Journal of Mid-life Health Journal of Mid-life Health
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Year : 2022  |  Volume : 13  |  Issue : 1  |  Page : 34-49

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


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

Correspondence Address:
Naval Kishore Vikram
Department of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmh.jmh_7_22

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Weight gain is an independent risk factor for decline in cardiometabolic and overall health-related quality of life in midlife women. The AIIMS-DST initiative aims to develop and validate stepwise recommendations specific for weight management in midlife women. The key clinical questions specific to weight management in midlife women were finalized with the help of a multidisciplinary team of experts in the guideline development group. Phase I including a systematic and/or narrative review, grading of evidence, and expert opinion was sought to develop clinical practice recommendations for each clinical question. Phase II focused on validation of clinical practice recommendations using the peer-review, Delphi method, and GRADE approach. The guidelines provide clinical practice points to address challenges encountered by midlife women in their attempts to manage obesity via lifestyle modification techniques. The initiation of discussion would help the health-care provider to identify the weight management needs of the women, educate women on different modalities of weight management, and empower them to incorporate corrective lifestyle behaviors. Before initiating the management, a comprehensive assessment of clinical and lifestyle-related parameters should be completed. A personalized behavioral lifestyle modification program addressing the midlife-specific barriers for optimal metabolic, musculoskeletal, and mental health should be planned. A consistent follow-up is required for maintenance of corrective eating and activity habits by addressing midlife-specific barriers for sustenance of healthy weight. These recommendations will be useful in opportunistic screening and management of obesity in midlife women across health-care settings.


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