A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology, Degree of Adiposity and Health Risk

Hebebrand J.; Holm J.-C.; Woodward E.; Baker J.L.; Blaak E.; Durrer Schutz D.; Farpour-Lambert N.J.; Frühbeck G.; Halford J.G.C.; Lissner L.; Micic D.; Mullerova D.; Roman G.; Schindler K.; Toplak H.; Visscher T.L.S.; Yumuk V.

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A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology, Degree of Adiposity and Health Risk

机译：欧洲肥胖协会提出肥胖协会，以改善肥胖的ICD-11诊断标准，基于三维病因，肥胖程度和健康风险

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Diagnostic criteria for complex medical conditions caused by a multitude of both genetic and environmental factors should be descriptive and avoid any attribution of causality. Furthermore, the wording used to describe a disorder should be evidence-based and avoid stigmatization of the affected individuals. Both terminology and categorizations should be readily comprehensible for healthcare professionals and guide clinical decision making. Uncertainties with respect to diagnostic issues and their implications may be addressed to direct future clinical research. In this context, the European Association of the Study of Obesity (EASO) considers it an important endeavor to review the current ICD-11 Beta Draft for the definition of overweight and obesity and to propose a substantial revision. We aim to provide an overview of the key issues that we deem relevant for the discussion of the diagnostic criteria. We first discuss the current ICD-10 criteria and those proposed in the ICD 11 Beta Draft. We conclude with our own proposal for diagnostic criteria, which we believe will improve the assessment of patients with obesity in a clinically meaningful way.

机译：由多种遗传和环境因素引起的复杂医疗条件的诊断标准应该是描述性的，避免因因果关系的任何归属。此外，用于描述疾病的措辞应该是基于证据的，避免受影响的人的侮辱。术语和分类都应易于理解医疗保健专业人员和指导临床决策。可以解决关于诊断问题的不确定性及其影响，以指导未来的临床研究。在这方面，欧洲肥胖研究（EASO）研究委员会认为这是审查目前的ICD-11 Beta草案，以审查超重和肥胖的定义，并提出大幅修订。我们的目标是概述我们与讨论诊断标准相关的关键问题。我们首先讨论当前的ICD-10标准和ICD 11 Beta草案中提出的标准。我们与我们自己的诊断标准建议结束，我们认为将以临床有意义的方式改善对肥胖患者的评估。

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《Obesity facts : the European journal of obesity.》 |2017年第4期|共24页
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Hebebrand J.; Holm J.-C.; Woodward E.; Baker J.L.; Blaak E.; Durrer Schutz D.; Farpour-Lambert N.J.; Frühbeck G.; Halford J.G.C.; Lissner L.; Micic D.; Mullerova D.; Roman G.; Schindler K.; Toplak H.; Visscher T.L.S.; Yumuk V.;
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3. Clustering of lifestyle factors and association with overweight in adolescents of the Kiel Obesity Prevention Study. (Special Issue: Exploring obesity and behavioural nutrition and physical activity among adolescents across Europe. The health promotion through obesity prevention across Europe (HOPE) project.) [J] . Landsberg B., Plachta-Danielzik S., Lange D., Public Health Nutrition . 2010,第10期

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机译：肥胖症和perilipin基因：在社区动脉粥样硬化风险研究中，单基因座和多基因座变异，肥胖相关的定量性状和疾病相关的表型的作用。
6. A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology Degree of Adiposity and Health Risk [O] . Johannes Hebebrand, Jens-Christian Holm, Euan Woodward, 2017

机译：欧洲肥胖症研究协会的一项提案旨在根据病因肥胖程度和健康风险的三个方面来改进ICD-11肥胖症诊断标准
7. A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology, Degree of Adiposity and Health Risk [O] . Johannes Hebebrand, Jens-Christian Holm, Euan Woodward, 2017

机译：基于三维病因，肥胖程度和健康风险的欧洲肥胖研究协会关于改善ICD-11肥胖诊断标准的提案

A Proposal of the European Association for the Study of Obesity to Improve the ICD-11 Diagnostic Criteria for Obesity Based on the Three Dimensions Etiology, Degree of Adiposity and Health Risk

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