Clinical Management of Overweight and Obesity

1. Front Matter

   Pages i-x

   PDF

2. General Remarks

   1. Front Matter

      Pages 1-1

      PDF

   2. Overview of the Management of Obese patients

      • Lucio Lucchin

      Pages 3-9

3. Lifestyle Modifications

   1. Front Matter

      Pages 11-11

      PDF

   2. Diet Recommendations

      • Fabrizio Pasanisi, Lidia Santarpia, Carmine Finelli

      Pages 13-21

   3. Physical Activity

      • Pierpaolo De Feo, Emilia Sbroma Tomaro, Giovanni Annuzzi

      Pages 23-35

   4. Therapeutic Education

      • Carlo Rotella, Barbara Cresci, Laura Pala, Ilaria Dicembrini

      Pages 37-42

4. Treatment

   1. Front Matter

      Pages 43-43

      PDF

   2. Pharmacological Management

      • Enzo Nisoli, Fabrizio Muratori

      Pages 45-51

   3. Bariatric Surgery

      • Luca Busetto, Luigi Angrisani, Maurizio De Luca, Pietro Forestieri, Paolo Millo, Ferruccio Santini

      Pages 53-81

   4. Metabolic-Nutritional- Psychological Rehabilitation in Obesity

      • Lorenzo Maria Donini, Amelia Brunani, Paolo Capodaglio, Maria Grazia Carbonelli, Massimo Cuzzolaro, Sandro Gentili et al.

      Pages 83-100

5. Obesity in Particular Conditions and Treatment Algorithm

   1. Front Matter

      Pages 101-101

      PDF

   2. Eating Disorders and Obesity

      • Massimo Cuzzolaro

      Pages 103-123

   3. Obesity in Pregnancy

      • Annunziata Lapolla, Maria Grazia Dalfrà

      Pages 125-130

   4. Childhood Obesity

      • Claudio Maffeis, Maria Rosaria Licenziati, Andrea Vania, Piernicola Garofalo, Giuseppe Di Mauro, Margherita Caroli et al.

      Pages 131-147

   5. Geriatric Obesity

      • Mauro Zamboni, Elena Zoico, Simona Budui, Gloria Mazzali

      Pages 149-156

   6. Multidimensional Assessment of Adult Obese Patient Care and Levels of Care

      • Barbara Cresci, Mario Maggi, Paolo Sbraccia

      Pages 157-168

   7. Treatment Algorithm of Patients with Overweight and Obesity: SIO (Italian Society of Obesity) Treatment Algorithm (SITA)

      • Ferruccio Santini, Luca Busetto, Barbara Cresci, Paolo Sbraccia, For the SIO (Italian Society of Obesity) Treatment Algorithm COnsensus Panel (SITA-COP)

      Pages 169-171

6. Back Matter

   Pages 173-180

   PDF

These guidelines make recommendations regarding the management of individuals with a body mass index greater than 25.0 kg/m² and cover all age groups, from children to the elderly, as well as various patient subsets. A range of measures to yield health benefits are set out, including healthy eating plans, increased physical activity, and behavioral modifications to help patients to manage obesity. In addition, recommendations are made on the use of bariatric surgery and the new antiobesity drugs. Throughout the process of developing the recommendations, every attempt was made to ensure use of a rigorous, evidence-based approach.  The guidelines are promoted by the Italian Society of Obesity (SIO) and were formulated in compliance with a prespecified process overseen by a steering committee. They are intended for use by a wide range of clinicians, including general practitioners, primary health care nurses, and primary health care professionals, and will hopefully prove of value in combating the obesity epidemic not only in Italy but across Europe and elsewhere in the world.                                        

• Bariatric surgery
• Dietetic
• Metabolic disorders
• Obesity drugs
• Physical exercise
• Physical rehabilitation

                                                                                                          

• University of Rome “Tor Vergata”, Dept. of Systems Medicine,Medical School, Rome, Italy

  Paolo Sbraccia

• Department of Medical Biotechnology, University of Milan, Milan, Italy

  Enzo Nisoli

• Center for the Study and the Integrated, University of Padua, Padua, Italy

  Roberto Vettor

Paolo Sbraccia, M.D, Ph.D. is Full Professor of Internal Medicine in the Department of Systems Medicine of the University of Rome "Tor Vergata", Chief of the Internal Medicine Unit and Obesity Center (EASO accredited Collaborating Centre for Obesity Management) at the University Hospital Policlinico Tor Vergata, Director of the Specialization School in Internal Medicine, and Chairman of the Undergraduate Course in Dietetics.

He was (2006-2010) member of the Board of Directors of the Italian Diabetes Society (SID) and he is now President of the Italian Society of Obesity (S.I.O.).

In 2011, on behalf of SIO, he coordinated the Steering Committee for the Italian Guidelines for the Management of Obesity.

He is also member of the “Scientific Advisory Group for Diabetes and Endocrinology” of EMA (London). In 2009 he was appointed by the Ministery of Health member of the Committee for the diagnostic and therapeutic appropriateness for Obesity and Diabetes.

He is member of the Editorial Board of “Eating and weight disorders” and “Internal and Emergency Medicine” and ad hoc reviewer of various scientific journals (Diabetologia; Diabetes/Metabolism Research and Reviews; Journal of Endocrinological Investigation; European Journal of Endocrinology, Clinical Endocrinology, Aging, PLoS One, Nutrition Metabolism and Cardiovascular Diseases). He is also Co-Director of the official Journal of the Italian Diabetes Society “Il Diabete”.

He is member of the following learned societies: Italian Society for the study of Obesity (SIO), Italian Diabetes Society (SID), Italian Endocrine Society (SIE), Italian Society of Internal Medicine (SIMI), Italian Society for the Study of Atherosclerosis (SISA), European Association for the Study of Obesity (EASO), European Association for the Study of Diabetes (EASD), American Diabetes Association (ADA), The Endocrine Society, International Association for the Study of Obesity (IASO).                                                                   

Policies and ethics