Obesity is caused by the complex interplay of multiple genetic, metabolic, behavioural and environmental factors.
In Europe, many countries lack policies recognising and treating obesity as a chronic disease. This has led to inadequate funding for obesity care, and limited capacity in healthcare systems to implement evidence-based treatment strategies. Treating obesity seriously is an important strategy to strengthening our health systems.
It is important to recognise that obesity management has wider objectives than weight loss alone, including risk reduction and overall health improvement. Our recommendations for people with obesity include nutrition therapy, physical activity support, psychological and behavioural support, pharmacotherapy and bariatric surgery.