Obesity in Adults: A 2022 Adapted Clinical Practice Guideline for Ireland COMING SOON!

In 2021, ASOI led a successful bid, in conjunction with the Irish Coalition for People Living with Obesity (ICPO) and the HSE Obesity National Clinical Programme (NCP) to become the first European country to adapt the Canadian Adult Obesity Clinical Practice Guidelines (CPGs) for use in Ireland.

The CPGs were launched in 2020. They are one of the most extensive reviews of published evidence ever conducted in obesity, including over 550,000 peer-reviewed articles. They were developed based on outcomes that are important for both patients and clinicians and build consensus on a wide range of clinical and scientific issues in obesity care. The CPGs identify key recommendations for healthcare professionals, patients, and policy makers and are presented in an evidence- and experience-based, patient-centred framework. 

Across 2021 and 2022, over 70 specialists from all over Ireland have been working on adapting the CPGs for use in Ireland, using the ADAPTE framework. They come from a wide variety of multidisciplinary backgrounds and include academic and clinical researchers, anaesthetics, dietetics, endocrinology, epidemiology, general practice, midwifery, nursing, obstetrics, occupational therapy, patient representatives, physiotherapy, psychology, psychiatry, public health, pharmacology, respiratory, and surgical representatives.  

The adaptation considers the cultural and organisational context of healthcare delivery in Ireland vs. Canada. For example the availability of services, expertise, and resources; relevant local Irish data and existing local guidance. Values within Irish healthcare that synergise or contrast with the Canadian model and any population characteristics or cultural beliefs that may apply specifically in an Irish setting were also taken into account. 

Eighteen chapters are being adapted including:

  • Reducing Weight Bias in Obesity Management, Practice and Policy
  • The Science of Obesity
  • Epidemiology of Adult Obesity
  • Clinical Assessment of People Living with Obesity
  • Enabling Participation in Activities of Daily Living for People Living with Obesity
  • Effective Psychological and Behavioural Interventions in Obesity Management
  • Medical Nutrition Therapy in Obesity Management
  • Physical Activity in Obesity Management
  • Pharmacotherapy in Obesity Management
  • Bariatric Surgery: Selection and Preoperative Work-up
  • Bariatric Surgery: Surgical Options and Outcomes
  • Bariatric Surgery: Postoperative Management
  • The Role of Mental Health in Obesity Management
  • Primary Care and Primary Healthcare in Obesity Management
  • Weight Management over the Reproductive Years for Adult Women Living with Obesity
  • Prevention and Harm Reduction of Obesity (Clinical Prevention)
  • Commercial Products and Programs in Obesity Management
  • Emerging Technologies and Virtual Medicine in Obesity Management

The CPGs shift the focus from an exclusively body size diagnosis to a health-linked diagnosis of obesity. They  shift the goals of management from weight change alone, to patient-centred health outcomes, functional outcomes, and social and economic wellbeing. They align  with existing evidence-based principles of chronic disease management. 

In Autumn 2022, the adapted CPG chapters will be available to download here for healthcare professionals, policy makers and people living with obesity. They will act as a guide to high quality evidence-based obesity care, and in conjunction with the Model of Care for the Management of Adult Overweight and Obesity, improve the standard of care for individuals with obesity in all regions of Ireland.