Obesity

Clinical audit nice guidance on obesity – Search results

NHS Litigation Authority. Table 3.

Introduction 1 Recommendations 2 Research recommendations Finding more information and committee details Update information. More on this topic Why I became an occupational physician…. Health Psychol. Using the assumption of the BOCF model i. Classification of overweight and obesity Adults 1.

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  • The following guidance is based on the best available evidence. Sign In or Create an Account.

  • Citing articles via Web of Science 3.

  • Why I became an occupational physician …. I dislike the unpleasant aspects obesity sometimes presents 0 5 25 7 35 5 25 3 15 7.

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The full guideline gives details of the methods and the evidence used to develop the guidance. Agree the goals with the person and review them regularly. Dalton M. Email alerts Article activity alert.

Kushner RF. Reprints and Permissions. Accessed 7th September Northern Ireland Statistics and Research Agency. All authors read and approved the final manuscript.

Table 2 shows that higher attenders on average were slightly heavier 2. For the recommendations in this section, the GDG clinical audit nice guidance on obesity that recent-onset type 2 diabetes would include those people whose diagnosis has been made within a year time frame. J Obes. Weight loss and dropout during a commercial weight-loss program including a very-low-calorie diet, a low-calorie diet, or restricted normal food: observational cohort study. Mean SD attendance of higher attenders was The same patterns were evident for percent weight loss 7.

Introduction

National Institute for Health and Care Excellence. The stigma of obesity: a review and update. Search all BMC articles Search.

Motivational components for dietary clinical audit nice guidance on obesity physical activity change involving practices focused obesiry improving intrinsic motivation and self-efficacy for physical activity and healthy eating [ 33 — 37 ]. Use investigations such as: blood pressure measurement lipid profile, preferably while fasting fasting insulin fasting glucose levels and oral glucose tolerance test liver function endocrine function. This study shows that fee-paying, general-population behaviour change programmes have the potential to impact on hundreds of thousands of people. Obes Rev.

Cliincal World already delivers an effective, national scale infrastructure for weight loss, including networks of local classes, group facilitators Consultantswritten, online and multi-media resources, eating plans and evidence based behaviour change approaches [ 22272861 ]. The y incidence of obesity and major weight gain in black and white US women aged 30—55 y. Search ADS. Tailor interventions to the needs and preferences of the child and the family. At the present time non-commercial behaviour change solutions to weight management are limited in terms of resource, infrastructure and scale.

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Additional studies examining longer-term weight trajectories over 1—2 years, dynamics of engagement, health economics guiance and the impact of social deprivation on weight outcomes are underway. Change department was poorly resourced and BMI was not routinely recorded nor obesity comprehensively treated. Citing articles via Web of Science 3. What consumers want to know about commercial weight-loss programs: a pilot investigation. What is known is that certain behaviour change techniques are associated with better weight outcomes [ 293074 ].

All rights reserved. The stigma of obesity: a review and update. The data presented in this study supports several analyses of commercial weight management programmes that now suggest the importance of participants attending or complying with their weight loss programme. Deliberate overfeeding in women and men: energy cost and composition of the weight gain. Results were checked for compliance with CG43 standards.

The same patterns were evident for percent weight loss 7. Public Health. Received : 17 December Participants are informed of and give written consent to their anonymised data being used for academic research and statistical purposes when they sign the enrolment form as participants of the programme. Adults and children 1. Hall KD.

Guidelines

J Biopharm Stat. As clijical our previous analyses [ 2122 ] most of the data are presented using the assumptions of the LOCF model to guidance obesity missing data. Key strengths were that the audit assessed the effectiveness of the programme as it runs in real life, the very large sample size and the fact that the subjects were real consumers aiming to control their weight in their everyday lives. Motivational components for dietary and physical activity change involving practices focused on improving intrinsic motivation and self-efficacy for physical activity and healthy eating [ 33 — 37 ].

  • A study day for OH clinical staff introduced the audit.

  • People have the right to be involved in discussions and make informed decisions about their care, as described in making decisions about your care. Compliance with criteria.

  • Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers.

  • Ensure that:.

BMJ Clinical research clinical audit nice guidance on obesity. Guieance data are consistent with the recent NIHR systematic reviews of and integrated report on the quantitative, qualitative and economic evidence base for the management of obesity in men summarising the current knowledge base on how men engage with and respond to weight management services [ 25 ]. Governments are calling for the general population to focus on the proactive prevention of avoidable disease by taking more responsibility for their own health through the adoption of healthier lifestyles, improved diets, increased physical activity and managing their own weight [ 1011 ]. NHS Litigation Authority. Mechanisms and components of lifestyle weight management programmes are likely to be efficacious for men [ 25 ], but further work needs to be undertaken in understanding how to best engage more men in such programmes and how to individualise and personalise those components to their specific needs.

Weight loss with self-help compared with a structured commercial program: a randomized trial. Government Office for Science and Department clinical audit nice guidance on obesity Health. Criterion 7: Healthcare practitioners should use clinical judgement to investigate comorbidities hypertension, type 2 diabetes, cardiovascular disease, osteoarthritis, sleep apnoea. Keep a copy of the agreed goals and actions ensure the person also does thisor put this in the person's notes. The case of the missing data: methods of dealing with dropouts and other research vagaries.

Introduction

Discussion About half of all Western adults have attempted weight loss in the last 12 months, the majority without success [ 60 ]. It included an abridged version of CG43 Table 4 as a user-friendly document to facilitate implementation. Long-term pharmacotherapy for overweight and obesity: a systematic review and meta-analysis of randomized controlled trials.

Since week 1 loss is included in the total loss, some correlation is inevitable unless there is complete compensation in later weeks. Research shows that two factors are essential to implement guidance successfully: clinical leadership of obesity action no and close involvement of stakeholders [ 19 ]. Working party including senior OH nurse, health improvement manager and specialist registrar to develop strategy. Changes should be sustainable. Give praise to successes and encourage parents to role-model desired behaviours. Charging for NHSPlus: an inferential study based on the internal provision of occupational health services within the National Health Service. Stress that obesity is a clinical term with specific health implications, rather than a question of how people look; this may reduce any negative feelings.

READ TOO: Metabolically Healthy Obese Individuals Have A Higher

Published: 01 Nov Newly updated step-by-step guide to developing an effective patient led panel. Criterion 2: OH should support the implementation of workplace programmes to prevent and manage obesity. Looking for guidance on driving quality improvement? Obesity Silver Spring ; 17 : — Obesity and presenteeism: the impact of body mass index on workplace productivity. Enable All Save Changes.

The discussion should also include the person's family, as appropriate. While the exact mechanisms by which attendance translates into weight loss are not clear it appears that attendance may be related to greater adherence to and use of programme components i. PubMed Google Scholar. Obesity Surgery 8 Aug [Epub ahead of NICE considered that the NHS should set an example as an employer in developing policies to prevent and manage obesity and that its OH services should have an important role in this [ 1 ]. Guidelines for evaluation.

MeSH terms

Consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them. Table 4. Ensure continuity of care in the multidisciplinary team through good record keeping.

Published: 01 May Please note that while much of the information in this no remains relevant it has been superseded by 'Learning to Make Standards for Better Health Oxford Academic. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. Littlejohns P Cluzeau F. New issue alert. Thank you for subscribing.

Skip to content Sub Menu. Give them information on the benefits of losing weight, healthy eating and increased physical activity. Cite Cite M. Obesity Silver Spring ; 21 : — Search Menu. Ensure that:.

Background

Download all jice. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. Thank you for subscribing. Published: 01 May Please note that while much of the information in this guide remains relevant it has been superseded by 'Learning to Make Adjust the approach as needed, depending on the person's clinical need and potential to benefit from losing weight.

I lack the motivation to address issues of obesity 0 4 20 6 30 8 40 2 10 5. Tackling obesity was considered a guidznce priority. Then, assess: any presenting symptoms any underlying causes of being guidancd or obese eating behaviours any comorbidities for example type 2 diabetes, hypertension, cardiovascular disease, osteoarthritis, dyslipidaemia and sleep apnoea any risk factors assessed using lipid profile preferably done when fastingblood pressure measurement and HbA 1c measurement the person's lifestyle diet and physical activity any psychosocial distress any environmental, social and family factors, including family history of overweight and obesity and comorbidities the person's willingness and motivation to change lifestyle the potential of weight loss to improve health any psychological problems any medical problems and medication the role of family and care workers in supporting individuals with learning disabilities to make lifestyle changes. In view of this, we conducted an audit to determine whether the guidance was being implemented.

Spyridonidis D Calnan Clinical audit nice guidance on obesity. This website uses Google Analytics to collect anonymous information such as the number of visitors to the site and the most popular pages. This should include: monitoring nutritional intake including protein and vitamins and mineral deficiencies monitoring for comorbidities medication review dietary and nutritional assessment, advice and support physical activity advice and support psychological support tailored to the individual information about professionally-led or peer-support groups. The person has been receiving or will receive intensive management in a tier 3 service for more information on tier 3 services, see NHS England's report on joined up clinical pathways for obesity. House of Commons Health Committee.

Featured reports and resources Looking for guidance on driving quality improvement? As a working document for OH departments, CG43 has some shortcomings, being a complex work of pages. No information relating to obesity was available in clinical or waiting rooms.

Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Third Report of Session — Download guidance PDF. Oxford Academic.

The level of intervention should be higher for patients with comorbidities see section 1. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or clinical audit nice guidance on obesity people using their service. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Improvements in catering, stairwells and exercise facilities, staff recreational and education programmes, active travel policies, health checks. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. Interviews were based on a system used in a national evaluation [ 15 ]. Obesity and presenteeism: the impact of body mass index on workplace productivity.

MeSH terms

Balancing the needs of individuals and services in cancer treatment for people with dementia: A focused xlinical study. Commissioners and providers have guidance responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Fam Pract ; 17 : S3 — S6. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it.

Chartered Society of Physiotherapists. Technical Report Series Number If you disable this cookie, we will not be able ovesity guidance obesity your preferences. See the guideline in development page for progress on the update. Project Report. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. A study day for OH clinical staff introduced the audit.

London: Brunner; Mechanisms and components of lifestyle weight management programmes are likely to be efficacious for men [ 25 ], but further work needs to be clinical audit nice guidance on obesity in understanding how to best engage more men in such programmes and how to individualise and personalise those components to their specific needs. Self-determination theory applied to health contexts: a meta-analysis. Measuring people and performance: an evidence-based framework applied to health service organisations. The focus may be on either weight maintenance or weight loss, depending on the person's age and stage of growth. Deliberate overfeeding in women and men: energy cost and composition of the weight gain.

Discussion About half of all Western adults have attempted weight loss in the last 12 months, the majority without success [ 60 ]. The NHS Commissioning Board NHS CB will commission complex and specilaised surgery as a treatment for selected patients with severe and complex obesity that has not responded to all other These data compare very favourably to pharmacological treatments for obesity [ 71 — 73 ] and other commercial and non-commercial weight management programmes [ 13171874 ].

This should include: monitoring nutritional intake including protein and vitamins and mineral deficiencies monitoring for comorbidities medication review dietary and nutritional assessment, advice and support physical activity advice and support psychological support tailored to the individual information about professionally-led or peer-support groups. Quality and Audit in Occupational Health Google Scholar Crossref. Use investigations such as:. Provide contact details so that the person can get in touch when they are ready. See also NICE's guideline on weight management: lifestyle services for overweight or obese children and young people. Volume

Clin Obesity. Associations between weight losses in different weeks were examined by Pearson correlation coefficients. Tailor interventions to the needs and preferences of the child and the family. This report analysed data collected from self-referred, fee-paying participants in the Slimming World programme between January and April during their first 14 attendances looking at a possible 13 weekly weight changes. Citing articles via Web of Science 3. The CG43 implementation group which included the OH manager formulated an action plan including establishment of the Health and Work Group enabling the Obesity Strategy in

Psychosocial and other working conditions in relation to body mass index in a representative sample of Australian workers. Health Aff. Download results. J Biopharm Stat.

It is generally recognised that the first steps Obesity 1 and 2 in care pathways for obesity in the UK should be behaviour change and lifestyle modification [ 1226 ]. The commercial weight management organisation, Slimming World www. National Institute for Health and Clinical Excellence. To address criterion 4 the adequacy of specialist settings for treating obese staffsix OH clinical rooms on the main trust site were examined for equipment and information. Read the guideline.

  • Identifying active ingredients in complex behavioural interventions for obese adults with obesity-related co-morbidities or additional risk factors for co-morbidities: a systematic review. Data was collected for participants attending groups in the UK and Ireland each week through an electronic data capture system and using calibrated digital weighing scales.

  • Use investigations such as: blood pressure measurement lipid profile, preferably while fasting fasting insulin fasting glucose levels and oral glucose tolerance test liver function endocrine function. Geneva, Switzerland ,

  • Spyridonidis D Calnan M. See also NICE's guideline on weight management: lifestyle services for overweight or obese children and young people.

  • The objective of this analysis was to evaluate the effectiveness of a UK commercial weight management programme in self-referred, fee-paying participants.

  • Why I became an occupational physician …. CG43 was summarized to identify areas of relevance to OH and nine criteria derived from it formed the basis for the audit Table 1.

NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy. See obexity recommendation 1. We found not only a lack of OH policy guidance but apparent inertia in dealing with obesity. December Tools and Resources. Published: 01 May Please note that while much of the information in this guide remains relevant it has been superseded by 'Learning to Make This guideline was previously called obesity: identification, assessment and management of overweight and obesity in children, young people and adults.

Data collection Data was collected for participants attending groups in the UK and Ireland venue week through an electronic data capture system and using calibrated digital weighing scales. The support system combines individual attention and group participation in a forum where members nicw experiences, identify their own patterns of behavior and, with the support of the ckinical, develop new ways of overcoming barriers to change to support weight loss and maintenance of weight loss. Emotion regulation and stress management components through a non-judgemental, non-stigmatic and de-shaming environment of social support enabling shared experience with an emphasis on the importance of compassion and self-compassion [ 38 — 44 ]. Abstract Background. Results per page Show 10 results per page Show 50 results per page Show results per page Show results per page. This may be considered contentious in patients presenting with conditions unrelated to weight gain, but it is acknowledged that patients who are reluctant to do so may prefer healthcare professionals to raise the issue [ 20 ].

As it involved a relatively large trust, with an overarching strategy for processing NICE guidance, this helped to give it credibility, although size was not a strong factor in determining whether or not CG43 was followed. Comparing the acute effects of shiftwork on mothers and fathers. Read HQIP's full privacy policy here. BMC Public Health ; 6 :

Next 1 Recommendations 1. In Octoberthis was an off audi use of orlistat. Guidelines for evaluation. Provide contact details so that the person can get in touch when they are ready. A retrospective review of degenerative lumbar spine surgeries. In view of this, we conducted an audit to determine whether the guidance was being implemented. Conflicts of interest.

The action plan recommended both. This guide is intended to help those responsible to review and develop arrangements for the effective ethics oversight of At its heart was the establishment of key standards covering policy, record-keeping and clinical practice. View Metrics.

Projected obesity trends and associated health care costs are well documented [ 12 ]. Characteristics of the 1, participants 67, men; 1, women Take into account the person's:. Stress that obesity is a clinical term with specific obesity implications, rather than a question of how people look; this may reduce any negative feelings. Charging for NHSPlus: an inferential study based on the internal provision of occupational health services within the National Health Service. Figure 2 shows that the rate of weight loss decreased as the process of weight reduction proceeded from the start to end of the observation period. The trust had an established strategy for managing NICE guidance, including CG43, and some departments had begun implementation.

Leadership of strategy by a senior OH consultant who guidance obesity with key stakeholders through membership of the health and well-being committee, ensuring maintenance of momentum and the multidisciplinary approach advised by NICE. The latter comprised a staff survey, nutrition steering group, educational programmes, improvements in catering, use of better-designed stairwells rather than lifts, recreational and exercise facilities offering basic health checks and promotion of walking and cycling on-site with shower provision. There was a significant difference in the percentage of men and women classed as higher attenders Sign In. About half of all Western adults have attempted weight loss in the last 12 months, the majority without success [ 60 ].

Geneva, Nice guidance Levels of intervention 1. Criterion 6: Enquiry should be made into underlying causes of weight gain diet, exercise, psychological distress, obrsity difficulties, previous failure to lose weight, motivation, obesogenic medication. Some referral schemes have been extended and evaluated over 6 months [ 21 ] or over 12 months [ 17 ]. Stubbs, R. Electronic weekly weight records were collated for self-referred, fee-paying participants of Slimming World groups joining between January and April

The GDG noted that 'environment' could include settings other than the home, for example, schools. Your responsibility The recommendations in this guideline represent the view nicw NICE, arrived at after careful consideration of the evidence available. Table 4. We are committed to protecting your personal information and being open and transparent about how it is used. By continuing you agree to receive emails with updates and other information from HQIP and you are confirming you are over the age of Its remit included the staff of the trust and its OH department. Citing articles via Web of Science 3.

Economic consequences of sick-leave and early retirement in obese Swedish women. Occupational Health Law. This guideline covers identifying, assessing and managing obesity in children aged 2 years and overyoung people and adults. Discuss the risks and benefits with them.

Ensure that: the diet is nutritionally complete the diet is followed for a maximum of 12 weeks continuously or intermittently the person following the diet is given ongoing obeaity support. Use clinical judgement when considering risk factors in these groups, even in people not classified as overweight or obese, using the classification in recommendation 1. Recommend types of physical activity, including: activities that can be incorporated into everyday life, such as brisk walking, gardening or cycling see also NICE's guideline on walking and cycling supervised exercise programmes other activities, such as swimming, aiming to walk a certain number of steps each day, or stair climbing. Ensure that:.

  • Correspondence to R. Children 1.

  • Cookie information is stored in your browser and performs functions such as recognising when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Clinical guideline [CG] Published: 27 November

  • J Biopharm Stat. The Health and Work Group disbanded in with the assumption its role was complete.

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BMC Public Health ; 6 : Ensure continuity of care in the multidisciplinary team through good record keeping. Facebook used audot tracking outcomes from Facebook ad campaigns, retargeting, etc. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Consider counselling and assess for eating disorders or other psychopathology to make sure the diet is appropriate for them.

Legal considerations of clinical guidelines: will NICE make a difference? Communications Cllinical website uses the following additional cookies for targetting communications: WebActivate used to recognise users and track integration with the website and from email campaigns. NICE has also produced guidelines on preventing excess weight gain and weight management: lifestyle services for overweight or obese adults. We found not only a lack of OH policy guidance but apparent inertia in dealing with obesity. At its heart was the establishment of key standards covering policy, record-keeping and clinical practice.

Newly updated step-by-step guide to developing an effective patient led panel. Search Menu. To address the risk from obesity, in criteria 6 causes of obesity and 7 comorbidities the sample size was increased until 50 cases of raised BMI had been identified to determine what information on causes of weight gain and comorbidities had been recorded. Faculty of Occupational Medicine. Michie S West MA.

The action plan recommended both. Int J Manag Rev ; 5—6 : 91 — Thank you for subscribing. The audit of equipment and resources criterion 4 found that three of the six clinical rooms had weighing scales.

It is not yet clear what obesity BMI structure of populations who attend such programmes as fee-paying members is, or how their weight outcomes vary as a function of initial BMI. Ensure hospitals have access to specialist equipment — such as larger scanners and beds — when providing general care for people who are severely obese. About this article. Additionally, the nine NICE criteria audited could not be all subjected to objective evaluation, with issues of a qualitative nature requiring a more subjective assessment of compliance.

To Enter date in the format yyyy-mm-dd. See also recommendations 1. One approach to this social problem is through multicomponent behaviour change programmes combining dietary advice, social support structures group and online support, behaviour change tools, social media and evidence-based self-management techniques motivation, emotional support, stress management, goal setting, self-monitoring. Open Obes J. Sign In or Create an Account. Public Health Nutr. Research shows that two factors are essential to implement guidance successfully: clinical leadership of any action plan and close involvement of stakeholders [ 19 ].

Using the assumption of the BOCF model i. To clinical audit nice guidance on obesity in an NHS trust baseline assessment and management of obesity by its occupational health OH service staff, with reference to the standards in CG43, enabling deficiencies to be identified and improvements to be recommended as a benchmark for future measurement. All authors read and approved the final manuscript. Citing articles via Web of Science 3.

This guideline was previously called obesity: identification, assessment and management of overweight and obesity in children, young people and adults. Guidance obesity am overweight myself, which makes it difficult for me to address the issue in patients 1 5 3 15 3 15 12 60 1 5 9. Kushner RF. National Institute for Health and Clinical Excellence. NHS Litigation Authority. Oxford Academic. Int J Manag Rev ; 5—6 : 91 —

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  • For more information on tier 3 services, see NHS England's report on joined up clinical pathways for obesity.

  • J Med Internet Res. Related articles in PubMed Association of muscle mass and fat mass on low-density-lipoprotein cholesterol and triglyceride plasma concentration in children and adolescents.

  • Obesity Silver Spring ; 17 : —

  • Ensure weight management programmes include behaviour change strategies see recommendations 1. Weight loss and dropout during a commercial weight-loss program including a very-low-calorie diet, a low-calorie diet, or restricted normal food: observational cohort study.

Obes Facts. Everything NICE has said on lifestyle weight management services for overweight or obese children and young people in an interactive flowchart. Many clinicians were unaware of CG43 and this was compounded by absence of training and significant barriers to addressing the issues the guidance raised. The impact of obesity on rising medical spending. Three elements of a comprehensive approach, encompassing both trust and OH practice, are suggested.

However it is still not clear whether lifestyle interventions are as effective across a range of BMI categories. Reprints and Permissions. Modelling the dynamics of participant flow through such open group systems and the impact on longer-term weight outcomes is the subject of future publications. What is the required energy deficit per unit weight loss?

Eighty-eight per cent had some comorbidity recorded. Guidelines for evaluation. Parenthetically, The effects of different factors on weight loss were assessed by fitting linear models and examining the significance of fitted terms in these models through regression and Analysis Of Variance ANOVA.

Changes should be sustainable. The effectiveness of a nurse-led home-based obseity failure self-management programme the HOM-HEMP for patients with chronic heart failure: A three-arm stratified randomized controlled trial. Criterion nive OH should support the implementation of workplace programmes to prevent and manage obesity. A protocol was also designed, compliant with Faculty of Occupational Medicine guidance [ 14 ], for audit of process including the knowledge and attitudes of staff. Be aware that people from certain ethnic and socioeconomic backgrounds may be at greater risk of obesity, and may have different beliefs about what is a healthy weight and different attitudes towards weight management. Criterion 7: Healthcare practitioners should use clinical judgement to investigate comorbidities hypertension, type 2 diabetes, cardiovascular disease, osteoarthritis, sleep apnoea. I am overweight myself, which makes it difficult for me to address the issue in patients 1 5 3 15 3 15 12 60 1 5 9.

The following guidance is based on the best available evidence. During the consultation:. Find out what the person has already guidance and how successful this has been, and what they learned from the experience. This website uses Google Analytics to collect anonymous information such as the number of visitors to the site and the most popular pages. Its remit included the staff of the trust and its OH department.

Using the assumption of the BOCF model i. There is little published evidence of the performance of programmes on a large scale, outside of partnerships with primary care i. What is known is that certain behaviour change techniques are associated with better weight outcomes [ 293074 ].

All rights reserved. It is clear that CG43 is specifically relevant to OH because obesity is a chronic, relapsing [ 8 ], often disabling disease [ 21 ] linked to early retirement [ 22 ], sickness absence [ 23 ], reduced productivity [ 24 ], litigation [ 25 ], work stress [ 26 ], injury [ 27 ], bias and stigmatization [ 28 ]. Standards for Better Health This website uses cookies so that we can provide you with the best user experience possible.

This should buidance monitoring nutritional intake including protein and vitamins and mineral deficiencies obedity for comorbidities medication review dietary and nutritional assessment, advice and support physical activity advice and support psychological support tailored to the individual information about clinical audit nice or peer-support groups. Weight-loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. Some referral schemes have been extended and evaluated over 6 months [ 21 ] or over 12 months [ 17 ]. Discuss the reintroduction of food following a liquid diet with them. Use it to give additional information on the risk of developing other long-term health problems. Men tended to lose more weight than women both absolutely 2. There is growing evidence that commercial programmes, which combine behaviour change techniques with the key motivators for changing habits are effective as the first line in helping people adopt healthier dietary and activity patterns, and in providing support to enable them to sustain these changes [ 13 — 23 ].

Healthcare professionals Commissioners and providers Employers Local authorities Obesity definition change of venue care trusts Head teachers and chairs of governors Children, young people and adults, and their families and carers Is this guideline up to date? The person commits to the need for long-term follow-up. Implementing clinical governance policy: NICE. Published: 01 May Please note that while much of the information in this guide remains relevant it has been superseded by 'Learning to Make

NICE has also produced guidelines on clinical audit nice guidance on obesity preventionmaintaining a healthy weightand lifestyle weight management services. Summarizing the weighty CG43 guidance to define clear-cut criteria relevant to OH was an important element of devising the audit. Google Scholar Crossref. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

Overcoming Barriers and Sharing Success. Legal considerations of clinical guidelines: will NICE make a difference? The action plan recommended both. Guidace 2. NICE guidelines database with electronic tracker of compliance, needs assessment, CG43 implementation group, staff survey, Health and Work Group, obesity strategy. It advocated high-quality prevention and early intervention for illnesses common in NHS staff, with the aim of reducing sickness absence by one-third.

  • Results are expressed as mean SD or percent with SE where relevant. Weight change in a commercial web-based weight loss program and its association with website use: cohort study.

  • The review concluded that organizations that prioritized staff health and well-being performed better, with improved patient satisfaction, stronger quality scores and better outcomes, than those that did not.

  • Evidence-based strategies and actions taken in the programme to promote and sustain weight loss include:.

  • NICE considered that the NHS should set an example as an employer in developing policies to prevent and manage obesity and that its OH services should have an important role in this [ 1 ]. Mean SD attendance was 7.

  • Skip Nav Destination Article Navigation. Determinants of successful weight loss after using a commercial web-based weight reduction program for six months: cohort study.

  • Acknowledgements The analysis, collection and reporting of the data was funded by Slimming World. This should be a research priority for implementing weight management solutions in the general population and may improve the capacity of models to predict weight outcomes for different groups of people.

Guidance Barriers and Sharing Success, This is an important gap in the public heath evidence base, because many more people attend such programmes as fee-paying participants. Public Health. The CG43 implementation group which included the OH manager formulated an action plan including establishment of the Health and Work Group enabling the Obesity Strategy in What is the required energy deficit per unit weight loss? The same patterns were evident for percent weight loss 7. Baseline observation carry forward: reasoning, properties, and practical issues.

Overcoming Barriers and Sharing Success, Conflicts of interest. Kushner RF. Recommend types of physical activity, including:. As with all external pages, HQIP cannot guarantee its content. No information relating to obesity was available in clinical or waiting rooms. Skip Nav Destination Article Navigation.

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