A Summary of the Malaysian Clinical Practice Guidelines on Management of Obesity 2004
AbstractIn 2004, the Malaysian Clinical Practice Guideline for Management of Obesity was published to assist health practitioners in the management of the obese population. This guidelines, based on gathered evidence published up to 2004, defined weight classifications according to BMI suited to the Malaysian population. The guideline also discussed methods of assessing obesity in adults. Recommendations with respect to treatment approach, encompassing lifestyle, dietary, pharmacological and surgical management of obesity in adults, and management approach in children and adolescent were also discussed in detail in the guidelines. The following article summarizes the recommendations that were made in the 2004 guidelines.
Lim TO, Ding LM, Zaki M et al. Distribution of body weight, height and Body Mass Index in a national sample of Malaysian adults. The Medical Journal of Malaysia. 2000;55(1):108-28.
Scottish Intercollegiate Guidelines Network. Obesity in Scotland: Integrating prevention with weight management. Edinburgh: Scottish Intercollegiate Guidelines Network; 1996.
National Institutes of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. Report No: 98-4083. Bethesda: National Institutes of Health; September 1998.
World Health Organization, International Obesity Task Force, International Association for the Study of Obesity. The Asia-Pacific perspective: Redefining obesity and its treatment. Hong Kong: WHO, IOTF & IASO; 2000.
World Health Organization. Obesity: Preventing and managing the global epidemic. Report on a WHO Consultation on Obesity, Geneva, June 1997. Geneva: World Health Organization; 1998.
AACE/ACE Obesity Task Force. AACE/ACE Position statement on the prevention, diagnosis and treatment of obesity. Endocrine Practice. 1998;4(5):297-350.
WHO Expert Consultation. Appropriate Body Mass Index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157-163.
Deurenberg P. Universal cut-off BMI points for obesity are not appropriate. Br J Nutr. 2001;85:135-6.
Cooperative Meta-Analysis Group of China Obesity Task Force. Predictive value of Body Mass Index and waist circumference to risk factors of related diseases in Chinese adult population. Clinical Journal of Epidemiology. 2002;23:5-10.
Zhou BF. Predictive values of Body Mass Index and waist circumference for risk factors of certain related diseases in Chinese adults-study on optimal cut-off points of body mass index and waist circumference in Chinese adults. Biomedical and Environmental Sciences. 2002;15:83-95.
Jia WP, Xiang KS, Chen L et al. Epidemiological study on obesity and its comorbidities in urban Chinese older than 20 years of age in Shanghai, China. Obesity Reviews. 2002;3(3):157-65.
Yajnik CS. The lifecycle effects of nutrition and body size on adult adiposity, diabetes and cardiovascular disease. Obesity Reviews. 2002;3(3):217-24.
Reddy KS, Prabhakaran D, Shah P, Shah B. Differences in Body Mass Index and waist: hip ratios in North Indian rural and urban populations. Obesity Reviews. 2002;3(3):197-202.
Yoshiike N, Seino F, Tajima S et al. Twenty-year changes in the prevalence of overweight in Japanese adults: The National Nutrition Survey 1976-95. Obesity Reviews. 2002;3(3):183-90.
Wang J, Thornton JC, Russell M et al. Asians have lower BMI (BMI) but higher percent body fat than do Whites: Comparisons of anthropometric measurements. Am J Clin Nutr. 1994;60:23-8.
Deurenberg-Yap M, Schmidt G, Staveren WA, Deurenberg P. The paradox of low Body Mass Index and high body fat percent among Chinese, Malays and Indians in Singapore. Intl J Obesity. 2000;24:1011-7.
He M, Tan KCB, Li ETS, Kung AWC. Body fat determinations by dual energy X-ray absorptiometry and its relation to Body Mass Index and waist circumference in Hong Kong Chinese. Intl J Obesity. 2001;25:748-52.
Gurrici S, Hartriyanti Y, Hautvast JG, Deurenberg P. Relationship between body fat and Body Mass Index: Differences between Indonesians and Dutch Caucasians. Eur J Clin Nutr. 1998;52(11):779-83.
Manson JE, Willett WC, Stampfer MJ et al. Body weight and mortality among women. N Engl J Med. 1995;333(11):677-85.
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