Obesity Management in Children and Adolescents

Gunther Wong; Gitanjali Srivastava

doi:10.1016/j.gtc.2023.03.011

Obesity Management in Children and Adolescents

Gastroenterol Clin North Am. 2023 Jun;52(2):443-455. doi: 10.1016/j.gtc.2023.03.011. Epub 2023 Apr 7.

Authors

Gunther Wong¹, Gitanjali Srivastava²

Affiliations

¹ Department of Medicine, Division of Diabetes, Endocrinology & Metabolism, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Surgery, Vanderbilt University School of Medicine; Department of Pediatrics, Vanderbilt University School of Medicine; Vanderbilt Weight Loss Center, Vanderbilt University Medical Center, Thompson Lane, Suite 22200, Nashville, TN 37204, USA.
² Department of Medicine, Division of Diabetes, Endocrinology & Metabolism, Vanderbilt University School of Medicine, Nashville, TN, USA; Department of Surgery, Vanderbilt University School of Medicine; Department of Pediatrics, Vanderbilt University School of Medicine; Vanderbilt Weight Loss Center, Vanderbilt University Medical Center, Thompson Lane, Suite 22200, Nashville, TN 37204, USA. Electronic address: gitanjali.srivastava@vumc.org.

PMID: 37197885
DOI: 10.1016/j.gtc.2023.03.011

Abstract

Obesity in the pediatric population is increasing in the United States and globally. Childhood obesity is associated with cardiometabolic and psychosocial comorbidities and decreased overall life span. The cause of pediatric obesity is multifactorial and includes genetic predisposition, lifestyle, behavioral patterns, and consequences of social determinants of health. Routine screening of BMI and comorbid conditions is essential to identifying patients who require treatment. The AAP recommends immediate Intensive Health Behavior and Lifestyle Treatment for children with obesity, encompassing lifestyle changes, behavioral changes, and mental health treatments. Pharmacologic interventions and metabolic and bariatric surgery are also available when indicated.

Keywords: Adjuvant obesity medication; Bariatric surgery; Comprehensive obesity care; Medical weight loss; Pediatric obesity; Weight management.

Publication types

Review

MeSH terms

Adolescent
Bariatric Surgery*
Child
Humans
Life Style
Obesity Management*
Pediatric Obesity* / epidemiology
Pediatric Obesity* / therapy
United States