Pediatric Obesity

Publication Date: January 31, 2017

Key Points

Key Points

Pediatric obesity remains an ongoing serious international health concern affecting ~17% of US children and adolescents, threatening their adult health and longevity.

Pediatric obesity has its basis in genetic susceptibilities influenced by a permissive environment starting in utero and extending through childhood and adolescence.

Genetic screening for rare syndromes is indicated only in the presence of specific historical or physical features.

Endocrine etiologies for obesity are rare and usually are accompanied by attenuated growth patterns.

Pediatric comorbidities are common, and long-term health complications often result. Screening for comorbidities of obesity should be applied in a hierarchal, logical manner for early identification before more serious complications result.

The psychological toll of pediatric obesity on the individual and family necessitates screening for mental health issues and counseling as indicated.

The prevention of pediatric obesity by promoting healthful diet, activity, and environment should be a primary goal, since achieving effective, long-lasting results with lifestyle modification once obesity occurs is difficult.

Diagnosis

...agnosis...

...nosing Overweight and Ob...

...nds using body mass index (BMI) and the Ce...

...ends diagnosing a child or adolesce...

...that clinicians take into account that variatio...

...S suggests calculating, plotting, and reviewin...

...gests that a child...

...mmends against routine laboratory e...

...nds that children or adolescents with...

...against measuring insulin concentrations whe...


...Obesity Syndromes...

...suggests genetic testing in patients with e...


...revalence of Pediatric Overweight and Obesity...


...2. Screening for Comorbidities of Pediatric...


Prevention

...reventi...

...ts that clinicians promote and part...


...S recommends that clinicians prescri...


...at children and adolescents engage...


...suggests fostering healthy sleep patterns in...


...alancing unavoidable technology-relat...


...suggests that a clinician’s obesity pre...


ES suggests that clinicians assess family f...


...sts using school-based programs and commun...


...ends using comprehensive behavior-ch...


...recommends breast-feeding in infants...


...Diagnosis and Management Flowcharta Measure ins...


.... Genetic Obesity Syndromes With and...


Treatment

...atment...

...festyle: General Considerations...

...S recommends that clinicians prescribe and suppor...

...that clinicians prescribe and support healthy...

...ommends that clinicians prescribe and support...

...suggests that clinicians encourage and suppor...

...ests that the health care team identify maladapti...

...gests that the health care team probe for an...

...uggests that the health care team evalu...

...uggests pharmacotherapy for children or adoles...

...mmends against using obesity medications...

...ggests that Food and Drug Administration...

...clinicians should discontinue medi...

...uggests bariatric surgery only under the fo...

...S suggests against bariatric surgery in preadoles...

...Change in Metabolic Outcome Per Unit C...


...able 4. Factors Associated With Prevention of Pe...


...e 5. Medications Studied for the Long-T...


.... Bariatric Surgical Procedures