в п омощь в р а ч у Management of Obesity in Adults: European Clinical Practice Guidelines Constantine Tsigos1 , Vojtech Hainer2 Elisabeth Mathus-Vliegen6 Hermann Toplak11 , Dragan Micic7 , Arnaud Basdevant3 , Maximo Maislos8 , Barbara Zahorska-Markiewicz12 of the European Association for the Study of Obesity 1 , Nick Finer4 , Martin Fried5 , Gabriela Roman9 , , Yves Schutz10 ; for the Obesity Management Task Force Endocrinology, Metabolism and Diabetes Unit, Evgenidion Hospital, Athens University Medical School, Athens, Greece; 2Obesity Management Centre, Institute of Endocrinology, Prague, Czech Republic; 3Department of Endocrinology, Pitie Salpetriere Hospital; Pierre and Marie Curie-Paris 6 University, Paris, France; 4Institute for Metabolic Sciences, Univeristy of Cambridge School of Clinical Medicine, Cambridge, UK; 5Clinical Center for Minimally Invasive and Bariatric Surgery, ISCARE-Lighthouse, Prague and 1st European Chapter; 6 The Netherlands; 7 Medical Faculty, Charles University, Prague, Czech Republic; representative of the International Federation for the Surgery of Obesity – Department of Gastroenterology and Hepatology, Academic Medical Centre, University of Amsterdam, Amsterdam, Center for Metabolic Disorders in Endocrinology, Institute of Endocrinology, Diabetes and Diseases of Metabolism, Clinical Center of Serbia, Belgrade, Serbia 8 Atherosclerosis and Metabolism Unit, Soroka UMC, Ben-Gurion University SHC, Beer Sheva, Israel; 9Clinical Center of Diabetes, Nutrition, Metabolic diseases, 'Iuliu Hatieganu' University, Cluj-Napoca, Romania; 10Department of Physiology, University of Lausanne, Lausanne, Switzerland; 11Department of Medicine, Institute for Diabetes and Metabolism, Medical University, Graz, Austria; 12Department of Pathophysiology, Medical University of Silesia, Katowice, Poland The development of consensus guidelines for obesity is complex. <...> With so many publications and claims, and with the awareness that success for the individual is short-lived, many find it difficult to know what action is appropriate in the management of obesity. <...> In formulating these guidelines, we have attempted to use an evidence-based approach while allowing flexibility for the practicing clinician in domains where evidence is currently lacking and ensuring that in treatment there is recognition of clinical judgment and of regional diversity as well as the necessity of an agreed approach by the individual and family. <...> We conclude that i) physicians have a responsibility to recognise <...>