Registered Dietitian.15 years' experience. Empowering clients with behaviour change 🍲 Nutrition 🧠 Mindset 🚶♀️Habits 😷 Empowered Bariatric Programme 🍽 Disordered Eating. Binge Eating. 1:1 consultations 👩⚕️
Great to see this new framework for the diagnosis, staging and management of obesity in adults from EASO. 'In many settings, the diagnosis of obesity is still based solely on body mass index (BMI) cut-off values, and does not reflect the role of adipose tissue distribution and function in the severity of the disease.' I agree it is time to move away from BMI and towards a more complete clinical evaluation of the patient. 'Based on current clinical evidence, the diagnosis of obesity should not be based solely on the presence of an abnormal and/or excessive fat accumulation (anthropometric component). The diagnosis of obesity should instead include a careful analysis of the present and potential effects that dysfunctional and/or excessive fat accumulation may have on health.' Another key part to highlight 'Behavioral modifications, including nutritional therapy, physical activity, stress reduction and sleep improvement, were agreed as main cornerstones of obesity management, with the possible addition of psychological therapy, obesity medications and metabolic or bariatric (surgical and endoscopic) procedures.' Treatment needs to be individualised and delivered in collaboration with the patient.