Update of management guidelines for patients with obesity.

For more than 30 years, care guidelines for the management of patients with obesity had not been updated.
The 1991 NIH Consensus Statement has been used by providers, hospitals, and insurers as a standard for selection criteria for bariatric surgery. (1) A body mass index (BMI) of 40 kg/m2, or a BMI of 35 kg/m2 with comorbidities, is a threshold for surgery that is universally applied.

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