000162005 001__ 162005
000162005 005__ 20251017144616.0
000162005 0247_ $$2doi$$a10.1159/000544880
000162005 0248_ $$2sideral$$a144640
000162005 037__ $$aART-2025-144640
000162005 041__ $$aeng
000162005 100__ $$aLecube, Albert
000162005 245__ $$aThe Spanish GIRO guideline: a paradigm shift in the management of obesity in adults.
000162005 260__ $$c2025
000162005 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162005 5203_ $$aIntroduction: Current obesogenic environments, along with intrinsic factors, contribute to the obesity pandemic, which impacts the quality of life and healthcare for individuals with obesity. In addition, discrimination and stigma related to obesity remain widespread in our society. In this scenario, the Spanish Society for the Study of Obesity (SEEDO), in collaboration with 38 recognized scientific societies and 12 patients’ organisation, have elaborated the Spanish guideline for obesity management in adults, referred to as the GIRO guideline. GIRO aims to drive a shift in obesity management and serve as a guide for healthcare professionals (HCPs) to address this chronic and multifactorial disease. Methods: A comprehensive systematic review was conducted and completed with experts’ contribution, with a particular focus on Spanish society. The quality of evidence was assessed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Experts selected the recommendations and determined their strength through consensus. Results: A total of 121 recommendations were proposed, including 32 adopted from the Canadian Adult Obesity Clinical Practice Guidelines and 89 specific recommendations created for the Spanish context, distributed across five areas of application: 1) Recognition of obesity as a chronic disease; 2) Obesity assessment; 3) Multidisciplinary approach to obesity treatment; 4) Recommendations for obesity management in special populations; and 5) Implementation of the GIRO guideline and future challenges. Conclusion: The GIRO recommendations are intended to serve as a useful and interactive tool for HCPs, policymakers and other stakeholders to ensure access to and quality of healthcare for individuals living with obesity.
000162005 536__ $$9info:eu-repo/grantAgreement/ES/DGA/S72-23R
000162005 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162005 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162005 700__ $$aAzriel, Sharona
000162005 700__ $$aBarreiro, Esther
000162005 700__ $$aBlay, Guadalupe
000162005 700__ $$aCarretero-Gómez, Juana
000162005 700__ $$aCiudin, Andreea
000162005 700__ $$aFernández, José Manuel
000162005 700__ $$aFlores, Lilliam
000162005 700__ $$aHollanda, Ana de
000162005 700__ $$aMartínez, Eva
000162005 700__ $$aMiñambres, Inka
000162005 700__ $$aMoize, Violeta
000162005 700__ $$aMorales, Cristóbal
000162005 700__ $$aRamírez, Violeta
000162005 700__ $$aSalvador, Javier
000162005 700__ $$aSoler, María José
000162005 700__ $$aSupervía, Marta
000162005 700__ $$aValentí, Víctor
000162005 700__ $$0(orcid)0000-0002-4303-4097$$aVicente-Rodríguez, Germán$$uUniversidad de Zaragoza
000162005 700__ $$aVilarrasa, Nuria
000162005 700__ $$aMalagón, María M.
000162005 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000162005 773__ $$g(2025), 13$$pObesity Facts$$tObesity Facts$$x1662-4025
000162005 8564_ $$s1232966$$uhttps://zaguan.unizar.es/record/162005/files/texto_completo.pdf$$yVersión publicada
000162005 8564_ $$s2441907$$uhttps://zaguan.unizar.es/record/162005/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162005 909CO $$ooai:zaguan.unizar.es:162005$$particulos$$pdriver
000162005 951__ $$a2025-10-17-14:19:45
000162005 980__ $$aARTICLE