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European Journal of Physical and Rehabilitation Medicine 2017 August;53(4):611-24

DOI: 10.23736/S1973-9087.17.04880-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Evidence-based position paper on Physical and Rehabilitation Medicine (PRM) professional practice for people with obesity and related comorbidities. The European PRM position (UEMS PRM Section)

Paolo CAPODAGLIO 1 , Elena ILIEVA 2, Aydan ORAL 3, Carlotte KIEKENS 4, Stefano NEGRINI 5, 6, Enrique VARELA DONOSO 7, Nicolas CHRISTODOULOU 8, UEMS-PRM EBPP Methodological Group 

1 Department of Physical and Rehabilitation Medicine, Istituto Auxologico Italiano, Piancavallo, Verbania, Italy; 2 Department of Physical and Rehabilitation Medicine, Medical Faculty, Medical University of Plovdiv, Plovdiv, Bulgaria; 3 Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey; 4 Department of Physical and Rehabilitation Medicine, University Hospital Leuven, Leuven, Belgium; 5 Department of Physical and Rehabilitation Medicine, University of Brescia, Brescia, Italy; 6 IRCCS Fondazione Don Gnocchi Onlus, Milan, Italy; 7 Department of Physical Medicine and Rehabilitation, Medicine Faculty, University Complutense, Madrid, Spain; 8 Physical Medicine and Rehabilitation, Medical School, European University Cyprus, Cyprus


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INTRODUCTION: The WHO world health statistics report in 2015 shows that in Europe the overall obesity rate among adults is 21.5% in males and 24.5% in females. Obesity has important consequences for morbidity, disability and quality of life. The aim of the paper was to improve physical and rehabilitation medicine physicians’ professional practice for the rehabilitation of patients with obesity and related comorbidities.
EVIDENCE ACQUISITION: A systematic review of the literature and a Consensus procedure by means of a Delphi method process has been performed involving the delegates of all European countries represented in the UEMS PRM Section.
EVIDENCE SYNTHESIS: The systematic literature review is reported together with the 13 recommendations from the Delphi procedure.
CONCLUSIONS: The professional role of PRM physicians in obesity is to propose a complete PRM treatment for the patients considering the comorbidities, impairments, activity limitations and participation restrictions, providing medical care and leadership to the multidisciplinary team, coordinating the individual PRM project developed in team in agreement with the patient and his family/care givers.


KEY WORDS: Obesity - Disability evaluation - Rehabilitation

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