Cited by 118Bariatric Surgery and OutcomesBody Contouring and SurgeryObesity and Health Practices

Bariatric Surgery in Class I Obesity: A Position Statement from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO)

Busetto, Luca, Dixon, John, De Luca, Maurizio, Shikora, Scott, Pories, Walter, Angrisani, Luigi·2014·Obesity Surgery

Abstract

Class I obesity conveys an increased risk of comorbidities, impairs physical and mental health-related quality of life, and it is associated to an increased psychosocial burden, particularly in women. The need for effective and safe therapies for class I obesity is great and not yet met by nonsurgical approaches. Eligibility to bariatric surgery has been largely based on body mass index (BMI) cut points and limited to patients with more severe obesity levels. However, obese patients belonging to the same BMI class may have very different levels of health, risk, and impact of obesity on quality of life. Individual patients in class I obesity may have a comorbidity burden similar to, or greater than, patients with more severe obesity. Therefore, the denial of bariatric surgery to a patient with class I obesity suffering from a significant obesity-related health burden and not achieving weight control with nonsurgical therapy simply on the basis of the BMI level does not appear to be clinically justified. A clinical decision should be based on a more comprehensive evaluation of the patient's current global health and on a more reliable prediction of future morbidity and mortality. After a careful review of available data about safety and efficacy of bariatric surgery in patients with class I obesity, this panel reached a consensus on ten clinical recommendations.

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Crossref · 10.1007/s11695-014-1214-1

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Authors
Busetto, L., Dixon, J., De Luca, M., Shikora, S., Pories, W., & Angrisani, L.
Affiliations
  • University of Padua (IT)
  • Baker Heart and Diabetes Institute (AU)
  • Brigham and Women's Hospital (US)
  • East Carolina University (US)
  • Ospedale San Giovanni Bosco (IT)
Corresponding author
Busetto, Luca
Venue
Obesity Surgery
Published
2014-03-18
Volume
24
Issue
4
Pages
487-519
ISSN
  • 0960-8923 (ISSN-L)
  • 1708-0428
OpenAlex
W7875930
Cited by
118
References
209
Citations by year
2026: 1 · 2025: 2 · 2024: 15 · 2023: 8 · 2022: 7 · 2021: 6 · 2020: 10 · 2019: 8 · 2018: 9 · 2017: 8 · 2016: 17 · 2015: 20 · 2014: 7
FWCI
17.10
Type
journal article
Language
en
Open access
closed
Locations
  • Obesity Surgery (publishedVersion)
  • PubMed (publishedVersion)
  • Padua Research Archive (University of Padova) (submittedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
  • Health Sciences › Medicine › Surgery › Body Contouring and Surgery
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
Keywords
bariatric surgery, class I obesity
MeSH terms
Humans, Life Style, Metabolic Diseases, Obesity, Obesity, Morbid, Quality of Life, Comorbidity, Body Mass Index, Treatment Outcome, Anti-Obesity Agents, Bariatric Surgery

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