Evidence map›Paper›PMID 42666398›Full record

ReviewFrontiers in aging2026

From obesity to healthy longevity: a consensus-based clinical framework for diagnosis, staging, and treatment.

Silvija Canecki-Varžić, Ines Bilić-Ćurčić, Maja Bakula, Tomislav Bulum, Maja Čavlović, Diana Delić-Brkljačić, Tamara Turk Wensveen, Daniela Fabris-Vitković, Dubravka Jurišić-Eržen, Sanja Klobučar and 13 more

Abstract readReview
In one paragraph

Review in Frontiers in aging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Silvija Canecki-VaržićDepartment of Endocrinology, Clinic of Internal Medicine, Osijek University Hospital Centre, Osijek, Croatia.
Ines Bilić-ĆurčićDepartment of Endocrinology, Clinic of Internal Medicine, Osijek University Hospital Centre, Osijek, Croatia.
Maja BakulaDepartment of Diabetes and Endocrinology, University Clinic for Diabetes, Endocrinology and Metabolic Diseases Vuk Vrhovac, Merkur University Hospital, Zagreb, Croatia.
Tomislav BulumDepartment of Diabetes and Endocrinology, University Clinic for Diabetes, Endocrinology and Metabolic Diseases Vuk Vrhovac, Merkur University Hospital, Zagreb, Croatia.
Maja ČavlovićDepartment of Diabetes and Endocrinology, University Clinic for Diabetes, Endocrinology and Metabolic Diseases Vuk Vrhovac, Merkur University Hospital, Zagreb, Croatia.
Diana Delić-BrkljačićFaculty of Medicine, University of Zagreb, Zagreb, Croatia.
Tamara Turk WensveenFaculty of Medicine, University of Rijeka, Rijeka, Croatia.
Daniela Fabris-VitkovićDepartment of Endocrinology and Diabetology, Pula General Hospital, Pula, Croatia.
Dubravka Jurišić-ErženFaculty of Medicine, University of Rijeka, Rijeka, Croatia.
Sanja KlobučarFaculty of Medicine, University of Rijeka, Rijeka, Croatia.
Kristina KljajićDepartment of Diabetes and Endocrinology, University Clinic for Diabetes, Endocrinology and Metabolic Diseases Vuk Vrhovac, Merkur University Hospital, Zagreb, Croatia.
Mladen KrnićDepartment of Endocrinology, Diabetology and Metabolic Disorders, Split University Hospital Centre, Split, Croatia.
Blaženka MiškićFaculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Nataša MoserJosip Benčević General Hospital, Slavonski Brod, Croatia.
Božidar NovoselovićDepartment of Endocrinology, Diabetes and Metabolic Diseases "Mladen Sekso", Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia.
Ivan PećinFaculty of Medicine, University of Zagreb, Zagreb, Croatia.
Tina Tičinović-KurirDepartment of Endocrinology, Diabetology and Metabolic Disorders, Split University Hospital Centre, Split, Croatia.
Jelena Vučak-LončarDepartment of Endocrinology, Diabetes and Metabolic Diseases, Department of Internal Medicine, Zadar General Hospital, Zadar, Croatia.
Marina GradišerFaculty of Medicine, University of Split, Split, Croatia.
Maja Cigrovski BerkovićFaculty of Kinesiology, Department for Sport and Exercise Medicine, University of Zagreb, Zagreb, Croatia.
Gorana MiroševićDepartment of Endocrinology, Diabetes and Metabolic Diseases "Mladen Sekso", Sestre Milosrdnice University Hospital Centre, Zagreb, Croatia.
Kristina Selthofer-RelatićFaculty of Medicine Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia.
Miro BakulaFaculty of Medicine, University of Zagreb, Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obesity is a chronic, progressive, relapsing disease characterized by excess or dysfunctional adiposity that impairs health and contributes to multimorbidity, disability, and reduced life expectancy. Contemporary international frameworks recommend moving beyond BMI-only definitions toward disease-based diagnostic models that integrate adiposity, complications, and functional status. Croatia faces a high prevalence of obesity alongside constrained healthcare resources and limited reimbursement for modern pharmacotherapy, highlighting the need for nationally adapted clinical guidance. Methods: This position statement was developed using a modified Delphi consensus process involving 23 multidisciplinary experts from academic and clinical institutions across Croatia. Consensus statements were derived from contemporary international guidelines, randomized controlled trials, and meta-analyses. Evidence quality and recommendation strength were graded using an adapted GRADE-based framework. Results: The document establishes a Croatia-specific framework for the diagnosis, staging, and management of obesity. Diagnosis requires confirmation of excess adiposity with evidence of clinical risk or dysfunction and integrates anthropometric measures with metabolic, mechanical, psychological, and functional domains. A staging system aligned with EASO and Lancet frameworks guides treatment intensity according to disease severity. Management is based on four pillars: lifestyle therapy, psychological support, pharmacotherapy, and metabolic/bariatric surgery. Pharmacological treatment is stage-based and comorbidity-driven, prioritizing agents with proven organ-protective effects. Special considerations are provided for older adults, emphasizing preservation of muscle mass, functional capacity, independence, and quality of life. Long-term structured follow-up is recommended for all patients, reflecting the chronic disease model of obesity. Conclusion: This position statement provides an evidence-based, nationally adapted clinical framework that aligns obesity management with modern chronic disease standards. By integrating disease staging, individualized therapy, and long-term care, it supports precision treatment across the lifespan and emphasizes obesity management as a key strategy for preventing complications, reducing disability, and promoting healthy longevity.

Indexed as

agingbariatric surgerycomorbidityCroatiadisease staginghealthy longevityobesitypharmacotherapy

Identifiers

PMID42666398
PMCPMC13522667

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.