Obesity Treatment Recommendations in the Philippines: Perspective on their Utility and Implementation in Clinical Practice
Abstract
This article briefly reviews the obesity practice recommendations of the Philippine Association for the Study of Overweight and Obesity (PASOO) and the obesity guidelines of the Family Medicine Research Group (FMRG) of the UP-Philippine General Hospital. The two treatment recommendations showed their focus on the primary care setting and several limitations in the development process. The implementation strategies centered on their dissemination among health care professionals although the PASOO included food and activity pyramid guides useful both as patient educational material and as a treatment tool. In spite of their limitations, both sets of recommendations are valuable resources because they effectively promote obesity awareness in the Philippine setting. However, the current sets of obesity recommendations need to be modified and updated to fulfill important requirements for high-quality recommendations backed by a strong Philippine evidence base. Collaboration among important stakeholders in the prevention and control of obesity and other noncommunicable diseases (NCD) is essential to arrive at an integrated approach to obesity.Downloads
References
World Health Organization. Global status report on noncommunicable diseases 2010, Chapter 1: Burden: morbidity, mortality and risk factors. April 2011.
Ford, ES and Mokdad, AH. Epidemiology of obesity in the Western Hemisphere. J Clin Endocrinol Metab. 2008; 93:S1-S8.
Misra, A and Khurana, L. Obesity and the metabolic syndrome in the developing countries . J Clin Endocrinol Metab. 2008; 93: S39-S30.
Food and Nutrition Research institute (FNRI) and National Nutrition and Health Survey (NNHeS). Unpublished data from 2008.
Expert Panel on the Identification, Evaluation, and Treatment of Overweight in Adults. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: Executive Summary. Am J Clin Nutr. 1998; 68: 89-117.
National Institute for Health and Clinical Excellence. NICE UK Clinical Guideline 43: Obesity: guidance on the prevention, identification, assessment and management of overweight and obesity in adults and children. December 2006.
Lau, DCW, Douketis, JD, Morrison, KM, Mramiak, IM, Sharma, AM, Ur, E. 2006 Canadian clinical practice guidelines on the management and prevention of obesity in adults and children. CMAJ. 2007; 76(8) Suppl.
Snow, V, Barry, P, Fitterman, N, Qaseem, A and Weiss, K. Pharmacologic and surgical management of obesity in primary care: A clinical practice guideline from the American College of Physicians. Ann Intern Med. 2005; 142: 525-531.
Sy, RAG for the PASOO. Guidelines for a healthy and safe weight management program: PASOO recommendations. Compendium of Philippine Medicine. 10th ed. 2008, pp 249-256.
Beltran, ICC. Guidelines for diagnosing and treating obesity in family practice. The Filipino Family Physician. 2002; 40(3): 100-104.
Sy, RAG. Algorithms on the approach to the screening, diagnosis, management, follow-up and prevention of obesity. Presented at the Philippine College of Physicians Annual Convention. 2002. Unpublished report.
Gandjour, A, Westenhofer, J, Wirth, A, Fuchs, C and Lauterbach, KW. Development process of an evidence-based guideline for the treatment of obesity. International J for Quality in Health Care. 2001; 13(4): 325-332.
Mercer, S. How useful are clinical guidelines for the management of obesity in general practice? British J Gen Practice. 2009; 59: 863-868.
Dean, E, Lomi, C, Bruno, S, Awad, H, and O’Donoghue, G. Addressing the common pathway underlying hypertension and diabetes in people who are obese by maximizing health: The ultimate knowledge translation gap. International J Hypertension. 2011.
Department of Health, Republic of the Philippines. Twenty years of non-communicable disease (NCD) prevention and control in the Philippines (1986-2006). 2009
Department of Health, Republic of the Philippines. Prevention and control of chronic lifestyle-related non-communicable diseases in the Philippines: Manual of Operations. 200
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