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To provide the foundation for the development of a structured clinical pathway for overweight and obesity management in primary care, we performed a systematic overview of international evidence\u2010based guidelines. We searched in PubMed and major guideline databases for all guidelines published in World Health Organization (WHO) \u201cStratum A\u201d nations that dealt with adults with overweight or obesity. Nineteen guidelines including 711 relevant recommendations were identified. Most of them concluded that a multidisciplinary team should treat overweight and obesity as a chronic disease. Body mass index (BMI) should be used as a routine measure for diagnosis, and weight\u2010related complications should be taken into account. A multifactorial, comprehensive lifestyle programme that includes reduced calorie intake, increased physical activity, and measures to support behavioural change for at least 6 to 12 months is recommended. After weight reduction, long\u2010term measures for weight maintenance are necessary. Bariatric surgery can be offered to people with a BMI greater than or equal to 35 kg\/m\n                    <jats:sup>2<\/jats:sup>\n                    when all non\u2010surgical interventions have failed. In conclusion, there was considerable agreement in international, evidence\u2010based guidelines on how multidisciplinary management of overweight and obesity in primary care should be performed.\n                  <\/jats:p>","DOI":"10.1111\/obr.12889","type":"journal-article","created":{"date-parts":[[2019,7,9]],"date-time":"2019-07-09T02:14:43Z","timestamp":1562638483000},"page":"1218-1230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":273,"title":["Management of overweight and obesity in primary care\u2014A systematic overview of international evidence\u2010based guidelines"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1763-7855","authenticated-orcid":false,"given":"Thomas","family":"Semlitsch","sequence":"first","affiliation":[{"name":"Institute of General Practice and Evidence\u2010based Health Services Research Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian L.","family":"Stigler","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Evidence\u2010based Health Services Research Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Klaus","family":"Jeitler","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Evidence\u2010based Health Services Research Medical University of Graz  Graz Austria"},{"name":"Institute for Medical Informatics, Statistics and Documentation Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Horvath","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Evidence\u2010based Health Services Research Medical University of Graz  Graz Austria"},{"name":"Department of Internal Medicine, Division of Endocrinology and Diabetology Medical University of Graz  Graz Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Siebenhofer","sequence":"additional","affiliation":[{"name":"Institute of General Practice and Evidence\u2010based Health Services Research Medical University of Graz  Graz Austria"},{"name":"Institute of General Practice Goethe University Frankfurt am Main  Frankfurt Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,7,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30054-X"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12157"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-8587(15)00086-8"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i2156"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30175-1"},{"key":"e_1_2_8_7_1","unstructured":"World Health Organization (WHO).Health topics \u2010 Obesity.https:\/\/www.who.int\/topics\/obesity\/en\/. 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