Tools and resources

Using this information

Using this information

This information accompanies the NICE guideline on overweight and obesity management (NG246, published January 2025).

The overweight and obesity management guideline brings together the following NICE guidelines and replaces them:

  • Preventing excess weight gain (NG7, 2015)

  • Obesity: identification, assessment and management (CG189, 2014)

  • Weight management: lifestyle services for overweight or obese adults (PH53, 2014)

  • Weight management: lifestyle services for overweight or obese children and young people (PH47, 2013)

  • BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups (PH46, 2013) – already updated and replaced by CG189

  • Obesity: working with local communities (PH42, 2012)

  • Obesity prevention (CG43, 2006).

The following tables show whether recommendations from each source guideline were deleted or carried forward into the updated guideline, and the year that the evidence was last reviewed. Changes to recommendations as a result of evidence review or committee discussion, or to reduce duplication as part of amalgamating the guidelines, are also explained in this table. Minor wording changes to update terminology and match our current way of writing recommendations, but which do not affect the intent of the recommendation, are not listed.

In the tables, the year column shows when the evidence for each recommendation was reviewed. In the updated guideline, the year given at the end of the recommendations (for example [2006]) shows when the source guideline containing that recommendation was published and is when the evidence for that recommendation was last reviewed. Any recommendations that have been updated as a result of committee discussions but without a review of the evidence are marked [(year of original guideline), amended 2025]. New recommendations made after a review of the evidence are marked [2025].

The evidence and committee discussion supporting the source guidelines gives more information about this process and about the reasoning behind each recommendation.

Obesity prevention (CG43, 2006)
Year of evidence review or CG43 update Source guideline recommendation number Recommendation number in updated guideline, or reason for deletion/amendment

2006

Section 1.1.1

Already replaced by NG7.

2006

1.1.2.1

1.5.1

Merged with CG43 recommendations 1.1.3.1 and 1.1.3.5

2006

1.1.2.2

1.5.2

2006

1.1.2.3

1.5.3

2006

1.1.2.4

1.5.4

2006

1.1.2.5

Deleted – training recommendations are outside the remit of NICE guidelines.

2006

1.1.2.6

1.4.1

2006

1.1.2.7

1.4.2

2006

1.1.2.8

1.4.3

2006

1.1.2.9

1.4.4

Merged with CG43 recommendation 1.1.2.11

2006

1.1.2.10

1.4.5

2006

1.1.2.11

1.4.4

Merged with CG43 recommendation 1.1.2.9

2006

1.1.2.12

1.5.9

Merged with CG43 recommendation 1.1.3.8

2006

1.1.2.13

1.4.2

Merged with CG43 recommendation 1.1.3.7

2006

1.1.2.14

1.4.6

2006

1.1.2.15

1.4.7

2006

1.1.2.16

1.4.8

2006

1.1.2.17

1.4.9 and 1.4.10

2006

1.1.2.18

1.4.10

Merged with CG43 recommendation 1.1.2.17, and committee added use of non-stigmatising language.

2006

1.1.2.19

1.7.1

2006

1.1.3.1

1.5.1

Merged with CG43 recommendations 1.1.2.1 and 1.1.3.5

2006

1.1.3.2

1.5.2

Merged with CG43 recommendation 1.1.2.2

2006

1.1.3.3

1.5.5

Weight stigma added on request from committee.

2006

1.1.3.4

1.5.6

Amended by committee to change the audience for the recommendation.

2006

1.1.3.5

1.5.1

Merged with CG43 recommendations 1.1.2.1 and 1.1.3.1

2006

1.1.3.6

1.5.7

2006

1.1.3.7

1.4.2

Merged with CG43 recommendation 1.1.2.13

2006

1.1.3.8

1.5.9

Merged with CG43 recommendation 1.1.2.12, and committee agreed to add recommendation to involve those with lived experience.

2006

1.1.3.9

1.5.10

2024

1.1.4.1

Deleted. Replaced by 1.6.1

2006

1.1.4.2

1.4.5

2024

1.1.4.3

Deleted. Replaced by 1.6.3

2024

1.1.4.4

Deleted. Replaced by 1.6.4 and 1.6.5

2006

1.1.5.1

1.6.1

Combined with early years recommendation.

2006

1.1.5.2

1.6.9

Committee added examples about rewards, food brought into school, and bullying.

2006

1.1.5.3

1.6.10

2024

1.1.5.4

Deleted. Replaced by 1.6.8

2006

1.1.5.5

1.6.11

2024

1.1.5.6

Deleted. Replaced by 1.6.8

2024

1.1.5.7

Deleted. Replaced by 1.6.4, 1.6.5, 1.6.6

2024

1.1.5.8

Deleted. Replaced by 1.6.7

2024

1.1.5.9

Deleted. Replaced by 1.6.2

2006

1.1.6.1

1.7.2

2006

1.1.6.2

1.7.3

Merged with CG43 recommendation 1.1.6.5

2006

1.1.6.3

1.7.4

2006

1.1.6.4

1.7.5

2006

1.1.6.5

1.7.3

Merged with CG43 recommendation 1.1.6.2

2006

1.1.7

Already replaced by PH53.

2006

1.2

Already replaced by CG189.

Weight management before, during and after pregnancy (PH27, 2010)
Year of evidence review or PH27 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2010

1, bullet 1

Deleted based on NICE editorial consolidation principles. Raising awareness is covered in the updated guideline.

2010

1, bullet 2

Deleted based on NICE editorial consolidation principles. An amendment has been made to recommendation 1.3.5

2010

1, bullet 3

Deleted based on NICE editorial consolidation principles. This recommendation applies to all populations and is covered in the updated guideline.

2010

1, bullet 4

Deleted based on NICE editorial consolidation principles.

2010

1, bullet 5

Deleted based on NICE editorial consolidation principles. This recommendation applies to all populations and is covered in the updated guideline.

2010

1, bullet 6

Deleted. This recommendation is now covered in the NICE guideline on maternal and child nutrition (NG247).

2010

2

Deleted. Weight management during pregnancy is out of scope of this guideline.

2010

3, bullet 1

Deleted. This recommendation is now covered in the NICE guideline on postnatal care (NG194).

2010

3, bullet 2

Deleted. This recommendation is now covered in the NICE guideline on postnatal care (NG194).

2010

3, bullet 3

Deleted based on NICE editorial consolidation principles. This recommendation applies to all populations and is covered in the updated guideline.

2010

3, bullet 4

Deleted. This recommendation is now covered in the NICE guideline on maternal and child nutrition (NG247).

2010

3, bullet 5

Deleted. This recommendation is now covered in the NICE guideline on maternal and child nutrition (NG247).

2010

3, bullet 6

Deleted based on NICE editorial consolidation principles.

2010

4, bullet 1

Deleted based on NICE editorial consolidation principles. This is covered in section 1.11 of the guideline.

2010

4, bullet 2

Deleted based on NICE editorial consolidation principles. This issue has been added to recommendation 1.1.1 of the guideline.

4, bullet 3

Deleted because this was not specific to the ante- or post-natal period, so is covered by the general weight loss sections of the guideline.

2010

4, bullet 4

Deleted. This recommendation is now covered in the NICE guideline on maternal and child nutrition (NG247).

2010

5, bullet 1

Deleted based on NICE editorial consolidation principles. This recommendation applies to all populations and is covered in the updated guideline.

2010

5, bullet 2

Deleted based on NICE editorial consolidation principles. This recommendation applies to all populations and is covered in the updated guideline.

2010

5, bullet 3

Deleted based on NICE editorial consolidation principles.

5, bullet 4

Deleted because care during pregnancy is out of scope for this guideline,

2010

5, bullet 5

Deleted based on NICE editorial consolidation principles.

2010

5, bullet 6

Deleted based on NICE editorial consolidation principles.

2010

6, bullet 1

Deleted because this is not specific to pregnancy.

2010

6, bullet 2

Deleted because this is not specific to pregnancy.

2010

6, bullet 3

Deleted – training recommendations are outside the remit of NICE guidelines.

2010

6, bullet 4

Deleted – training recommendations are outside the remit of NICE guidelines.

2010

6, bullet 5

Deleted because care during pregnancy is out of scope for this guideline.

2010

6, bullet 6

Deleted – training recommendations are outside the remit of NICE guidelines.

2010

6, bullet 7

Deleted – training recommendations are outside the remit of NICE guidelines.

Obesity: working with local communities (PH42, 2012)
Year of evidence review or PH42 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2012

1, bullet 1

Deleted based on NICE editorial consolidation principles.

2012

1, bullet 2

Deleted based on NICE editorial consolidation principles.

2012

1, bullet 3

Deleted. Now covered by general government guidance on whole systems approach.

2012

1, bullet 4

Deleted based on NICE editorial consolidation principles.

2012

1, bullet 5

Deleted. Not relevant to current service structure of integrated commissioning boards.

2012

1, bullet 6

Deleted based on NICE editorial consolidation principles.

2012

1, bullet 7

1.22.1

2012

2, bullet 1

Deleted based on NICE editorial consolidation principles.

2012

2, bullet 2

Deleted based on NICE editorial consolidation principles.

2012

2, bullet 3

Deleted. Not relevant to current service structure of integrated commissioning boards.

2012

2, bullet 4

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

2, bullet 5

Deleted based on NICE editorial consolidation principles.

2012

2, bullet 6

1.19.1 Amended to reflect current service structure of integrated commissioning boards.

2012

3, bullet 1

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

3, bullet 2

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

3, bullet 3

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

4, bullet 1

Deleted based on NICE editorial consolidation principles.

2012

4, bullet 2

Deleted based on NICE editorial consolidation principles.

2012

4, bullet 3

Deleted based on NICE editorial consolidation principles.

2012

4, bullet 4

Deleted based on NICE editorial consolidation principles.

2012

4, bullet 5

Deleted based on NICE editorial consolidation principles.

2012

4, bullet 6

Deleted based on NICE editorial consolidation principles.

2012

4, bullet 7

Deleted based on NICE editorial consolidation principles.

2012

5, bullet 1

1.19.14

2012

5, bullet 2

1.19.15

2012

5, bullet 3

1.19.16

2012

5, bullet 4

1.19.17

2012

5, bullet 5

1.19.18 and 1.19.22

Split into 2 recommendations for clarity

Committee added non-judgemental language and materials showing a variety of bodies.

2012

5, bullet 6

1.22.1

2012

5, bullet 7

1.22.1

2012

6, bullet 1

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

6, bullet 2

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

6, bullet 3

Deleted based on NICE editorial consolidation principles.

2012

6, bullet 4

Deleted based on NICE editorial consolidation principles.

2012

6, bullet 5

Deleted. Not relevant to current service structure of integrated commissioning boards.

2012

6, bullet 6

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 1

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity, the obesity framework, and by recommendation 1.12.14 about protected resources.

2012

7, bullet 2

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity, the obesity framework, and by the section on ensuring all services meet local needs.

2012

7, bullet 3

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 4

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 5

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 6

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 7

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 8

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 9

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 10

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

7, bullet 11

Deleted based on NICE editorial consolidation principles.

2012

8, bullet 1

1.19.8

Expanded by committee to give more practical actions and fit the current commissioning landscape.

2012

8, bullet 2

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

8, bullet 3

1.19.9

2012

9, bullet 1

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

9, bullet 2

Deleted. Not relevant to current service structure of integrated commissioning boards and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

9, bullet 3

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

9, bullet 4

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

9, bullet 5

Deleted. Now covered by government guidance on whole systems approach to obesity and the obesity framework.

2012

10, bullet 1

Deleted based on NICE editorial consolidation principles.

2012

10, bullet 2

Deleted based on NICE editorial consolidation principles.

2012

10, bullet 3

Deleted based on NICE editorial consolidation principles.

2012

10, bullet 4

Deleted. Committee agreed this is now standard practice, no recommendation needed.

2012

10, bullet 5

Deleted based on NICE editorial consolidation principles.

2012

10, bullet 6

Deleted. Committee agreed this is now common practice, and the necessary info is covered by the recommendations in the data to collect section: recommendations 1.21.1 and 1.21.2

2012

10, bullet 7

Deleted. Committee agreed this is now common practice, and the necessary info is covered by the recommendations in the data to collect section: recommendations 1.21.1 and 1.21.2

2012

10, bullet 8

Deleted based on NICE editorial consolidation principles.

2012

11, bullet 1

Deleted. Now covered by obesity framework.

2012

11, bullet 2

Deleted. Now covered by obesity framework.

2012

11, bullet 3

Deleted. Now covered by obesity framework.

2012

11, bullet 4

1.21.1

2012

12, bullet 1

Deleted. Committee agreed this is now common practice, and the necessary info is covered by the recommendations in the data to collect section: recommendations 1.21.1 and 1.21.2

2012

12, bullet 2

Deleted based on NICE editorial consolidation principles.

2012

12, bullet 3

Deleted based on NICE editorial consolidation principles.

2012

13, bullet 1

Deleted based on NICE editorial consolidation principles.

2012

Deleted based on NICE editorial consolidation principles.

2012

13, bullet 3

Deleted based on NICE editorial consolidation principles.

2012

13, bullet 4

Deleted based on NICE editorial consolidation principles.

2012

13, bullet 5

Deleted based on NICE editorial consolidation principles.

2012

13, bullet 6

Deleted based on NICE editorial consolidation principles.

2012

14, bullet 1

Deleted based on NICE editorial consolidation principles.

2012

14, bullet 2

Deleted based on NICE editorial consolidation principles.

2012

14, bullet 3

Deleted. Not relevant to current service structure of integrated commissioning boards, and now covered by government guidance on whole systems approach to obesity and the obesity framework.

BMI: preventing ill health and premature death in black, Asian and other minority ethnic groups (PH46, 2013)
Year of evidence review or PH46 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2013

1

Already replaced by CG189 and PH38.

2013

2

Already replaced by CG43 and CG189.

2024

3, bullet 1

Replaced by 1.8.1

2024

3, bullet 2

Replaced by 1.8.2

2024

3, bullet 3

Replaced by 1.8.3

Weight management: lifestyle services for overweight or obese children and young people (PH47, 2013)
Year of evidence review or PH47 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2013

1, bullet 1

1.19.3

Combined with PH47 recommendation 2

2013

1, bullet 2

Deleted based on NICE editorial consolidation principles.

2013

1, bullet 3

Deleted based on NICE editorial consolidation principles.

2013

2, bullet 1

Deleted based on NICE editorial consolidation principles.

2013

2, bullet 2

Deleted based on NICE editorial consolidation principles.

2013

2, bullet 3

1.20.1 and 1.20.2

Split into 2 recommendations for clarity

2024

2, bullet 4

Replaced by 1.20.3 to 1.20.5

2013

2, bullet 5

1.20.5

2013

2, bullet 6

Deleted - training is now outside the remit of NICE guidelines.

2013

2, bullet 7

Deleted based on NICE editorial consolidation principles.

2013

2, bullet 8

Deleted based on NICE editorial consolidation principles.

2013

2, bullet 9

Deleted based on NICE editorial consolidation principles.

2013

2, bullet 10

1.20.6

Amended timepoints to align with new recommendation 1.11.7

2024

3

Replaced by 1.12.11, 1.12.13, 1.12.16, 1.14.1, 1.14.2 and 1.14.3

2013

4

Parts of bullets 6, 7 and 9 carried forward as recommendations 1.14.18 to 1.14.21 Remainder of recommendation replaced by 1.14.3, 1.14.4, 1.14.5, 1.10.14, 1.14.8, 1.14.9, 1.11.7, 1.14.10, 1.14.11, 1.14.12, 1.14.13, 1.14.14, 1.14.15, 1.14.16 and 1.14.17

2024

5

Replaced by 1.14.12, 1.14.22, 1.14.23, 1.14.24 to 1.14.31

2024

6

Replaced 1.19.20 to 1.19.25

Merged with adult recommendations.

2024

7

Replaced by 1.13.5, 1.12.6 and 1.12.9

2024

8

Replaced by 1.12.2, 1.12.10, 1.12.4, 1.12.7, 1.12.3, 1.12.5, 1.12.10, 1.12.8 and 1.12.9

2024

9

Replaced by 1.14.31, 1.14.32, 1.14.33 and 1.14.34

2024

10

Replaced by 1.14.29, 1.14.30 and 1.14.3 4

2013

11, bullet 1

Deleted – training recommendations are outside the remit of NICE guidelines.

2024

11, bullet 2

Replaced by new recommendation 1.12.10

2013

11, bullet 3

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

12, bullet 1

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

12, bullet 2

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

12, bullet 3

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

12, bullet 4

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

12, bullet 5

Deleted. Committee agreed this was now standard practice – no recommendation needed.

2013

13

1.11.5

Training recommendations are outside the remit of NICE guidelines.

2013

14, bullet 1

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

14, bullet 2

Deleted – training recommendations are outside the remit of NICE guidelines.

2013

15, bullet 1

1.21.1 (everyone) 1.23.1 (CYP)

Retained for children.

Adult recommendation merged with PH42 recommendation 11 and PH53 recommendation 17 to make recommendation for all ages

2013

15, bullet 2

1.21.1

Merged with PH42 recommendation 11 and PH53 recommendation 17

2013

15, bullet 3

1.23.2

2013

15, bullet 4

1.23.3

2013

15, bullet 5

1.21.1

Merged with PH53 recommendation 17

2013

15, bullet 6

1.12.1

2013

15, bullet 7

1.12.1

Obesity: identification, assessment and management (CG189, 2014)
Year of evidence review or CG189 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2014

1.1.1

1.1.7, 1.1.8, 1.19.13

1.19.13 amended to clarify that paediatric settings are included.

2024

1.1.2

Replaced by 1.11.7

2024

1.1.3

Replaced by 1.11.4, 1.11.7, 1.11.8

2014

1.1.4

1.1.8

2014

1.1.5

1.1.9

2022

1.1.6

Replaced by 2022 update of section 1.8

2014

1.1.7

1.2.1

2024

1.1.8

Replaced by 1.2.2

2024

1.1.9

Replaced by 1.9.4, 1.10.6, 1.11.10, 1.14.33

2024

1.2.1

Replaced by 1.9.1, 1.9.2, 1.9.3, 1.9.4, 1.10.4

2022

1.2.2

1.9.5

See update tables from 2022 rapid update for details.

2022

1.2.3

1.9.6

See update tables from 2022 rapid update for details.

2022

1.2.4

1.9.7

See update tables from 2022 rapid update for details.

2022

1.2.5

1.9.8

See update tables from 2022 rapid update for details.

2022

1.2.6

1.9.9

2022

1.2.7

1.9.10

See update tables from 2022 rapid update for details.

2022

1.2.8

1.9.11

See update tables from 2022 rapid update for details.

2022

1.2.9

1.9.12

See update tables from 2022 rapid update for details.

2022

1.2.10

1.9.13

See update tables from 2022 rapid update for details.

2022

1.2.11

1.9.14

See update tables from 2022 rapid update for details.

2022

1.2.12

1.9.15

See update tables from 2022 rapid update for details.

2024

1.2.13

Replaced by 1.9.2

2022

1.2.14 to 1.2.16

1.11.1, 1.11.6, 1.11.12

See update tables from 2022 rapid update for details of amends to 1.11.1.

1.11.6 amended by committee to add eating disorders.

2024

1.2.17

Replaced by 1.8.1

2024

1.2.18

Replaced by 1.8.2

2024

1.2.19

Replaced by 1.8.3

2024

1.2.20

Replaced by 1.10.1, 1.10.2, 1.10.3. 1.10.4, 1.10.5, 1.10.6

2022

1.2.21

1.10.7

BMI healthy weight calculator added by committee.

2024

1.2.22

Deleted. Covered by new recommendation 1.10.5

2022

1.2.23 to 1.2.29

See update table for 2022 rapid update.

2014

1.3.1

1.10.12, 1.9.16

2014

1.3.2

1.9.17, 1.10.14

2024

1.3.3

Deleted. Covered by new recommendations 1.11.11, 1.11.14, 1.13.1 for adults and 1.14.29 for children.

2024

1.3.4

Deleted. Covered by new recommendations 1.11.10, 1.11.8, 1.11.9, 1.11.15 for adults and 1.14.36, 1.12.2, 1.12.10, 1.12.4 for children.

2014

1.3.5

1.9.16, 1.10.12

2024

1.3.6

Replaced by 1.1.1, 1.1.2

2014

1.3.7

1.11.13

Bullet on drug treatment amended to remove BMI limit, because the drug recommendations have since been updated.

2014

1.3.8

1.10.13

2024

1.3.9

Replaced by 1.1.1, 1.1.2

2014

1.3.10

1.12.15

2014

1.3.11

1.12.14

2014

1.3.12

Deleted based on NICE editorial consolidation principles.

2014

1.4.1

Replaced by recommendation 1.19.3

2024

1.4.2

Deleted. Covered by recommendations 1.11.6, 1.11.12, and 1.10.11, 1.12.1, 1.12.12

2024

1.4.3

Deleted. Goal setting covered by recommendations 1.11.14 and 1.12.4. Keeping records now part of standard practice, recommendations not needed.

2024

1.4.4

Replaced by recommendations 1.11.5, 1.13.1, 1.13.2, 1.13.3, 1.14.22 to 1.14.33

2024

1.4.5

Deleted – training recommendations are outside the remit of NICE guidelines.

2024

1.4.6

Replaced by recommendations 1.1.1, 1.1.4, 1.1.5

2024

1.4.7

Replaced by recommendation 1.14.17

2024

1.4.8

Replaced by recommendations 1.1.1, 1.11.4, 1.11.2, 1.12.3, 1.11.10, 1.11.7, 1.11.8, 1.11.9, 1.14.36, 1.12.2 to 1.12.12

2024

1.4.9

Replaced by recommendations 1.11.11, 1.11.14, 1.12.16

2014

1.4.10

1.13.3

2014

1.4.11

Deleted. Covered by recommendations 1.11.6, 1.11.12

2024

1.4.12

Replaced by recommendation 1.12.10

2024

1.4.13

Replaced by recommendations 1.14.21 to 1.14.23 (carried forward from PH47 recommendation 4).

2014

1.5.1

Deleted – training recommendations are outside the remit of NICE guidelines.

2024

1.5.2

Replaced by section 1.1 and 1.11.1 to 1.11.5, 1.19.4 and NICE's guidelines on behaviour change.

2024

1.5.3

Replaced by recommendations 1.12.2 1.12.11, 1.14.11 to 1.14.5

2014

1.6.1

1.15.2

2014

1.6.2

1.15.3

2014

1.6.3

1.15.4

2014

1.6.4

1.15.5

Committee added physical activity guidelines for disabled children and young people.

2014

1.6.5

1.15.6

2024

1.6.6

Replaced by recommendation 1.14.12

2014

1.6.7

1.15.7

Amended to add affordability and merged with recommendation 1.6.8

2014

1.6.8

1.15.7

Amended to add affordability and merged with recommendation 1.6.7

2024

1.7.1

Replaced by recommendation 1.16.1

2024

1.7.2

Replaced by recommendation 1.16.6 and 1.16.7

2024

1.7.3

Replaced by recommendation 1.16.2

2024

1.7.4

Replaced by recommendation 1.16.3

2024

1.7.5

Replaced by recommendation 1.16.4

2024

1.7.6

Replaced by recommendations 1.16.8 to 1.16.12

2024

1.7.7

Replaced by recommendations 1.16.8 to 1.16.12

2024

1.7.8

Replaced by recommendations 1.16.8 to 1.16.12

2024

1.7.9

Replaced by recommendations 1.16.8 to 1.16.12

2024

1.7.10

Replaced by recommendations 1.16.8 to 1.16.12

2024

1.7.11

Replaced by recommendation 1.16.5 and 1.16.7

2014

1.7.12

1.16.13

2014

1.7.13

1.16.13

2024

1.7.14

Replaced by recommendations 1.12.2, 1.12.9 to 1.12.12

2014

1.8.1

1.17.1 amended because starting and stopping criteria for each medicine are now in the individual medicine panels.

2014

1.8.2

Deleted because starting and stopping criteria for each medicine are now in the individual medicine panels.

2014

1.8.3

1.17.3

2014

1.8.4

1.17.8

2014

1.8.5

1.17.9

2014

1.8.6

1.17.10

2014

1.8.7

1.17.10

2014

1.8.8

1.17.11

2014

1.9.1

Deleted because starting and stopping criteria for each medicine are now in the individual medicine panels.

2014

1.9.2

1.17.4

2014

1.9.3

1.17.5

2014

1.9.4

1.17.6

2014

1.9.5

Deleted because starting and stopping criteria for each medicine are now in the individual medicine panels.

2014

1.9.6

1.17.7

2014

1.9.7

Deleted orlistat recommendations.

2014

1.9.8

Deleted orlistat recommendations.

2014

1.9.9

Deleted because starting and stopping criteria for each medicine are now in the individual medicine panels.

2014

1.9.10

Deleted orlistat recommendations.

2014

1.9.11

1.17.13

2023

1.10.1

1.18.1

2023

1.10.2

1.18.2

2023

1.10.3

1.18.3

2023

1.10.4

1.18.4

2023

1.10.5

1.18.5

2023

1.10.6

1.18.6 Committee clarified description of multidisciplinary team.

2023

1.10.7

1.18.7

2023

1.10.8

1.18.8

See update tables from 2023 rapid update for details.

2023

1.10.9

1.18.9

2023

1.10.10

1.18.10

See update tables from 2023 rapid update for details.

2023

1.10.11

1.18.11

2023

1.10.12

1.18.12

See update tables from 2023 rapid update for details.

2023

1.10.13

1.18.13

2014

1.10.14

1.18.14

See update tables from 2023 rapid update for details.

2023

1.10.15

1.18.15

2023

1.10.16

1.18.16

2023

1.10.17

1.18.17

2023

1.10.18

1.18.18

2023

1.10.19

1.18.19

2023

1.10.20

1.18.20

2014

1.10.21

1.18.21

2014

1.10.22

1.18.22

2014

1.10.23

1.18.23

See update tables from 2023 rapid update for details.

2014

1.10.24

1.18.24

See update tables from 2023 rapid update for details.

2014

1.10.25

1.18.25

2014

1.10.26

1.18.26

2014

1.10.27

1.18.27

2014

1.11.1

Deleted. Covered by 1.18.17

2014

1.11.2

Deleted. Covered by 1.18.18

Weight management: lifestyle services for overweight or obese adults (PH53, 2014)
Year of evidence review or PH53 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2014

1, bullet 1

Deleted based on NICE editorial consolidation principles.

2014

1, bullet 2

Deleted based on NICE editorial consolidation principles.

2024

1, bullet 3

Replaced by recommendations 1.19.20, 1.19.21

2014

1, bullet 4

Deleted based on NICE editorial consolidation principles.

2024

2, bullet 1

Replaced by recommendations 1.1.1 to 1.1.5

2014

2, bullet 2

1.19.11

Amended to add process for using more specialist equipment from other services.

2024

2, bullet 3

Replaced by recommendations 1.9.2-1.9.3 (adults); 1.10.3 to 1.10.4 (children)

2024

3

Replaced by recommendation 1.19.19

2024

4

Replaced by recommendations 1.19.20, 1.19.21

2024

5

Replaced by recommendations 1.19.23, 1.19.24

2024

6, bullets 1 and 2

Replaced by recommendations 1.11.4, 1.11.2, 1.11.3, 1.11.7, 1.11.8, 1.11.9, 1.11.11, 1.11.14, 1.11.15, 1.12.10, 1.19.2

2014

6, bullet 3

1.19.2

2024

6, bullets 4 to 7

Replaced by recommendations 1.11.4, 1.11.2, 1.11.3, 1.11.7, 1.11.8, 1.11.9, 1.11.11, 1.11.14, 1.11.15, 1.12.10, 1.19.2

2024

7

Replaced by recommendations 1.11.4, 1.11.10

2024

8

Replaced by recommendations 1.11.4 to 1.11.11

2014

9

1.19.3, 1.19.4, 1.19.5

Exercise qualification level amended.

2014

10

1.19.6

Committee added 'encouraging family-based changes'.

2014

11

Deleted because covered by recommendations retained from elsewhere in PH53

2014

12, bullet 1

Not relevant to current service structure of integrated commissioning boards, and now covered by government guidance on whole systems approach to obesity and the obesity framework.

2014

12, bullet 2

1.19.3 to 1.19.7 and 1.19.26

2014

12, bullet 3

1.19.26 amended to remove Rosemary Conelly because it no longer offers this type of programme.

2014

12, bullet 4

1.19.26

2014

12, bullet 5

1.19.26

2014

13, bullet 1

Deleted based on NICE editorial consolidation principles.

2014

13, bullet 2

1.19.10

Amended to align with government guidance published since the original guideline.

2014

13, bullet 3

Deleted based on NICE editorial consolidation principles.

2014

13, bullet 4

1.19.27

2014

13, bullet 5

Deleted based on NICE editorial consolidation principles.

2014

13, bullet 6

Deleted based on NICE editorial consolidation principles.

2014

13, bullet 7

Deleted based on NICE editorial consolidation principles.

2014

14, bullet 1

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

14, bullet 2

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

14, bullet 3

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

14, bullet 4

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

14, bullet 5

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

14, bullet 6

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

14, bullet 7

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 1

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 2

1.3.1 to 2, 1.5.6 to 1.5.12, 1.5.22, 1.5.23, 1.5.25, 1.14.5

Merged with PH27 recommendation 6, PH42 recommendation 13, PH47 recommendations 11 and 13, PH53 recommendation 14.

Partially replaced by new recommendations on stigma & non to judgemental discussions.

2014

15, bullet 3

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 4

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 5

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 6

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 7

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 8

Deleted – training recommendations are outside the remit of NICE guidelines.

2014

15, bullet 9

1.15.1

Exercise qualification level amended. Committee added need for qualification in paediatric CPR.

2014

15, bullet 10

Deleted. Committee agreed this was now part of standard practice – no recommendations needed.

2014

16, bullet 1

1.19.27

2014

16, bullet 2

1.19.27

2014

17, bullet 1

1.13.14

Merged with PH42 recommendation 11, PH47 recommendation 15

2014

17, bullet 2

1.19.12

2014

17, bullet 3

1.21.1, 1.21.2 Specific data in 1.21.1 replaced by links to current government guidance on what information to collect.

2014

17, bullet 4

Deleted. Covered by recommendation 1.19.26

2014

17, bullet 5

1.21.1

2014

18, bullet 1

1.21.1, 1.21.2

2014

18, bullet 2

1.21.1, 1.21.2

2014

18, bullet 3

1.21.1, 1.21.2

2014

18, bullet 4

Deleted based on NICE editorial consolidation principles.

2014

18, bullet 5

Deleted based on NICE editorial consolidation principles.

Preventing excess weight gain (NG7, 2015)
Year of evidence review or NG7 update Source guideline recommendation number Recommendation number in updated guideline or reason for deletion/amendment

2015

1, bullet 1

Section 1.3

2015

1, bullet 2

Deleted. Covered by government guidance and more specific recommendations on physical activity retained from CG189, now in section 1.6

2015

1, bullet 3

Deleted. Covered by government guidance and more specific new recommendations in section 1.7

2015

1, bullet 4

1.3.1

2015

1, bullet 5

1.3.2 and 1.3.3 Amended to add mention of estimates of portion size, food as focus of social events, and maintaining healthy eating after ill health.

2015

2

1.3.1, 1.15.4

2015

3, bullet 1

1.3.6

Merged with bullet 8

2015

3, bullet 2

1.3.6

2015

3, bullet 3

Deleted based on NICE editorial consolidation principles.

2015

3, bullet 4

1.3.2

2015

3, bullet 5

Deleted based on NICE editorial consolidation principles.

2015

3, bullet 6

Deleted based on NICE editorial consolidation principles.

2015

3, bullet 7

Deleted based on NICE editorial consolidation principles.

2015

3, bullet 8

Deleted based on NICE editorial consolidation principles.

2015

4

1.3.7

Amended to add repeated exposure to vegetables, maintaining oral health, and not using food as a reward or to manage behaviour. Also added reference to physical activity guidelines for disabled children and young people.

2015

5, bullet 1

Deleted based on NICE editorial consolidation principles.

2015

5, bullet 2

Deleted based on NICE editorial consolidation principles.

2015

6, bullet 1

1.3.3 Amended to add awareness of risk of disordered eating.

2015

6, bullet 2

1.3.4 Amended to add tailoring information.

2015

7

1.3.5

COVID outcomes added by committee.

2015

8

1.3.6

2015

9

1.3.8

2015

10

Deleted based on NICE editorial consolidation principles.

Recommendations for research proposed for deletion
Guideline Year Recommendation Reason for deletion

CG43

2006

What are the most effective interventions to prevent or manage obesity in children, young people and adults in the UK?

This research question has been addressed in evidence review G.

CG43

2006

What elements make an intervention to prevent or manage obesity effective and sustainable, and what training do staff need?

This research question has been addressed in evidence review G. The training element of this review question is now outside the remit of NICE guidelines.

PH27

2010

Are the US Institute of Medicine (2009) guidelines on weight gain in pregnancy appropriate for use with the UK population? Does adherence to these recommendations improve outcomes? Are they effective with women and people under 18 and those from minority ethnic family backgrounds?

Weight management during pregnancy is out of scope of this guideline.

PH27

2010

How does resuming behaviours such as smoking and drinking alcohol influence weight management after pregnancy?

This has been addressed by general recommendations on times when weight gain is more likely (recommendation 1.12.15) and alcohol consumption (recommendation 1.1.17).

PH27

2010

How can breastfeeding help with weight management after pregnancy, both in terms of energy expenditure and energy balance?

This research question is outside the scope of this guideline and is now addressed in the NICE guideline on maternal and child nutrition (NG247).

PH27

2010

What are the most effective and cost-effective ways of helping anyone planning a pregnancy to manage their weight beforehand?

This topic is now covered by the general weight loss recommendations in the updated guideline.

PH27

2010

What are the most effective and cost-effective ways of managing overweight and obesity after childbirth? This includes those who are under 18 and those from disadvantaged, low income and ethnic minority backgrounds.

This topic is now covered in the NICE guideline on postnatal care (NG194).

PH27

2010

When is the most appropriate time to start managing weight after childbirth?

This topic is now covered in the NICE guideline on postnatal care (NG194).

PH27

2010

What is the optimal rate of weight loss to ensure long-term success after childbirth?

This topic is now covered in the NICE guideline on postnatal care (NG194).

PH47

2013

Young people with SEND and disabilities: How can their needs, and the needs of their families, best be met? What training would staff need to deliver such interventions?

This research question has been addressed by evidence review D.

PH47

2013

Which components of multi-component interventions determine effectiveness and cost effectiveness?

This research question has been addressed in evidence review G.

PH47

2013

What factors do parents and carers think encourage or discourage children under 6 living with obesity children under 6 to participate (or not) in weight management programmes?

This research question has been addressed in evidence review E and evidence review G.

PH47

2013

Which behavioural approaches to weight management are effective and cost effective for children younger than 6 years?

This research question has been addressed in evidence review E.

PH53

2014

How effective are different weight management programmes available in the UK, when directly compared using high-quality trials?

This research question has been addressed in evidence review E.

PH53

2014

How can referrals to other services after involvement in a weight management service be as effective and cost effective as possible?

Given the change in the structure of weight management and other services, the committee considered this research questions to no longer be relevant.

PH53

2014

What is the effectiveness and cost effectiveness of adult weight management programmes that are available in the UK over at least at least 3 to 5 years, and ideally beyond 10 years?

This research question has been replaced by a new research question on long term support with weight management which the committee considered was more appropriate.

PH53

2014

What is the effectiveness and cost effectiveness of weight management programmes in adults?

This research question has been replaced by a new research question on long term support with weight management which the committee considered was more appropriate.

PH53

2014

What is the effectiveness of training in the delivery and monitoring of weight management programmes for healthcare professionals and other staff involved in weight management?

Training is now outside the remit of NICE guidelines.

NG7

2015

What effect does a combination of individually modifiable dietary habits, physical activity and other lifestyle behaviours have on weight outcomes?

This research question has been addressed in evidence review G.


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