iCARDIO Alliance Global Implementation Guidelines for the Management of Obesity 2025.

👤 Authors: Stefan D Anker, Linong Ji, Tammy Kindel, Andrew J S Coats, Dike Ojji, Adriana Puente Barragán, Peter Rossing, Shelley Zieroth, Shaaf Ahmad, Shariq Usman, Geeta Appannah, Alison L Bailey, Ahmed Bennis, Andrea Brandao, Javed Butler, Melanie J Davies, Lubomira Fabryova, Yuan-Lin Guo, Hidetaka Itoh, Uday M Jadhav, Carel W Le Roux, Fausto J Pinto, Julio Rosenstock, Banshi Saboo, Hani Sabbour, Mangesh Tiwaskar, Karol E Watson, Kwang Wei Tham, Fernando Stuardo Wyss, Walter P Abhayaratna, William T Abraham, Wael Al Mahmeed, Alessia Argirò, John J Atherton, Danielle Belardo, Raquel Campuzano, Nandini Chatterjee, Marc-André Cornier, Sarah Davies, Clemencia de Rueda Panadero, Anastase Dzudie, Ty J Gluckman, Muhammad Shahzeb Khan, Kamlesh Khunti, Yuri Lopatin, Zhiyi Ma, Okechukwu S Ogah, Abraham Oomman, Emilio S Peralta Lopez, Ping Li, Paul Poirier, Julie Redfern, Giuseppe M C Rosano, Donna Ryan, Amit Saraf, Sameh Shaheen, Subodh Verma, Stephan von Haehling, Martha Gulati, Naveed Sattar, Jose Luis Zamorano

ABSTRACT:

There are a number of guidelines on how to manage obesity, but inconsistencies in healthcare access, varying infrastructure, resource constraints and diverse local practices restrict their global applicability. This underscores the need for universal recommendations that address the unique challenges faced by patients and healthcare providers worldwide.

Our Global Guidelines emphasise the incorporation of novel therapies while integrating standards of care with the most up-to-date evidence to enable clinicians to optimise obesity management. Context-specific recommendations tailored to individual patient needs are highlighted, providing a thorough evaluation of the risks, benefits and overall value of each therapy, aiming to establish a standard of care that improves patient outcomes and reduces the burden of hospitalisation in this susceptible population.

These Global Guidelines provide evidence-based recommendations that represent a group consensus considering the many other published guidelines that have reviewed many of the issues discussed here, but they also make new recommendations where new evidence has recently emerged, and-most importantly-also provide recommendations on several issues where resource limitations may put constraints on the care provided to patients living with obesity. Such 'economic adjustment' recommendations aim to guide situations when 'Resources are somewhat limited' or when 'Resources are severely limited'.

Hence, this document presents a comprehensive update to obesity management guidelines, thereby aiming to provide a unified strategy for the pharmacological, non-pharmacological and invasive management of this significant global health challenge that is applicable to the needs of healthcare around the globe.

Stefan D Anker

Cardiology

Charité - University Medicine Berlin

Germany

7236

ScienceLeadR Reputation
profile photo of Stefan D Anker

Main topics

Publications Clinical Trials

Cachexia
Sarcopenia
Weight Loss
Heart Failure
Iron Deficiencies
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Andrew J S Coats

Cardiology

University of Warwick

United Kingdom

4031

ScienceLeadR Reputation
profile photo of Andrew J S Coats

Main topics

Publications Clinical Trials

Cachexia
Reproducibility of Results
Heart Failure
Weight Loss
Body Weight
View detailed profile

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