Pediatric Obesity
Key Points
Key Points
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
...Diagnosi...
...Diagnosing Ov...
...using body mass index (BMI) and the Cen...
...recommends diagnosing a child or adolesce...
...t clinicians take into account that...
...ests calculating, plotting, and re...
...suggests that a child
...mends against routine laboratory evalua...
...S recommends that children or adolesce...
...ainst measuring insulin concentrati...
...Genetic Obesit...
...suggests genetic testing in patients with ext...
...alence of Pediatric Overweight and Obesit...
Table 2. Screening for Comorbidities of Pediatr...
Prevention
...Prevention...
...ests that clinicians promote and partic...
...s that clinicians prescribe and support...
...mmends that children and adolescents engage i...
...sts fostering healthy sleep patterns in chil...
...ommends balancing unavoidable techno...
...suggests that a clinician’s obesity preventio...
...hat clinicians assess family functio...
...using school-based programs and community eng...
...recommends using comprehensive beha...
...ecommends breast-feeding in infants...
...1. Diagnosis and Management Flowch...
...le 3. Genetic Obesity Syndromes With...
Treatment
...Treatment...
...Obesity Li...
...recommends that clinicians prescribe and suppor...
...mends that clinicians prescribe and support...
...at clinicians prescribe and support the re...
...suggests that clinicians encourage and support...
...S suggests that the health care team identify...
...S suggests that the health care tea...
...that the health care team evaluate fo...
...ggests pharmacotherapy for children or adoles...
...gainst using obesity medications i...
...ggests that Food and Drug Administration (...
...that clinicians should discontinue medic...
...bariatric surgery only under the following con...
...nst bariatric surgery in preadolescent childre...
...e in Metabolic Outcome Per Unit Change in BMI...
.... Factors Associated With Prevention of P...
...e 5. Medications Studied for the Long-Term Treat...
...Bariatric Surgical Procedures...