Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/222853
Title: The Spanish GIRO guideline: a paradigm shift in the management of obesity in adults.
Author: Lecube, Albert
Azriel Mira, Sharona
Barreiro, Esther
Blay Cortés, Guadalupe
Carretero Gómez, Juana
Ciudin, Andreea
Fernández García, José Manuel
Flores, Lilliam
Hollanda Ramírez, Ana M. de
Martínez López, Eva María
Miñambres, Inka
Moizé Arcone, Violeta
Morales Portillo, Cristóbal
Ramírez Arroyo, Violeta
Salvador, Javier
Soler, María José
Supervía, Marta
Valentí Azcarate, Víctor
Vicente Rodríguez, Germán
Vilarrasa, Nuria
Malagón Poyato, María del Mar
Keywords: Obesitat mòrbida
Terapèutica
Morbid obesity
Therapeutics
Issue Date: 29-Mar-2025
Publisher: S. Karger AG
Abstract: Introduction: Current obesogenic environments, along with intrinsic factors, contribute to the obesity pandemic, which impacts the quality of life and healthcare for individuals with obesity. In addition, discrimination and stigma related to obesity remain widespread in our society. In this scenario, the Spanish Society for the Study of Obesity (SEEDO), in collaboration with 38 recognized scientific societies and 12 patients' organization, has elaborated the Spanish guideline for obesity management in adults, referred to as the GIRO guideline. GIRO aims to drive a shift in obesity management and serve as a guide for healthcare professionals (HCPs) to address this chronic and multifactorial disease. Methods: A comprehensive systematic review was conducted and completed with experts' contribution, with a particular focus on Spanish society. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Experts selected the recommendations and determined their strength through consensus. Results: A total of 121 recommendations were proposed, including 32 adopted from the Canadian Adult Obesity Clinical Practice Guidelines and 89 specific recommendations created for the Spanish context, and were distributed across five areas of application: (1) recognition of obesity as a chronic disease, (2) obesity assessment, (3) multidisciplinary approach to obesity treatment, (4) recommendations for obesity management in special populations, and (5) implementation of the GIRO guideline and future challenges. Conclusion: The GIRO recommendations are intended to serve as a useful and interactive tool for HCPs, policymakers, and other stakeholders to ensure access to and quality of healthcare for individuals living with obesity.
Note: Reproducció del document publicat a: https://doi.org/10.1159/000544880
It is part of: Obesity Facts, 2025, p. 375-387
URI: https://hdl.handle.net/2445/222853
Related resource: https://doi.org/10.1159/000544880
ISSN: 1662-4033
Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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