The development of consensus guidelines for obesity is complex. It
involves recommending both treatment interventions and interventions
related to screening and prevention. With so many publications and
claims, and with the awareness that success for the individual is
short-lived many find it difficult to know what action is appropriate in
the management of obesity. Furthermore, the significant variation in
existing service provision both within countries as well as across the
regions of Europe makes a standardised approach, even if evidence-based,
difficult to implement. In formulating these guidelines, we have
attempted to use an evidence-based approach while allowing flexibility
for the practicing clinician in domains where evidence is currently
lacking and ensuring that in treatment there is recognition of clinical
judgment and of regional diversity as well as the necessity of an agreed
approach by the individual and family. We conclude that i) physicians
have a responsibility to recognise obesity as a disease and help obese
patients with appropriate prevention and treatment, ii) treatment should
be based on good clinical care and evidence-based interventions and iii)
obesity treatment should focus on realistic goals and lifelong
management