von Philipsborn Peter, Bahlke Melanie, Breidenassel Christina, Holzapfel Christina, Joisten Christine, Plachta-Danielzik Sandra, Nothacker Monika, Rubin Diana, Rung-Friebe Marion, de Zwaan Martina, Hauner Hans
Chair of Public Health and Health Services Research, IBE, Medical Faculty, Ludwig-Maximilians-Universität München (LMU Munich), Munich, Germany.
Adipositaschirurgie-Selbsthilfe Deutschland e.V., Frankfurt am Main, Germany.
Obes Facts. 2025 May 22:1-19. doi: 10.1159/000546415.
The prevalence of obesity is rising globally. Evidence-informed guidance on preventing obesity is needed, but most existing obesity guidelines are focussed on treatment.
We developed an evidence- and consensus-based guideline on the prevention of obesity among adults. Following international best practice recommendations for guideline development, we systematically searched for relevant systematic reviews and conducted a structured consensus process involving 34 experts including 5 patient representatives. The guideline's target group is the adult population of Germany, but most recommendations are likely to be applicable internationally.
We developed 24 recommendations for the general public, health care professionals, and policy makers. The guideline recommends, among others, a healthy diet in line with existing food-based dietary guidelines, regular physical activity, as well as appropriate sleep and stress management. Smoking cessation is recommended even when associated with weight gain. Offering qualified advice and counselling on diet and physical activity to all individuals in primary care is suggested. Potential effects of medication on body weight should be considered in prescription decisions. Implementation of evidence-informed policies for promoting healthy food and physical activity environments is recommended.
Evidence-based approaches for preventing obesity on the individual and societal levels exist and should be implemented more widely.
全球肥胖患病率正在上升。需要有基于证据的肥胖预防指南，但现有的大多数肥胖指南都侧重于治疗。
我们制定了一项基于证据和共识的成人肥胖预防指南。遵循国际最佳实践指南制定建议，我们系统检索了相关的系统评价，并开展了一个结构化的共识过程，涉及34名专家，包括5名患者代表。该指南的目标群体是德国成年人群，但大多数建议可能在国际上也适用。
我们为普通公众、医疗保健专业人员和政策制定者制定了24条建议。该指南建议，除其他外，遵循现有的基于食物的膳食指南进行健康饮食、定期进行体育活动，以及适当的睡眠和压力管理。即使戒烟与体重增加有关，也建议戒烟。建议在初级保健中为所有个体提供关于饮食和体育活动的专业建议和咨询。在处方决策中应考虑药物对体重的潜在影响。建议实施基于证据的政策以促进健康的食物和体育活动环境。
在个体和社会层面存在基于证据的肥胖预防方法，应更广泛地加以实施。
