SEARCHGUIDELINESobstetrics and gynecology, endocrinology

guidelines·obstetrics and gynecology, endocrinology, family medicine, public health, geriatrics·PMC10041015

Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative

Journal of Family Medicine and Primary Care · 33 authors, 28 centres

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TL;DR

These consensus-based clinical practice guidelines, developed by an Indian multidisciplinary expert panel using systematic review and GRADE methodology, provide recommendations for screening and managing overweight and obesity in midlife women across reproductive life stages.

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The guideline was developed in two phases per NHMRC methodology: Phase I involved systematic review, evidence grading, and expert opinion to formulate recommendations for key clinical questions identified through literature search, expert opinion, and Delphi method; Phase II involved peer review and validation of recommendations using the Delphi method and GRADE approach by the Guideline Development Group. A multidisciplinary team approach incorporating family physicians, dietitians, and specialists was recommended. Limitations include that evidence for the recommendations is derived mainly from studies on midlife women in the West, with no longitudinal studies assessing weight status and body composition changes during menopausal transition in Indian women. The association of menopausal transition independent of chronological ageing and weight status remains unestablished in Indian populations.

STUDY TYPE

guidelines

SPECIALTY

obstetrics and gynecology

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ORIGINAL PAPER

PMC10041015

Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative

Journal of Family Medicine and Primary Care

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CITATION EXPORT

Piyush Ranjan, Naval K. Vikram, Archana Kumari et al.. Evidence and consensus-based clinical practice guidelines for management of overweight and obesity in midlife women: An AIIMS-DST initiative. Journal of Family Medicine and Primary Care. (2022). https://doi.org/10.4103/jfmpc.jfmpc_51_22

AUTHORS

33 · 28 CENTRES

Piyush Ranjan, Naval K. Vikram, Archana Kumari, Sakshi Chopra, Ambuja Choranur, Yashodhara Pradeep, Manju Puri, Anita Malhotra, Maninder Ahuja, Meeta, Achla Batra, Geetha Balsarkar, Deepti Goswami, Kiran Guleria, Siddharth Sarkar, Garima Kachhawa, Aditi Verma, M Krishna Kumari, Jagmeet Madan, Anjali Dabral, Sandhya Kamath, Asmita Muthal Rathore, Raman Kumar, Srikumar Venkataraman, Gaurishankar Kaloiya, Neerja Bhatla, S. Shantha Kumari, Upendra Baitha, Anupam Prakash, Mangesh Tiwaskar, Kamlesh Tewary, Anoop Misra, Randeep Guleria

1 Department of Medicine, All India Institute of Medical Sciences, New Delhi, India
2 Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
3 Department of Home Science, University of Delhi, New Delhi, India
4 President, Indian Menopause Society, Former Professor and Head, Department of Obstetrics and Gynaecology, Osmania Medical College, Hyderabad, India
5 Era Medical College and University, Ex Professor and Head Department of Obstetrics and Gynaecology, RML Institute of Medical Sciences, KGMU, Lucknow, Vice President Elect, FOGSI, Ex Vice President, IMS, India
6 Head, Department of Obstetrics and Gynaecology, LHMC and SSK Hospital, New Delhi, India
7 Food and Nutrition, Department of Home Science, Vice-Principal, Lakshmibai College, University of Delhi, New Delhi, India
8 President, Society of Meaningful Life Management, Associate Editor, Journal of Midlife Health, India
9 Indian Menopause Society, Editor-in-Chief, Journal of Mid-Life Health, India
10 President, Association of Obstetricians and Gynaecologists of Delhi (AOGD), Professor, Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
11 Department of Obstetrics and Gynaecology Seth G. S. Medical College, Mumbai, India
12 Director Professor, Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India
13 Department of Obstetrics and Gynaecology, University College of Medical Sciences, New Delhi, India
14 Department of Psychiatry and NDDTC, All India Institute of Medical Sciences, New Delhi, India
15 Apollo Medical College, Hyderabad, India
16 National President, Indian Dietetic Association, India
17 Head, Department of Obstetrics and Gynaecology, VMMC and Safdarjung Hospital, New Delhi, India
18 Ex-Professor of Medicine and Dean, Seth G S Medical College and KEM Hospital, Mumbai, and LT Municipal Medical College and General Hospital, Mumbai, India
19 Director Professor and Head, Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India
20 President, Academy of Family Physicians of India, India
21 Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, New Delhi, India
22 Clinical Psychology, Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
23 President, The Federation of Obstetric and Gynaecological Societies of India, India
24 Department of Medicine, LHMC and SSK Hospital, New Delhi, India
25 Secretary, Association of the Physicians of India, India
26 President, Association of the Physicians of India, India
27 Chairman, Fortis-C-DOC Centre of Excellence for Diabetes, Metabolic Diseases and Endocrinology, Chairman, National Diabetes, Obesity and Cholesterol Foundation (N-DOC) and President, Diabetes Foundation (India), New Delhi, India
28 Director, All India Institute of Medical Sciences, New Delhi, India