Cited by 26Obesity, Physical Activity, DietObesity and Health PracticesMedical Practices and Rehabilitation

ISPRM/ESPRM guidelines on Physical and Rehabilitation Medicine professional practice for adults with obesity and related comorbidities

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GIUSTI, Emanuele M., SPATOLA, Chiara A., BRUNANI, Amelia, KUMBHARE, Dinesh, ORAL, Aydan, ILIEVA, Elena, KIEKENS, Carlotte, PIETRABISSA, Giada +4 more·2020·European Journal of Physical and Rehabilitation Medicine

Abstract

BACKGROUND: The World Health Organization (WHO) has declared obesity as the largest global chronic health problem in adults. In the last years, attention has been drawn to rehabilitative interventions for patients with obesity. AIM: The aim of this manuscript is to provide Physical and Rehabilitation Medicine (PRM) physicians with evidence-based recommendations for the rehabilitation of patients with overweight or obesity and related comorbidities. DESIGN: Evidence-based guidelines. POPULATION: Adults with overweight or obesity. METHODS: Guidelines were based on GRADE and WHO recommendations. A comprehensive search of the available evidence about rehabilitation treatments for obesity was performed, and 17 separate systematic literature reviews were conducted. For each outcome, estimates of the effects of rehabilitation treatments were computed and employed along with an assessment of quality of evidence, desirable and undesirable effects, values and preferences to formulate the recommendations. Recommendations were reviewed by a consensus expert panel using a modified Delphi process. RESULTS: We strongly recommend providing comprehensive multiprofessional and multidisciplinary interventions including exercise, diet and behavioral or cognitive-behavioral therapy. The nutritional component of these treatments should include diets with either a high-protein or a low-fat content. It is strongly recommended to prescribe frequent moderate aerobic exercise. We strongly recommend providing cognitive-behavioral interventions as the behavioral component of rehabilitation programs. CONCLUSIONS: PRM physicians should lead multidisciplinary teams providing comprehensive and individualized rehabilitation programs for patients with overweight or obesity. These guidelines were endorsed by the International Society of Physical and Rehabilitation Medicine (ISPRM) and by the European Society of Physical and Rehabilitation Medicine (ESPRM).

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Crossref · 10.23736/s1973-9087.20.06232-2

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Authors
GIUSTI, E. M., SPATOLA, C. A., BRUNANI, A., KUMBHARE, D., ORAL, A., ILIEVA, E., KIEKENS, C., PIETRABISSA, G., MANZONI, G. M., IMAMURA, M., CASTELNUOVO, G., & CAPODAGLIO, P.
Affiliations
  • Università Cattolica del Sacro Cuore (IT)
  • IRCCS Istituto Auxologico Italiano (IT)
  • University of Toronto (CA)
  • Istanbul University (TR)
  • Universitair Ziekenhuis Leuven (BE)
  • Università degli Studi eCampus (IT)
  • Universidade de São Paulo (BR)
Venue
European Journal of Physical and Rehabilitation Medicine
Published
2020-09
Volume
56
Issue
4
Pages
496-507
ISSN
  • 1973-9087 (ISSN-L)
  • 1973-9095
OpenAlex
W3015317102
Cited by
25
References
71
Citations by year
2026: 4 · 2025: 6 · 2024: 3 · 2023: 1 · 2022: 4 · 2021: 5 · 2020: 2
FWCI
2.25
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • European Journal of Physical and Rehabilitation Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
  • IrInSubria (University of Insubria) (submittedVersion)
  • IRIS eCampus Telematic University (Università degli Studi eCampus) (submittedVersion)
  • Lirias (KU Leuven) (submittedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords
obesity, overweight, obesity-related comorbidities, obesity rehabilitation, rehabilitation medicine, multidisciplinary care, exercise therapy, dietary intervention, high-protein diet, low-fat diet, cognitive behavioral therapy, behavior therapy, aerobic exercise
MeSH terms
Adult, Humans, Obesity, Physical and Rehabilitation Medicine, Professional Practice, Comorbidity, Evidence-Based Medicine

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