Obesidade em adultos

O rastreamento da obesidade em adultos pelo uso do índice de massa corporal (IMC) é recomendado, embora o resultado deva ser interpretado com cautela, principalmente em pessoas com muita massa muscular, pois ele não é uma medição direta da adiposidade central.[97]Moyer VA, U.S. Preventive Services Task Force. Screening for and management of obesity in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2012 Sep 4;157(5):373-8. https://annals.org/aim/fullarticle/1355696/screening-management-obesity-adults-u-s-preventive-services-task-force http://www.ncbi.nlm.nih.gov/pubmed/22733087?tool=bestpractice.com [98]Garvey WT, Mechanick JI, Brett EM, et al. American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract. 2016 Jul;22 Suppl 3:1-203. https://www.endocrinepractice.org/article/S1530-891X(20)44630-0/fulltext http://www.ncbi.nlm.nih.gov/pubmed/27219496?tool=bestpractice.com ​​​[99]Brauer P, Gorber SC, Shaw E, et al. Recommendations for prevention of weight gain and use of behavioural and pharmacologic interventions to manage overweight and obesity in adults in primary care. CMAJ. 2015 Feb 17;187(3):184-95. https://www.cmaj.ca/content/187/3/184.long http://www.ncbi.nlm.nih.gov/pubmed/25623643?tool=bestpractice.com [100]National Institute for Health and Care Excellence. Obesity: identification, assessment and management. September 2022 [internet publication]. https://www.nice.org.uk/guidance/cg189 ​ O IMC também deve ser interpretado com cautela nos indivíduos com ≥65 anos de idade com comorbidades.[100]National Institute for Health and Care Excellence. Obesity: identification, assessment and management. September 2022 [internet publication]. https://www.nice.org.uk/guidance/cg189 Os resultados do IMC devem ser interpretados levando-se em consideração idade, sexo, etnia, situação hídrica e musculatura. Um IMC elevado pode ser usado para iniciar uma avaliação adicional de sobrepeso ou obesidade.​[98]Garvey WT, Mechanick JI, Brett EM, et al. American Association of Clinical Endocrinologists and American College of Endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity. Endocr Pract. 2016 Jul;22 Suppl 3:1-203. https://www.endocrinepractice.org/article/S1530-891X(20)44630-0/fulltext http://www.ncbi.nlm.nih.gov/pubmed/27219496?tool=bestpractice.com