162005 20251017144616.0 doi 10.1159/000544880 sideral 144640 ART-2025-144640 eng Lecube, Albert The Spanish GIRO guideline: a paradigm shift in the management of obesity in adults. 2025 Access copy available to the general public Unrestricted Introduction: 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. info:eu-repo/grantAgreement/ES/DGA/S72-23R info:eu-repo/semantics/openAccess by https://creativecommons.org/licenses/by/4.0/deed.es info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Azriel, Sharona Barreiro, Esther Blay, Guadalupe Carretero-Gómez, Juana Ciudin, Andreea Fernández, José Manuel Flores, Lilliam Hollanda, Ana de Martínez, Eva Miñambres, Inka Moize, Violeta Morales, Cristóbal Ramírez, Violeta Salvador, Javier Soler, María José Supervía, Marta Valentí, Víctor Vicente-Rodríguez, Germán Universidad de Zaragoza (orcid)0000-0002-4303-4097 Vilarrasa, Nuria Malagón, María M. 1006 245 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Educación Física y Depor. (2025), 13 Obesity Facts Obesity Facts 1662-4025 1232966 http://zaguan.unizar.es/record/162005/files/texto_completo.pdf Versión publicada 2441907 http://zaguan.unizar.es/record/162005/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:162005 articulos driver 2025-10-17-14:19:45 ARTICLE