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However, despite this, eating disorders experienced by people with higher weight have been consistently under-recognised and under-treated, and there is little to guide clinicians in the management of eating disorders in this population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this guideline is to synthesise the current best practice approaches to the management of eating disorders in people with higher weight and make evidence-based clinical practice recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The National Eating Disorders Collaboration Steering Committee auspiced a Development Group for a Clinical Practice Guideline for the treatment of eating disorders for people with higher weight. The Development Group followed the \u2018Guidelines for Guidelines\u2019 process outlined by the National Health and Medical Research Council and aim to meet their Standards to be: 1. relevant and useful for decision making; 2. transparent; 3. overseen by a guideline development group; 4. identifying and managing conflicts of interest; 5. focused on health and related outcomes; 6. evidence informed; 7. making actionable recommendations; 8. up-to-date; and, 9. accessible. The development group included people with clinical\u00a0and\/or academic expertise and\/or lived experience. The guideline has undergone extensive peer review and consultation over an 18-month period involving reviews by key stakeholders, including experts and organisations with clinical academic and\/or lived experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Recommendations<\/jats:title><jats:p>Twenty-one clinical recommendations are made and graded according to the National Health and Medical Research Council evidence levels. Strong recommendations were supported for psychological treatment as a first-line treatment approach adults (with bulimia nervosa or binge-eating disorder), adolescents and children. Clinical considerations such as weight stigma, interprofessional collaborative practice and cultural considerations are also discussed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This guideline will fill an important gap in the need to better understand and care for people experiencing eating disorders who also have higher weight. This guideline acknowledges deficits in knowledge and consequently the reliance on consensus and lower levels of evidence for many recommendations, and the need for research particularly evaluating weight-neutral and other more recent approaches in this field.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s40337-022-00622-w","type":"journal-article","created":{"date-parts":[[2022,8,17]],"date-time":"2022-08-17T23:03:58Z","timestamp":1660777438000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":91,"title":["Management of eating disorders for people with higher weight: clinical practice guideline"],"prefix":"10.1186","volume":"10","author":[{"given":"Angelique F.","family":"Ralph","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Brennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Byrne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Caldwell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Farmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura M.","family":"Hart","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella A.","family":"Heruc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Maguire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan K.","family":"Piya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Quin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah K.","family":"Trobe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wallis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AJ","family":"Williams-Tchen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipa","family":"Hay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,18]]},"reference":[{"key":"622_CR1","unstructured":"American Psychiatric Association. 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Susan Byrne: NEDC\u2014Steering Committee member; Australian Medical Council\u2014Contracted employee; Takeda Pharmaceuticals\u2014Sponsored speaker 2018; NHMRC, Healthway, Rotary\u2014Past grant recipient; Butterfly Foundation\u2014Clinical Advisory Committee. Belinda Caldwell: Eating Disorders Victoria\u2014CEO; Eating Disorders Families Australia\u2014Past board director\/deputy chair; Families Empowered and Supporting Treatment of Eating Disorders (F.E.A.S.T)\u2014Past executive director. Jo Farmer: Justice Connect\u2014Contracted employee (until 9 April 2021); Beyond Blue\u2014Consultant (until March 2021); Department of Social Services\u2014Consultant (until June 2021); Mental Health Coordinating Council (NSW)\u2014Consultant (until July 2021); National Mental Health Commission\u2014Member, National Workplace Initiative Evaluation Working Group (ongoing); Queensland Mental Health Commission\u2014Consultant (until December 2021); Zero Suicide Institute of Australasia\u2014Faculty member; deliver training (ongoing); Australian Evaluation Society\u2014Member; Blog editor. Laura Hart: University of Melbourne\u2014Employee; La Trobe University\u2014Honorary appointment; STRIPED Harvard\/Boston Children\u2019s Hospital\u2014Honorary appointment; NEDC\u2014Steering Committee member; Victorian Eating Disorders Research Network\u2014Founder, Convenor; Body Confident Collective\u2014Founder, Director; Australia New Zealand Academy for Eating Disorders\u2014Member; Academy for Eating Disorders\u2014Member; Society for Mental Health Research\u2014Member; Comonground\u2014Member; NHMRC, Australian Rotary Health\u2014Current and past grant recipient. Phillipa Hay: Western Sydney University\u2014Employee; Wesley Hospital Ashfield\u2014Contracted Director Eating Disorder service; South Western Sydney Local Health District\u2014Employee; NEDC\u2014Chair Steering Committee; Australian Medical Council\u2014Contracted employee; HETI\/NSW Institute of Psychiatry\u2014Contracted employee; NHMRC\u2014Member Assigners Academy (occasional); Royal Australian and New Zealand College of Psychiatrists\u2014Fellow; Academy for Eating Disorders\u2014Fellow; Australian Medical Association\u2014Member; Takeda Pharmaceuticals\u20142017 Contracted report, sponsored speaker 2018; BMC publishers\u2014Editor in Chief (honoraria) and Assoc Editor; World Health Organization\u2014Member ICD 11 Eating Disorders Working Group; Department of Health\u2014Member MBS Review\u2014Eating Disorders Working Group 2017; NHMRC, Australian Research Council, CAPES Foundation\u2014Past grant recipient; Australian Medical Council\u2014Contracted employee. Gabriella Heruc: Northern Sydney Local Health District\u2014Employee; Appetite for Change\u2014Director and head clinician of private practice; Australia and New Zealand Academy for Eating Disorders\u2014Past-President and Executive Committee Member; Western Sydney University\u2014Adjunct Fellow; NEDC\u2014Steering Committee Member; Dietitians Association of Australia\u2014Member; Department of Health\u2014Member\u00a0MBS Implementation Committee\u2014Eating Disorder Management Plans 2019. Sarah Maguire: University of Sydney\u2014Employee; Sydney Local Health District\u2014Employee; NHMRC\u2014External Reviewer; Academy for Eating Disorders\u2014Member; NSW Health\u2014Advisor; NEDC\u2014Steering Committee member; BMC publishers\u2014Editor; Department of Health\u2014Member\u00a0MBS Review\u2014Eating Disorders Working Group\u00a02017, Funded project lead. Milan Piya: Western Sydney University\u2014Employee; South Western Sydney Local Health District\u2014Employee; Royal Australasian College of Physicians\u2014Fellow; Australian Diabetes Society\u2014Paid Member; Australian and New Zealand Obesity Society\u2014Paid Member; Diabetes UK\u2014Paid Member; Journal of Eating Disorders (BMC Publishers)\u2014Senior Editor; Nutrients Journal (MDPI Publishers)\u2014Guest Editor for special issue 2020\u20132022; Diabetes, Nutrition and Dietetics (Frontier Journals)\u2014Associate Editor; Takeda Pharmaceuticals\u2014Sponsored speaker 2019 and 2021; Novo Nordisk\u2014Sponsored speaker 2020, 2021 and 2022; Johnson and Johnson Medical Pty Ltd\u2014Advisory focus group 2021; Inova Pharmaceuticals\u2014Sponsored online conference 2021; Eli Lilly and Company\u2014Sponsored Speaker 2021; UCB Pharmaceuticals\u2014Sponsored speaker 2020. Julia Quin: Eating Disorders Victoria\u2014Carer Coach; EDV Rally Parent Support Group\u2014co-facilitator; International Eating Disorders Family Support (IEDFS)\u2014IEDFS\u2014Facebook Group Administrator. Angelique Ralph: NEDC\u2014Employee; Mind Plasticity\u2014Sub-contractor; La Trobe University\u2014Adjunct Research Fellow; Australian Clinical Psychology Association\u2014Member; ANZAED\u2014Member; NHMRC\u2014Past grant recipient. Sarah Trobe: NEDC\u2014Employee; The Victorian Centre of Excellence in Eating Disorders\u2014Past employee; Royal Children\u2019s Hospital\u2014Past employee. Andrew Wallis: Sydney Children's Hospital Network\u2014Employee; NEDC\u2014Steering Committee member; ADW Training and Supervision\u2014Director; Australian Association of Social Workers\u2014Member. AJ Williams-Tchen: MHFA\u2014Mental Health First Aid Australia\u2014Current MHFA Instructor, Former employee; Butterfly Foundation\u2014Reconciliation Action Plan Member; Reference Group, Ambassador; Beyond Blue\u2014Reconciliation Action Plan Member; Consultant; ANZAED\u2014Cultural Consultant; Royal Australian College of General Practitioners\u2014Continuing Professional Development (CPD) Provider; College of Midwives\u2014CPD Provider; Australian College of Rural and Remote Medicine\u2014CPD Provider; Australian Association of Social Workers\u2014Mental Health Accreditation; CPD Provider; South Eastern Melbourne Primary Health Network (PHN), North Western Melbourne PHN, Eastern Melbourne PHN, Gippsland PHN\u2014Funding recipient 2020; Girraway Ganyi Consultancy\u2014Director; Fellowship Victorian Indigenous leadership\u2014Emerging Leader 2015\u20132016; Victorian Aboriginal Community Health Organisations across Victoria\u2014Contractor for MHFA training; Cancer Council Victoria\u2014Cultural Mentor since 2012, Independent Schools Victoria\u2014 CPD Provider; Cultural Consultant.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"121"}}