The European Guidelines for Obesity Management in Adults provide a comprehensive framework for the diagnosis, assessment, and treatment of obesity. Obesity is defined as a chronic metabolic disease characterized by excessive body fat, which is associated with increased health risks such as type 2 diabetes, cardiovascular diseases, and certain cancers. The guidelines emphasize the importance of a multidisciplinary approach, involving primary care, nutrition, physical activity, and psychological support. Key aspects include: 1. **Clinical Evaluation**: A thorough history, physical examination, and laboratory assessments are essential to understand the patient's obesity and related comorbidities. 2. **Treatment Goals**: Realistic weight loss goals should focus on reducing health risks, maintaining weight loss, and preventing weight regain. 3. **Nutrition and Dieting**: Balanced hypocaloric diets are recommended, emphasizing increased consumption of vegetables, legumes, and low-fat dairy products, while avoiding added sugars and solid fats. 4. **Physical Activity**: Aerobic exercise is recommended for reducing fat mass, while resistance training is important for increasing lean mass. 5. **Cognitive Behavioural Therapy**: This therapy helps patients modify their thoughts and behaviors related to weight regulation. 6. **Pharmacological Treatment**: Medications such as orlistat, lorcaserin, phentermine-topiramate, bupropion-naltrexone, and liraglutide can be considered under specific conditions. 7. **Bariatric and Metabolic Surgery**: This is recommended for severe obesity, with a focus on long-term weight loss, improved comorbidities, and quality of life. 8. **Follow-Up and Supervision**: Continuous monitoring and support are crucial to prevent weight regain and manage co-morbidities. The guidelines aim to provide a structured and evidence-based approach to obesity management, emphasizing the need for lifelong commitment and multidisciplinary collaboration.The European Guidelines for Obesity Management in Adults provide a comprehensive framework for the diagnosis, assessment, and treatment of obesity. Obesity is defined as a chronic metabolic disease characterized by excessive body fat, which is associated with increased health risks such as type 2 diabetes, cardiovascular diseases, and certain cancers. The guidelines emphasize the importance of a multidisciplinary approach, involving primary care, nutrition, physical activity, and psychological support. Key aspects include: 1. **Clinical Evaluation**: A thorough history, physical examination, and laboratory assessments are essential to understand the patient's obesity and related comorbidities. 2. **Treatment Goals**: Realistic weight loss goals should focus on reducing health risks, maintaining weight loss, and preventing weight regain. 3. **Nutrition and Dieting**: Balanced hypocaloric diets are recommended, emphasizing increased consumption of vegetables, legumes, and low-fat dairy products, while avoiding added sugars and solid fats. 4. **Physical Activity**: Aerobic exercise is recommended for reducing fat mass, while resistance training is important for increasing lean mass. 5. **Cognitive Behavioural Therapy**: This therapy helps patients modify their thoughts and behaviors related to weight regulation. 6. **Pharmacological Treatment**: Medications such as orlistat, lorcaserin, phentermine-topiramate, bupropion-naltrexone, and liraglutide can be considered under specific conditions. 7. **Bariatric and Metabolic Surgery**: This is recommended for severe obesity, with a focus on long-term weight loss, improved comorbidities, and quality of life. 8. **Follow-Up and Supervision**: Continuous monitoring and support are crucial to prevent weight regain and manage co-morbidities. The guidelines aim to provide a structured and evidence-based approach to obesity management, emphasizing the need for lifelong commitment and multidisciplinary collaboration.