J Obes Metab Syndr.
2019 Mar;28(1):40-45. 10.7570/jomes.2019.28.1.40.
2018 Korean Society for the Study of Obesity Guideline for the Management of Obesity in Korea
- Seo MH
- Lee WY
- Kim SS
- Kang JH
- Kang JH
- Kim KK
- Kim BY
- Kim YH
- Kim WJ
- Kim EM
- Kim HS
- Shin YA
- Shin HJ
- Lee KR
- Lee KY
- Lee SY
- Lee SK
- Lee JH
- Lee CB
- Chung S
- Cho YH
- Choi KM
- Han JS
- Yoo SJ
- Committee of Clinical Practice Guidelines, Korean Society for the Study of Obesity (KSSO)
- Affiliations
-
- 1Division of Endocrinology, Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University School of Medicine, Gumi, Korea.
- 2Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 3Department of Family Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea. sjyoo@catholic.ac.kr sungsoo@cnu.ac.kr
- 4Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 5Department of Family Medicine, Konyang University Hospital, Konyang University College of Medicine, Daejeon, Korea.
- 6Department of Family Medicine, Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
- 7Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
- 8Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
- 9Department of Endocrinology and Metabolism, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea.
- 10Department of Dietetics, Kangbuk Samsung Hospital, Seoul, Korea.
- 11Department of Sport Science, Seoul National University of Science and Technology, Seoul, Korea.
- 12Department of Exercise Prescription and Rehabilitation, Dankook University, Cheonan, Korea.
- 13Department of Pediatrics, National Medical Center, Seoul, Korea.
- 14Department of Family Medicine, Dongincheon Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.
- 15Division of Endocrinology and Metabolism, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.
- 16Department of Family Medicine, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan, Korea.
- 17Department of Internal Medicine, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
- 18Department of Surgery, Ewha Medical Center, Seoul, Korea.
- 19Division of Endocrinology and Metabolism, Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
- 20Department of Pediatrics, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
- 21Family Medicine Clinic and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea.
- 22Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
- 23Research Institute of Human Ecology, Korea University, Seoul, Korea.
- 24Division of Endocrinology and Metabolism, Department of Internal Medicine, Bucheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bucheon, Korea. sjyoo@catholic.ac.kr, sungsoo@cnu.ac.kr
- KMID: 2452625
- DOI: http://doi.org/10.7570/jomes.2019.28.1.40
Abstract
- Obesity increases the risks of diabetes, hypertension, and cardiovascular diseases, ultimately contributing to mortality. Korean Society for the Study of Obesity (KSSO) was established to improve the management of obesity through research and education; to that end, the Committee of Clinical Practice Guidelines of KSSO reviews systemic evidence using expert panels to develop clinical guidelines. The clinical practice guidelines for obesity were revised in 2018 using National Health Insurance Service Health checkup data from 2006 to 2015. Following these guidelines, we added a category, class III obesity, which includes individuals with body mass index (BMI) ≥35 kg/m². Agreeing with the International Federation for the Surgery of Obesity and Metabolic Disorders, Asian Pacific Chapter consensus, we determined that bariatric surgery is indicated for Korean patients with BMI ≥35 kg/m² and for Korean patients with BMI ≥30 kg/m² who have comorbidities. The new guidelines focus on guiding clinicians and patients to manage obesity more effectively. Our recommendations and treatment algorithms can serve as a guide for the evaluation, prevention, and management of overweight and obesity.
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