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...

...gnosing Overweight and Obesity...

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

...commends diagnosing a child or adol...

...ts that clinicians take into account tha...

...ulating, plotting, and reviewing a chi...

...uggests that a child...

...nds against routine laboratory evaluations f...

...that children or adolescents with...

...ds against measuring insulin conce...


...tic Obesity Syndromes...

...enetic testing in patients with extreme...


...e 1. Prevalence of Pediatric Overwe...


...ening for Comorbidities of Pediatric Overwei...


Prevention

...vention...

...ggests that clinicians promote and part...


...at clinicians prescribe and support healthy ea...


...S recommends that children and adolescents enga...


ES suggests fostering healthy sleep pa...


...s balancing unavoidable technology-related scree...


...ts that a clinician’s obesity prevention e...


...hat clinicians assess family function...


...g school-based programs and community engage...


...ommends using comprehensive behavi...


...east-feeding in infants based on numerous heal...


...re 1. Diagnosis and Management Flowcha...


...ic Obesity Syndromes With and Without Develop...


Treatment

Treatm...

...ty Lifestyle: General Considerat...

...ommends that clinicians prescribe an...

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

...mends that clinicians prescribe and support the...

...gests that clinicians encourage and suppo...

...that the health care team identify malada...

...that the health care team probe for and di...

...gests that the health care team evalu...

...suggests pharmacotherapy for childr...

...gainst using obesity medications in...

...suggests that Food and Drug Administration (F...

...suggests that clinicians should discont...

...iatric surgery only under the followi...

...ts against bariatric surgery in pread...

...hange in Metabolic Outcome Per Unit Change in BM...


...Factors Associated With Prevention of Pe...


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


...ure 3. Bariatric Surgical P...