Severe Obesity in the Pediatric Population: Current Concepts in Clinical Care.

Abstract

PURPOSE OF REVIEW:

This review describes (1) the clinical assessment of pediatric patients with severe obesity, including a summary of salient biological, psychological, and social factors that may be contributing to the patient's obesity and (2) the current state of treatment strategies for pediatric severe obesity, including lifestyle modification therapy, pharmacotherapy, and metabolic and bariatric surgery.

RECENT FINDINGS:

Lifestyle modification therapy alone is insufficient for achieving clinically significant BMI reduction for most youth with severe obesity and metabolic and bariatric surgery, though effective and durable, is not a scalable treatment strategy. Pharmacological agents in the pipeline may 1 day fill this gap in treatment. Treatment of severe pediatric obesity requires a chronic care management approach utilizing multidisciplinary teams of health care providers and multi-pronged therapies.

• Authors: Claudia K Fox, Amy C Gross, Eric M Bomberg, Justin R Ryder, Megan M Oberle, Carolyn T Bramante, Aaron S Kelly
• Journal: Current obesity reports (Curr Obes Rep) Vol. 8 Issue 3 Pg. 201-209 (Sep 2019) ISSN: 2162-4968 [Electronic] United States
• PMID: 31054014 (Publication Type: Journal Article, Review)

Chemical References

• Anti-Obesity Agents

Topics

• Adolescent
• Anti-Obesity Agents (therapeutic use)
• Bariatric Surgery (methods)
• Behavior Therapy (methods)
• Body Mass Index
• Child
• Diet
• Exercise
• Health Personnel
• Humans
• Life Style
• Needs Assessment
• Obesity, Morbid (psychology, therapy)
• Pediatric Obesity (psychology, therapy)
• Psychology
• Weight Loss