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Obesity framework

American endocrinology professional bodies announce obesity framework

Ket elements are biomedical; government and regulation; health industry and economics; and society, education and research.

The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE) have announced that they will produce an evidence-based, multi-dimensional, comprehensive framework that will become an action plan of attack to combat obesity.

The framework is the result of the AACE/ACE Consensus Conference of Obesity: Building an Evidence Base for Comprehensive Action, which was convened to identify the myriad issues surrounding, and necessary steps for solving, the epidemic of obesity.

“Key findings include the need for an improved definition of obesity, high-quality research including evaluation of a complications-centric clinical approach to obesity, and better understanding of reimbursement mechanisms,” said conference chair Dr W Timothy Garvey.

The framework was derived from five fundamental questions intensely debated by participants divided into the following areas: biomedical; government and regulation; health industry and economics; and society, education and research.

Dr Daniel Einhorn, ACE president said, “This is the most under-reimbursed major disease in the USA.”

The five questions were:

  1. What is obesity?
  2. What options are available for obesity management?
  3. What is the optimal use of therapeutic modalities?
  4. Can the framework be cost-effective?
  5. What are the knowledge gaps and how can they be filled?

“We also need to address the value associated with obesity prevention and management, increased nutrition and obesity education, and enhanced public awareness and health literacy,” said conference co-chair, Dr Alan J Garber

AACE’s Board of Directors declared obesity a disease state in July 2011 and the association also was the author of the resolution adopted in June 2013 by the American Medical Association House of Delegates recognizing obesity as a disease.

“Next steps include translating these findings into actionable recommendations for individual patients that are likely to succeed and developing logistics for effective implementation,” added AACE President and co-chair, Dr Jeffrey I Mechanick.

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