Медицинская библиотека · Obesity surgery · 2026

Expert Consensus on Obesity Management Protocols - A Joint Position Statement by Obesity and Metabolic Surgery Society of India (OSSI) and Endocrine Society of India (ESI).

Bhasker Aparna Govil, Kapoor Nitin, Baig Sarfaraz, Parmar Chetan, Shaikh Shehla, Wadhawan Randeep, Shah Sumeet, Kotwal Narendra, Harikumar Kvs, Das Sambit, Baro Abhamoni, Katakwar Abhishek, Unnikrishnan A G, Shaikh Altamash, Mithal Ambrish, Monteiro Ana Soraya, Shrivastava Apoorv, Pradhan Aprajita, Prasad Arun, Vashishtha Ashish, Anne Beatrice, Kulshreshtha Bindu, Selvan Chitra, Goel Deep, Priya Gagan, Jammu G S, Phatale Hemant, Maisnam Indira, Khare Jaideep, Pandit Kaushik, Agarwal Khushboo, Kona Lakshmi, Kular Kuldeepak S, Nagendra Lakshmi, Kopalle Lakshmi Nalini, Goel Madhu, Narwaria Mahendra, Baijal Manish, Khaitan Manish, Motwani Manish, Ismail Mohammed, Shenoy Mohan T, Bhandari Mohit, Lakdawala Muffazal, Dukkipati Nandakishore, Raizada Nishant, Lal Pawanindra, Shah Poonam Shashank, Chowbey Pradeep, Palanivelu Praveen Raj, Narayan Prem, Bharath R, Santosh R, Jindal Radhika, Palaniappan Raj, Khullar Rajesh, Rajput Rajesh, Walia Rama, Goel Ramen, Jaiswal Richa, Madhu S V, Mittal Sachin, Lodha Sailesh, Aggarwal Sandeep, Julka Sandeep, Kalra Sanjay, Bhattacharya Saptarshi, Bajaj Sarita, Joshi Shashank, Shah Shashank, Dhorepatil Shrihari, Ghosh Sujoy, Saggu Sukhvinder Singh, Kumar Kota Sunil, Mishra Sunil, Ugale Surendra, Jindal Sushil, Lathia Tejal, Lotwala Vikram, Khatri Vinay, Bindal Vivek

СтатьяConsensus StatementОбзорПеревод в очереди

Аннотация

BACKGROUND

Obesity in India is rising rapidly, with higher body fat at lower BMI and younger age compared to Western populations, leading to earlier onset of type 2 diabetes and cardiovascular disease in a resource-constrained health system. Protocols for obesity care therefore need to address region-specific challenges and ensure culturally acceptable, feasible treatment options.

METHODS

The Obesity and Metabolic Surgery Society of India (OSSI) and the Endocrine Society of India (ESI) jointly developed India-specific obesity management protocols using a modified Delphi consensus. A protocol development team generated 73 statements based on literature review and expert experience. Seventy-eight experts (38 OSSI, 40 ESI) participated; 100% voted in round 1 and 90% attended an in-person round-2 meeting. Statements with more than 80% agreement were considered to have achieved consensus. After revision and deletion of redundant items, 55 statements across eight modules were finalized.

RESULTS

Consensus agreement exceeding 80% was achieved for all 55 statements covering obesity recognition, prevention, treatment selection, monitoring and follow-up, lifestyle therapy, obesity management medications, metabolic and bariatric surgery, and palliative care. The panel strongly endorsed recognition of obesity as a chronic non-communicable disease, integration of obesity care into national health programs, equitable access to treatment, and a multimodal, stigma-free approach tailored to Indian BMI and anthropometric thresholds.

CONCLUSION

This first joint OSSI-ESI consensus provides India-specific guidance across the obesity care continuum. By integrating prevention, individualized therapy and multidisciplinary care, the recommendations aim to standardize clinical practice, inform policy and improve outcomes and quality of life for people living with obesity in India.

Для цитирования: Bhasker Aparna Govil, Kapoor Nitin, Baig Sarfaraz, Parmar Chetan, Shaikh Shehla, Wadhawan Randeep, Shah Sumeet, Kotwal Narendra, Harikumar Kvs, Das Sambit, Baro Abhamoni, Katakwar Abhishek, Unnikrishnan A G, Shaikh Altamash, Mithal Ambrish, Monteiro Ana Soraya, Shrivastava Apoorv, Pradhan Aprajita, Prasad Arun, Vashishtha Ashish, Anne Beatrice, Kulshreshtha Bindu, Selvan Chitra, Goel Deep, Priya Gagan, Jammu G S, Phatale Hemant, Maisnam Indira, Khare Jaideep, Pandit Kaushik, Agarwal Khushboo, Kona Lakshmi, Kular Kuldeepak S, Nagendra Lakshmi, Kopalle Lakshmi Nalini, Goel Madhu, Narwaria Mahendra, Baijal Manish, Khaitan Manish, Motwani Manish, Ismail Mohammed, Shenoy Mohan T, Bhandari Mohit, Lakdawala Muffazal, Dukkipati Nandakishore, Raizada Nishant, Lal Pawanindra, Shah Poonam Shashank, Chowbey Pradeep, Palanivelu Praveen Raj, Narayan Prem, Bharath R, Santosh R, Jindal Radhika, Palaniappan Raj, Khullar Rajesh, Rajput Rajesh, Walia Rama, Goel Ramen, Jaiswal Richa, Madhu S V, Mittal Sachin, Lodha Sailesh, Aggarwal Sandeep, Julka Sandeep, Kalra Sanjay, Bhattacharya Saptarshi, Bajaj Sarita, Joshi Shashank, Shah Shashank, Dhorepatil Shrihari, Ghosh Sujoy, Saggu Sukhvinder Singh, Kumar Kota Sunil, Mishra Sunil, Ugale Surendra, Jindal Sushil, Lathia Tejal, Lotwala Vikram, Khatri Vinay, Bindal Vivek. Expert Consensus on Obesity Management Protocols - A Joint Position Statement by Obesity and Metabolic Surgery Society of India (OSSI) and Endocrine Society of India (ESI).. Obesity surgery. 2026. DOI: 10.1007/s11695-026-08870-4.

Предметные рубрики MeSH

Humans India Obesity Bariatric Surgery Obesity Management Societies, Medical Consensus

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