Introduction In May of 2020, the U.S. Veterans Health Administration (VHA) and Department of Defense (DoD) approved a new joint clinical practice guideline for assessing and managing patients who have overweight and obesity. This guideline is intended to give healthcare teams a framework by which to screen, evaluate, treat, and manage the individual needs and preferences of VA and DoD patients who may have either of these conditions. It can be accessed at https://www.healthquality.va.gov/guidelines/CD/obesity/. Materials and Methods In January of 2019, the VA/DoD Evidence-Based Practice Work Group convened a joint VA/DoD guideline development effort that included clinical stakeholders and conformed to the Institute of Medicine’s tenets for trustworthy clinical practice guidelines. Results The guideline panel developed 12 key questions, systematically searched and evaluated the literature, created a 1-page algorithm, and advanced 18 recommendations using the Grading of Recommendations Assessment, Development, and Evaluation system. Conclusions This synopsis summarizes the key recommendations of the guideline regarding management of overweight and obesity, including referral to comprehensive lifestyle interventions that combine behavioral, dietary, and physical activity change, and additional tools of pharmacologic and procedural interventions. Additionally, recommendations based on evidence found in the literature for short-term weight loss are included. A clinical practice algorithm that is part of the guideline is also included. Additional materials, such as provider and patient summaries and a provider pocket card, are also available for public use, accessible at the U.S. Veterans Health Administration (VHA) Clinical Practice Guidelines (CPG) website listed above.

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2020 年美国 VA/DoD 成人超重和肥胖管理临床实践指南概要

引言 2020 年 5 月，美国退伍军人健康管理局 (VHA) 和国防部 (DoD) 批准了一项新的联合临床实践指南，用于评估和管理超重和肥胖患者。本指南旨在为医疗团队提供一个框架，用于筛查、评估、治疗和管理可能患有上述任何一种疾病的 VA 和 DoD 患者的个人需求和偏好。它可以在 https://www.healthquality.va.gov/guidelines/CD/obesity/ 上访问。材料和方法 2019 年 1 月，VA/DoD 循证实践工作组召集了一项联合 VA/DoD 指南制定工作，其中包括临床利益相关者，并符合医学研究所关于值得信赖的临床实践指南的原则。结果 指南小组提出了 12 个关键问题，系统地搜索和评估了文献，创建了一个 1 页的算法，并使用建议分级评估、开发和评估系统提出了 18 条建议。结论 本概要总结了指南中关于超重和肥胖管理的主要建议，包括转诊至结合行为、饮食和身体活动改变的综合生活方式干预，以及药物和程序干预的其他工具。此外，还包括基于文献中发现的短期减肥证据的建议。还包括作为指南一部分的临床实践算法。其他材料，例如提供者和患者摘要以及提供者袖珍卡，也可供公众使用，可在美国访问