-Pediatric Care, Charité Universitätsmedizin Berlin, Corporate member of Freie Universität Berlin und Humboldt-Universität zu Berlin, Berlin, Germany., Torbahn G; Department of Pediatrics, Paracelsus Medical University, Salzburg, Austria.; Obesity Research Unit, Paracelsus Medical University, Salzburg, Austria.; Department of Pediatrics, Paracelsus Medical University, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität Nürnberg, Nuremberg, Germany. |
| Zdroj: | Obesity reviews : an official journal of the International Association for the Study of Obesity [Obes Rev] 2025 Oct; Vol. 26 (10), pp. e13945. Date of Electronic Publication: 2025 May 27. |
| Spôsob vydávania: | Journal Article; Scoping Review |
| Jazyk: | English |
| Informácie o časopise: | Publisher: Blackwell Publishing Country of Publication: England NLM ID: 100897395 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1467-789X (Electronic) Linking ISSN: 14677881 NLM ISO Abbreviation: Obes Rev Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2002->: Oxford, UK : Blackwell Publishing Original Publication: Oxford, UK : Blackwell Science, c2000- |
| Výrazy zo slovníka MeSH: | Evidence-Based Medicine* , Obesity*/therapy , Pediatric Obesity*/therapy , Practice Guidelines as Topic*, Adolescent ; Adult ; Humans ; Young Adult ; Bariatric Surgery |
| Abstrakt: | Background/aim: The aim of this evidence map is to provide a systematic overview of evidence-based guidelines for the management of obesity and to highlight discrepancies between recommendations for the pediatric and adult populations. Knowing about these discrepancies may be relevant during the transition from pediatrics to adult healthcare to enable a structured, successful transfer. Methods: We used two already existing guideline synopses of the Institute for Quality and Efficiency in Health Care as a basis and additionally searched Embase and Medline as well as guideline portals for creating a systematic overview of evidence-based pediatric and adult guidelines on obesity management. The quality of the identified guidelines was assessed using AGREE II. Results: Thirty-nine guidelines (published 08/2017 to 08/2023), containing 1248 recommendations, were included in the review and allocated to nine different healthcare categories. Discrepancies between the pediatric and adult populations were mainly identified in diagnostics and health behavior lifestyle treatment. Gaps were found in recommendations for bariatric surgery, pharmacotherapy, and emergency (-contraception). Conclusion: The unique characteristics of adolescence are insufficiently addressed in current evidence-based guidelines. Therefore, healthcare professionals may benefit from considering the discrepancies and gaps identified in this review when providing recommendations during the transition of healthcare for this age group. (© 2025 The Author(s). Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.) |
| References: | Gastroenterology. 2021 Apr;160(5):1799-1808. (PMID: 33832655) Diabetes Care. 2022 Jan 1;45(Suppl 1):S113-S124. (PMID: 34964843) BMJ Open Diabetes Res Care. 2022 Nov;10(6):. (PMID: 36328375) BJOG. 2019 Feb;126(3):e62-e106. (PMID: 30465332) Gastroenterology. 2022 Nov;163(5):1198-1225. (PMID: 36273831) Am J Respir Crit Care Med. 2018 Sep 15;198(6):e70-e87. (PMID: 30215551) Geburtshilfe Frauenheilkd. 2021 Mar;81(3):279-303. (PMID: 33692590) Diabetes Metab Syndr Obes. 2013 Oct 24;6:403-19. (PMID: 24179379) Compr Child Adolesc Nurs. 2023 Sep;46(3):180-200. (PMID: 37639678) Nutrients. 2020 Jul 06;12(7):. (PMID: 32640531) Int J Obes (Lond). 2021 Dec;45(12):2546-2553. (PMID: 34385587) CMAJ. 2020 Aug 4;192(31):E875-E891. (PMID: 32753461) Ann N Y Acad Sci. 2017 Apr;1393(1):21-33. (PMID: 28436102) BMJ. 2016 Mar 08;352:i1152. (PMID: 26957104) Surg Obes Relat Dis. 2020 Feb;16(2):175-247. (PMID: 31917200) Pediatr Res. 2025 Jan;97(1):92-98. (PMID: 38914759) Eur J Endocrinol. 2020 Jan;182(1):G1-G32. (PMID: 31855556) EClinicalMedicine. 2024 Feb 27;70:102505. (PMID: 38685922) J Clin Endocrinol Metab. 2023 Sep 18;108(10):2447-2469. (PMID: 37580314) Lancet. 2024 Mar 16;403(10431):1027-1050. (PMID: 38432237) Obes Rev. 2016 Feb;17(2):95-107. (PMID: 26696565) Lancet Diabetes Endocrinol. 2025 Mar;13(3):221-262. (PMID: 39824205) J Obes Metab Syndr. 2023 Mar 30;32(1):1-24. (PMID: 36945077) Pediatr Obes. 2022 Nov;17(11):e12957. (PMID: 35838551) Int J Obes (Lond). 2014 Apr;38(4):475-9. (PMID: 24247372) Obes Rev. 2019 Jun;20(6):871-882. (PMID: 30734459) Eur J Phys Rehabil Med. 2020 Aug;56(4):496-507. (PMID: 32293813) J Acad Nutr Diet. 2023 Mar;123(3):520-545.e10. (PMID: 36462613) Lancet Child Adolesc Health. 2023 Apr;7(4):249-260. (PMID: 36848922) Obes Rev. 2019 Sep;20(9):1218-1230. (PMID: 31286668) Korean J Pediatr. 2019 Jan;62(1):3-21. (PMID: 30589999) Front Public Health. 2022 Aug 11;10:787135. (PMID: 36033812) Nat Rev Dis Primers. 2023 May 18;9(1):24. (PMID: 37202378) Clin J Sport Med. 2022 Jul 1;32(4):418-426. (PMID: 33797475) Pediatrics. 2023 Feb 1;151(2):. (PMID: 36622115) J Prev (2022). 2024 Oct;45(5):795-813. (PMID: 38852119) Pediatr Obes. 2024 May;19(5):e13113. (PMID: 38454737) Pediatr Obes. 2023 Apr;18(4):e13003. (PMID: 36649693) J Med Libr Assoc. 2021 Apr 01;109(2):174-200. (PMID: 34285662) Pediatrics. 2002 Dec;110(6 Pt 2):1304-6. (PMID: 12456949) Nat Med. 2024 Dec;30(12):3396. (PMID: 39379707) Obes Rev. 2020 Nov;21(11):e13087. (PMID: 32743907) Am J Respir Crit Care Med. 2019 Aug 1;200(3):e6-e24. (PMID: 31368798) Nat Metab. 2022 Dec;4(12):1697-1712. (PMID: 36536132) Diabetes Care. 2022 Jan 1;45(Suppl 1):S208-S231. (PMID: 34964865) Child Obes. 2025 Jan;21(1):22-29. (PMID: 38995874) J Clin Endocrinol Metab. 2024 Sep 16;109(10):2602-2616. (PMID: 38470203) Obes Rev. 2021 Jul;22 Suppl 4:e13273. (PMID: 34076949) Diabetes Care. 2022 Jan 1;45(Suppl 1):S195-S207. (PMID: 34964847) Lancet. 2022 Jan 8;399(10320):172-184. (PMID: 34856190) Obesity (Silver Spring). 2013 Mar;21(3):E190-5. (PMID: 23404956) JAMA. 2024 Jul 16;332(3):233-248. (PMID: 38888913) JAMA. 2018 Sep 18;320(11):1163-1171. (PMID: 30326502) Obstet Gynecol. 2021 Jun 1;137(6):e128-e144. (PMID: 34011890) Surg Endosc. 2022 Oct;36(10):7171-7186. (PMID: 35953683) Surg Endosc. 2020 Mar;34(3):1366-1375. (PMID: 31209605) Cochrane Database Syst Rev. 2022 Sep 8;9:CD011740. (PMID: 36074911) JAMA. 2021 Aug 24;326(8):736-743. (PMID: 34427594) Curr Obes Rep. 2022 Dec;11(4):350-355. (PMID: 36272056) JAMA. 2024 Jul 16;332(3):226-232. (PMID: 38888912) Obes Rev. 2025 Oct;26(10):e13945. (PMID: 40425174) Ann Intern Med. 2018 Oct 2;169(7):467-473. (PMID: 30178033) Curr Obes Rep. 2023 Sep;12(3):371-394. (PMID: 37354334) Obes Rev. 2019 Nov;20(11):1507-1522. (PMID: 31419378) Prog Cardiovasc Dis. 2018 Jul - Aug;61(2):142-150. (PMID: 29981771) Int J Obes (Lond). 2016 May;40(5):883-6. (PMID: 26841729) Int J Obes (Lond). 2009 Mar;33(3):289-95. (PMID: 19188927) Curr Obes Rep. 2024 Mar;13(1):107-120. (PMID: 38172484) J Pediatr Psychol. 2011 Jun;36(5):596-605. (PMID: 20360016) Br J Clin Psychol. 2022 Jun;61(2):287-305. (PMID: 34569066) PLoS One. 2019 Nov 20;14(11):e0225140. (PMID: 31747446) J Adolesc. 2018 Jan;62:116-127. (PMID: 29179126) BMC Pediatr. 2017 May 8;17(1):120. (PMID: 28482854) Obes Surg. 2019 Dec;29(12):3842-3853. (PMID: 31342249) J Pediatr Adolesc Gynecol. 2017 Feb;30(1):9-17. (PMID: 27486027) Int J Obes (Lond). 2025 Mar;49(3):388-396. (PMID: 38321079) J Obstet Gynaecol Can. 2018 Jul;40(7):950-966. (PMID: 29921431) Obes Facts. 2023;16(1):29-52. (PMID: 36349767) J Obes Metab Syndr. 2022 Jun 30;31(2):100-122. (PMID: 35670159) Surg Endosc. 2020 Jun;34(6):2332-2358. (PMID: 32328827) Obes Rev. 2012 Mar;13(3):275-86. (PMID: 22106927) Adv Nutr. 2011 Mar;2(2):159S-66S. (PMID: 22332047) World J Surg. 2022 Apr;46(4):729-751. (PMID: 34984504) Public Health Genomics. 2016;19(4):203-10. (PMID: 27022731) Drugs. 2021 Feb;81(3):397-403. (PMID: 33638809) J Acad Nutr Diet. 2018 Jul;118(7):1301-1311.e23. (PMID: 29233517) BMJ Sex Reprod Health. 2019 Apr;45(Suppl 2):1-69. (PMID: 31053605) Obes Rev. 2022 Feb;23(2):e13373. (PMID: 34747118) Pediatr Obes. 2021 Sep;16(9):e12798. (PMID: 33955208) Body Image. 2013 Mar;10(2):141-8. (PMID: 23219705) J Obstet Gynaecol Can. 2018 Aug;40(8):e630-e639. (PMID: 30103887) Nat Med. 2024 Sep;30(9):2395-2399. (PMID: 38969880) J Obstet Gynaecol Can. 2019 Nov;41(11):1623-1640. (PMID: 31640864) Obes Rev. 2024 Oct;25(10):e13804. (PMID: 39054661) Semin Pediatr Surg. 2020 Feb;29(1):150885. (PMID: 32238290) Ital J Pediatr. 2018 Jul 31;44(1):88. (PMID: 30064525) Paediatr Child Health. 2016 Jan-Feb;21(1):21-6. (PMID: 26941556) Obes Rev. 2024 May;25(5):e13700. (PMID: 38296655) Health Policy Open. 2020 May 27;1:100007. (PMID: 37383315) Obes Rev. 2024 Apr;25(4):e13685. (PMID: 38151751) |
| Grant Information: | 01VSF22014 German Federal Joint Committee (G-BA) |
| Contributed Indexing: | Keywords: evidence map; obesity; obesity management; practice guidelines as topic |
| Entry Date(s): | Date Created: 20250527 Date Completed: 20250903 Latest Revision: 20250912 |
| Update Code: | 20250913 |
| PubMed Central ID: | PMC12404892 |
| DOI: | 10.1111/obr.13945 |
| PMID: | 40425174 |
| Databáza: | MEDLINE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | Background/aim: The aim of this evidence map is to provide a systematic overview of evidence-based guidelines for the management of obesity and to highlight discrepancies between recommendations for the pediatric and adult populations. Knowing about these discrepancies may be relevant during the transition from pediatrics to adult healthcare to enable a structured, successful transfer.<br />Methods: We used two already existing guideline synopses of the Institute for Quality and Efficiency in Health Care as a basis and additionally searched Embase and Medline as well as guideline portals for creating a systematic overview of evidence-based pediatric and adult guidelines on obesity management. The quality of the identified guidelines was assessed using AGREE II.<br />Results: Thirty-nine guidelines (published 08/2017 to 08/2023), containing 1248 recommendations, were included in the review and allocated to nine different healthcare categories. Discrepancies between the pediatric and adult populations were mainly identified in diagnostics and health behavior lifestyle treatment. Gaps were found in recommendations for bariatric surgery, pharmacotherapy, and emergency (-contraception).<br />Conclusion: The unique characteristics of adolescence are insufficiently addressed in current evidence-based guidelines. Therefore, healthcare professionals may benefit from considering the discrepancies and gaps identified in this review when providing recommendations during the transition of healthcare for this age group.<br /> (© 2025 The Author(s). Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity Federation.) |
|---|---|
| ISSN: | 1467-789X |
| DOI: | 10.1111/obr.13945 |