This guideline acknowledges deficits in knowledge and consequently the reliance on consensus and lower levels of evidence for many recommendations, and the need for research particularly evaluating weight-neutral and other more recent approaches in this field. This guideline will fill an important gap in the need to better understand and care for people experiencing eating disorders who also have higher weight. Clinical considerations such as weight stigma, interprofessional collaborative practice and cultural considerations are also discussed. Strong recommendations were supported for psychological treatment as a first-line treatment approach adults (with bulimia nervosa or binge-eating disorder), adolescents and children. Twenty-one clinical recommendations are made and graded according to the National Health and Medical Research Council evidence levels. The guideline has undergone extensive peer review and consultation over an 18-month period involving reviews by key stakeholders, including experts and organisations with clinical academic and/or lived experience. The development group included people with clinical and/or academic expertise and/or lived experience. focused on health and related outcomes 6. identifying and managing conflicts of interest 5. overseen by a guideline development group 4. relevant and useful for decision making 2. The Development Group followed the ‘Guidelines for Guidelines’ process outlined by the National Health and Medical Research Council and aim to meet their Standards to be: 1. The National Eating Disorders Collaboration Steering Committee auspiced a Development Group for a Clinical Practice Guideline for the treatment of eating disorders for people with higher weight. The aim of this guideline is to synthesise the current best practice approaches to the management of eating disorders in people with higher weight and make evidence-based clinical practice recommendations. However, despite this, eating disorders experienced by people with higher weight have been consistently under-recognised and under-treated, and there is little to guide clinicians in the management of eating disorders in this population. The prevalence of eating disorders is high in people with higher weight.
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