Obesity (adult)

Current Care Summary
Working group appointed by the Finnish Medical Society Duodecim and the Finnish Association for the Study of Obesity
17.1.2011

Current Care Guideline «Lihavuus (aikuiset)»1 and Summary «Lihavuus (aikuiset)»2 in Finnish

Diagnosis is based on body mass index and waist circumference. The aim of treatment is to prevent and alleviate obesity comorbidities (e.g. type 2 diabetes, cardiovascular diseases, sleep apnoea and osteoarthritis) through a permanent weight reduction of at least 5%. The core element in treatment is lifestyle counselling on eating and exercise behaviours. This should be organised in primary care. Modalities supporting lifestyle changes include very-low-energy diets and orlistat drug therapy. Obesity surgery is indicated in cases of morbid obesity, if the appropriate conservative therapies do not lead to substantial weight loss. A flowchart presenting treatment options at different levels of health care is introduced.

Kirsi Pietiläinen (Chair)

Suoma Saarni

Mikael Fogelholm

Paula Hakala

Sirkka Keinänen-Kiukaanniemi

Vesa Koivukangas

Merja Laine

Jukka Marttila

Tuula Pekkarinen

Aila Rissanen

Katriina Kukkonen-Harjula