Management of childhood obesity

被引：0
|
作者：
Dubern, Beatrice [1 ]
机构：
[1] Hop Armand Trousseau, Serv Gastroenterol & Nutr Pediat, F-75012 Paris, France
来源：
PRESSE MEDICALE | 2010年 / 39卷 / 09期
关键词：
CHILDREN; WEIGHT; INDEX; MASS;
D O I：
10.1016/j.lpm.2010.04.017
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Endocrine diseases (hypothyroidism, growth hormon deficiency, hypercortisolism) ore exceptional in obese children and are searched only in case of short stature. It is not necessary to test systematically glucose tolerance (fasting glucose; oral glucose tolerance test) and lipids in order to look for obesity related comorbidities. Decreased caloric intake is the main goal for the treatment. Ways to succeed need to be adapted to each child with pragmatism and without dogmatism. Goals for treatment are reasonable (stabilization of weight excess). Weight loss surgery in obese children may be discussed in some cases with multidisciplinary expert team (doctors, surgeons, psychologist ... ) and close collaboration between adults teams and paediatricians
引用
收藏
页码：960 / 968
页数：9
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