Dietetic management of obesity in Europe: gaps in current practice.
Antonis VlassopoulosElisabeth GoversHilda MulrooneyOdysseas AndroutsosMaria HassapidouPublished in: European journal of clinical nutrition (2021)
Despite substantial attention to dietary interventions on the management of obesity, there are no consensus guidelines for dietetic management of obesity in Europe. Two surveys among European dietitians have demonstrated inconsistencies in the approaches recommended within national obesity treatment guidelines. Only a small number of the guidelines include concrete actionable targets for recommended energy deficit, weight loss and weight-loss maintenance. On the other hand, dietitians frequently use 5-15% weight loss as their intervention outcome. However, they fail to monitor changes in body composition beyond weight status and to successfully monitor and prevent weight regain. Europewide guidelines on the dietary treatment of obesity are an overdue requirement for consistent dietetic practice.
Keyphrases
- weight loss
- bariatric surgery
- roux en y gastric bypass
- gastric bypass
- body composition
- weight gain
- clinical practice
- metabolic syndrome
- insulin resistance
- glycemic control
- primary care
- randomized controlled trial
- type diabetes
- healthcare
- high fat diet induced
- obese patients
- quality improvement
- physical activity
- bone mineral density
- adipose tissue
- resistance training
- combination therapy
- cross sectional
- postmenopausal women
- skeletal muscle