Mexican Clinical Practice Guidelines for Adult Overweight and Obesity Management

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Abstract

Purpose

To develop Mexico’s first methodologically rigorous clinical practice guideline for the management of adult overweight and obesity. The target audiences are interdisciplinary healthcare professionals across healthcare systems who are the first point of contact for patients with obesity in Mexico, patients, and health system decision makers.

Recent Findings

A review of recent international obesity clinical practice guidelines and an expert consensus process identified: i) common recommendations appropriate for implementation in Mexico and ii) knowledge gaps requiring the formulation of new recommendations. In all, 20 new recommendations and 20 good practice statements were developed using the GRADE Evidence-to-Decision Framework and expert consensus.

Summary

Overweight and obesity negatively impact the health and well-being of individuals and populations in Mexico. This guideline aims to establish a new evidence-based, patient-centered, non-stigmatizing, and practical treatment and management framework, based on the fundamental principles of chronic disease prevention and management.

Supplementary Information

The online version contains supplementary material available at 10.1007/s13679-024-00585-w.

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Most cited references 104

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RoB 2: a revised tool for assessing risk of bias in randomised trials

Jonathan A C Sterne, Jelena Savović, Matthew J L Page … (2023)

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ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions

Jonathan AC Sterne, Miguel A. Hernán, Barnaby Reeves … (2018)

Non-randomised studies of the effects of interventions are critical to many areas of healthcare evaluation, but their results may be biased. It is therefore important to understand and appraise their strengths and weaknesses. We developed ROBINS-I (“Risk Of Bias In Non-randomised Studies - of Interventions”), a new tool for evaluating risk of bias in estimates of the comparative effectiveness (harm or benefit) of interventions from studies that did not use randomisation to allocate units (individuals or clusters of individuals) to comparison groups. The tool will be particularly useful to those undertaking systematic reviews that include non-randomised studies.

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World Health Organization 2020 guidelines on physical activity and sedentary behaviour

Fiona Bull, Salih Al-Ansari, Stuart Biddle … (2020)

Objectives To describe new WHO 2020 guidelines on physical activity and sedentary behaviour. Methods The guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of health outcomes and population groups. The assessment used and systematically updated recent relevant systematic reviews; new primary reviews addressed additional health outcomes or subpopulations. Results The new guidelines address children, adolescents, adults, older adults and include new specific recommendations for pregnant and postpartum women and people living with chronic conditions or disability. All adults should undertake 150–300 min of moderate-intensity, or 75–150 min of vigorous-intensity physical activity, or some equivalent combination of moderate-intensity and vigorous-intensity aerobic physical activity, per week. Among children and adolescents, an average of 60 min/day of moderate-to-vigorous intensity aerobic physical activity across the week provides health benefits. The guidelines recommend regular muscle-strengthening activity for all age groups. Additionally, reducing sedentary behaviours is recommended across all age groups and abilities, although evidence was insufficient to quantify a sedentary behaviour threshold. Conclusion These 2020 WHO guidelines update previous WHO recommendations released in 2010. They reaffirm messages that some physical activity is better than none, that more physical activity is better for optimal health outcomes and provide a new recommendation on reducing sedentary behaviours. These guidelines highlight the importance of regularly undertaking both aerobic and muscle strengthening activities and for the first time, there are specific recommendations for specific populations including for pregnant and postpartum women and people living with chronic conditions or disability. These guidelines should be used to inform national health policies aligned with the WHO Global Action Plan on Physical Activity 2018–2030 and to strengthen surveillance systems that track progress towards national and global targets.

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Author and article information

Contributors

Emma A. Chávez-Manzanera: emma.chavezm@incmnsz.mx

Journal

Journal ID (nlm-ta): Curr Obes Rep

Journal ID (iso-abbrev): Curr Obes Rep

Title: Current Obesity Reports

Publisher: Springer US (New York )

ISSN (Electronic): 2162-4968

Publication date (Electronic): 2 October 2024

Publication date PMC-release: 2 October 2024

Publication date (Print): 2024

Volume: 13

Issue: 4

Pages: 643-666

Affiliations

[1 ]Obesity Workgroup, Sociedad Mexicana de Nutrición y Endocrinología, Mexico City, México

[2 ]Obesity and Eating Disorders Clinic, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, ( https://ror.org/00xgvev73) Mexico City, México

[3 ]ABC Medical Center, ( https://ror.org/03e36d037) Mexico City, México

[4 ]Nutrition Division, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, ( https://ror.org/00xgvev73) Mexico City, México

[5 ]Obesidades S.C, Mexico City, México

[6 ]Sports Medicine Division, Universidad Nacional Autónoma de México, ( https://ror.org/01tmp8f25) Mexico City, México

[7 ]Service of Endocrinology, Instituto Nacional de Pediatría, ( https://ror.org/05adj5455) Mexico City, México

[8 ]Endocrinology Division, Centro Médico Nacional 20 de Noviembre, Institute for Social Security and Services for State, ( https://ror.org/02d93ae38) Mexico City, México

[9 ]Department of Neurology and Psychiatry, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, ( https://ror.org/00xgvev73) Mexico City, México

[10 ]School of Health Sciences, Universidad Marista de Mérida, ( https://ror.org/05hpc6k82) Mérida, México

[11 ]Tampico Faculty of Medicine Alberto Romo Caballero, Universidad Autónoma de Tamaulipas, ( https://ror.org/04hhneb29) Tampico, Tamaulipas México

[12 ]Department for Continuing Education, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, ( https://ror.org/05qjm2261) Mexico City, México

[13 ]GRID grid.411455.0, ISNI 0000 0001 2203 0321, Endocrine Service, Hospital Universitario Dr José E. González, Medicine School, , Universidad Autónoma de Nuevo León, ; Nuevo Leon, México

[14 ]GRID grid.419886.a, ISNI 0000 0001 2203 4701, Institute for Obesity Research, , Instituto Tecnológico de Monterrey, ; Nuevo Leon, México

[15 ]Internal Medicine Division, Medical School, and University Hospital, Universidad Autónoma de Nuevo Leon, ( https://ror.org/01fh86n78) Nuevo Leon, México

[16 ]GRID grid.449717.8, ISNI 0000 0004 5374 269X, Population Health & Biostatistics, School of Medicine, , University of Texas Rio Grande Valley, ; Texas, United States

[17 ]Hospital General Dr. Manuel Gea González, ( https://ror.org/025q7sd17) Mexico City, México

[18 ]GRID grid.419157.f, ISNI 0000 0001 1091 9430, Department of Secondary Prevention Central level, , Servicios de Salud IMSS-BIENESTAR, ; Mexico City, México

[19 ]School of Public Health of Mexico at, Instituto Nacional de Salud Pública, ( https://ror.org/032y0n460) Morelos, México

[20 ]Department of Endocrinology, Hospital General de México “Dr. Eduardo Liceaga, ( https://ror.org/01php1d31) Mexico City, México

[21 ]Epistemonikos Foundation, Santiago, Chile

[22 ]Replica Communications, Hamilton, Ontario Canada

[23 ]Replica Communications, Kristianstad, Sweden

Article

Publisher ID: 585

DOI: 10.1007/s13679-024-00585-w

PMC ID: 11522083

PubMed ID: 39356455

SO-VID: e676790d-f837-4c39-b9fe-d77dfdd96142

License:

Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.

History

Date accepted : 16 August 2024

Funding

Funded by: Sociedad Mexicana de Nutrición y Endocrinología

Custom metadata

ScienceOpen disciplines: Health & Social care

Keywords: overweight,obesity,chronic disease care,management,clinical guidelines

Data availability:

ScienceOpen disciplines: Health & Social care

Keywords: overweight, obesity, chronic disease care, management, clinical guidelines

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