Evidence map›Paper›PMID 41533187›Full record

GuidelineEating and weight disorders : EWD2026

Italian clinical practice GRADE-based guidelines on the diagnosis and treatment of overweight and obesity, endorsed by the Italian National Institute of Health.

Rocco Barazzoni, Silvio Buscemi, Luca Busetto, Paolo Sbraccia, Simona Bo, Emanuele Cereda, Marco Chianelli, Sonja Chiappetta, Riccardo Dalle Grave, Walter de Caro and 34 more

Abstract readPractice Guideline
In one paragraph

Guideline in Eating and weight disorders : EWD, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

44 authors.

Rocco Barazzoni *Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, Italy.
Silvio Buscemi *Department of Promozione della Salute, Materno-Infantile, Medicina Interna e Specialistica di Eccellenza (PROMISE), University of Palermo, Palermo, Italy. silvio.buscemi@unipa.it.
Luca BusettoDepartment of Medicine, University of Padova, Padua, Italy.
Paolo SbracciaDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Simona BoASO Città della Salute e della Scienza Hospital Department of Medical Sciences, University of Torino, Turin, Italy.
Emanuele CeredaSC Dietetica e Nutrizione Clinica Fondazione IRCCS Policlinico San Matteo Pavia, Pavia, Italy.
Marco ChianelliRegina Apostolorum Hospital Albano, Rome, Italy.
Sonja ChiappettaUOC Chirurgia Generale e Laparoscopica Ospedale Evangelico Betania, Naples, Italy.
Riccardo Dalle GraveDepartment of Eating and Weight Disorders, Villa Garda Hospital, Garda, Italy.
Walter de CaroSapienza Università di Roma, Rome, Italy.
Giovanni DocimoUniversity of Campania "Luigi Vanvitelli", Caserta, Italy.
Giuseppe GalloroDept. of Clinical Medicine and Surgery Unit of Surgical, Endoscopy University of Naples Federico II - School of Medicine, Naples, Italy.
Primiano IannoneUOC Medicina Interna C, Ospedale Maggiore, Bologna, Italy.
Frida LeonettiSapienza University of Rome, SM Goretti Hospital, Latin, Italy.
Fabrizia LissoSant'Anna Hospital, Como, Italy.
Maria Caterina MancaUOS Medicina legale Centro, Azienda USL di Bologna, Bologna, Italy.
Gerardo MedeaMedico di Medina Generale ASST Garda, Brescia, Italy.
Manuela MerliDepartment of Translation and Precision Medicine - Policlinico Universitario Umberto I- Rome, Rome, Italy.
Anna Maria MorettiUOC Pneumologia, Università di Bari, Bari, Italy.
Giuseppe NavarraDU di Patologia Umana DETEV Università di Messina, Messina, Italy.
Uberto PagottoIRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Barbara PaoliniDietetica e Nutrizione Clinica, Azienda Ospedaliera Universitaria Senese, Siena, Italy.
Giovanni PapaHead of Plastic Surgery Unit and Plastic Reconstructive and Aesthetic Surgery, University of Trieste, Trieste, Italy.
Nicola PerrottaAzienda Ospedaliera Regionale "San Carlo", Ospedale di Villa d'Agri, Potenza, Italy.
Andrea PessionDipartimento di Scienze Mediche e Chirurgiche, Università di Bologna, Bologna, Italy.
Vincenzo PiloneDipartimento di Sanità Pubblica, Scuola Medicina e Chirurgia, Università Degli Studi di Napoli "Federico II", Naples, Italy.
Vincenzo ProvenzanoIstituto e Clinica S Chiara, Partinico, Palermo, Italy.
Cecilia Ricciardi RizzoDepartment of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy.
Maurizio SantomauroDepartment of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy.
Cristina Segura GarciaMagna Græcia University of Catanzaro, Catanzaro, Italy.
Federico SpandonaroDipartimento di Economia e Istituzioni, University of Rome Tor Vergata, Rome, Italy.
Samir SukkarU.O. Dietetica e Nutrizione Clinica IRCCS Ospedale Policlinico San Martino di Genova, Genoa, Italy.
Patrizia TodiscoPsychonutritional Center, Verona, Italy.
Dario TuccinardiFondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Andrea VaniaIndependent Researcher, Rome, Italy.
Valentina VanziCentro Interdipartimentale per la Ricerca e la Formazione, Università degli Studi di Roma Tor Vergata, Rome, Italy.
Riccardo WilliamsDipartimento di Psicologia Dinamica e Clinica, Università degli Studi di Roma "Sapienza", Rome, Italy.
Iris ZaniAmici Obesi Onlus, Milan, Italy.
Benedetta RagghiantiDiabetology and Metabolic Disease Unit, Careggi Teaching Hospital and University of Florence, Florence, Italy.
Giovanni Antonio SilveriiDiabetology and Metabolic Disease Unit, Careggi Teaching Hospital and University of Florence, Florence, Italy.
Amanda BelluzziGeneral Surgery Unit, Ospedale S. Maria Della Misericordia, Rovigo, Italy.
Maria MasulliUniversity of Naples, Federico II, Naples, Italy.
Maddalena RediniSocietà Italiana Obesità (SIO), Pisa, Italy.
Matteo MonamiDiabetology and Metabolic Disease Unit, Careggi Teaching Hospital and University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is a chronic relapsing disease associated with increased morbidity and mortality and reduced quality of life. The present GRADE-based guidelines have been commissioned by the Italian Society of Obesity (SIO) by the Italian National Health Institute to provide evidence-based recommendations on obesity diagnosis and treatment. The panel identified 13 clinical questions, organised into four domains: A. diagnostic criteria (4 questions); B. medical nutrition therapy (4 questions); C. pharmacological, surgical, and endoscopic treatments (4 questions); and D. miscellaneous (1 question). The expert panel recommends adopting at least one anthropometric index of abdominal visceral fat distribution beyond body mass index (BMI) for better clinical risk stratification. A structured lifestyle intervention (i.e., medical-nutritional treatment-MNT), preferably based on cognitive-behavioural therapeutic approach and including physical activity and a balanced diet, should be offered to all subjects living with obesity. Pharmacological or surgical treatment should be offered in addition to MNT when MNT is unable to reach clinical goals. In particular, pharmacological treatment should be considered as the preferred option for subjects with BMI > 27 kg/m

Indexed as

ObesityOverweightPractice Guidelines as TopicBariatric SurgeryBody Mass IndexHumansItalyLife StyleQuality of LifeGRADEGuidelinesMethodsObesity

Identifiers

PMID41533187
PMCPMC12880997

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.