Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

被引：161

作者：

Valerio, Giuliana ^{[1
]}

Maffeis, Claudio ^{[2
]}

Saggese, Giuseppe ^{[3
]}

Ambruzzi, Maria Amalia ^{[4
]}

Balsamo, Antonio ^{[5
]}

Bellone, Simonetta ^{[6
]}

Bergamini, Marcello ^{[7
]}

Bernasconi, Sergio ^{[8
]}

Bona, Gianni ^{[6
]}

Calcaterra, Valeria ^{[9
,10
]}

Canali, Teresa ^{[11
]}

Caroli, Margherita ^{[12
]}

Chiarelli, Francesco ^{[13
]}

Corciulo, Nicola ^{[14
]}

Crino, Antonino ^{[15
]}

Di Bonito, Procolo ^{[16
]}

Di Pietrantonio, Violetta ^{[17
]}

Di Pietro, Mario ^{[18
]}

Di Sessa, Anna ^{[19
]}

Diamanti, Antonella ^{[20
]}

Doria, Mattia ^{[21
]}

Fintini, Danilo ^{[22
]}

Franceschi, Roberto ^{[23
]}

Franzese, Adriana ^{[24
]}

Giussani, Marco ^{[25
]}

Grugni, Graziano ^{[26
]}

Iafusco, Dario ^{[19
]}

Iughetti, Lorenzo ^{[27
]}

Lamborghini, Adima ^{[28
]}

Licenziati, Maria Rosaria ^{[29
]}

Limauro, Raffaele ^{[30
]}

Maltoni, Giulio ^{[5
]}

Manco, Melania ^{[31
,39
]}

Reggiani, Leonardo Marchesini ^{[32
]}

Marcovecchio, Loredana ^{[13
]}

Marsciani, Alberto ^{[33
]}

del Giudice, Emanuele Miraglia ^{[19
]}

Morandi, Anita ^{[34
]}

Morino, Giuseppe ^{[35
]}

Moro, Beatrice ^{[36
]}

Nobili, Valerio ^{[37
,38
]}

Perrone, Laura ^{[19
]}

Picca, Marina ^{[25
]}

Pietrobelli, Angelo ^{[39
]}

Privitera, Francesco ^{[40
]}

Purromuto, Salvatore ^{[41
]}

Ragusa, Letizia ^{[42
]}

Ricotti, Roberta ^{[6
]}

Santamaria, Francesca ^{[24
]}

Sartori, Chiara ^{[43
]}

机构：

[1] Univ Naples Parthenope, Dept Movement Sci & Wellbeing, Via Medina 40, I-80133 Naples, Italy

[2] Univ Verona, Pediat Diabet & Metab Disorders Unit, Verona, Italy

[3] Univ Hosp Pisa, Dept Pediat, Pisa, Italy

[4] Italian Soc Pediat SIP, Rome, Italy

[5] Univ Hosp S Orsola Malpighi, Dept Med & Surg Sci, Bologna, Italy

[6] Univ Piemonte Orientale, Dept Hlth Sci, Novara, Italy

[7] Local Hlth Unit, Ferrara, Italy

[8] Italian Soc Pediat Endocrinol & Diabetol SIEDP, Parma, Italy

[9] Univ Pavia, Pediat Unit, Pavia, Italy

[10] Fdn IRCCS Policlin San Matteo, Pavia, Italy

[11] Local Hlth Unit Roma 2, Rome, Italy

[12] Italian Soc Obes SIO, Francavilla Fontana, Brindisi, Italy

[13] Univ G dAnnunzio, Chair Pediat, Chieti, Italy

[14] Hosp Gallipoli, Pediat Unit, Lecce, Italy

[15] Bambino Gesu Children Hosp, IRCCS, Autoimmune Endocrine Dis Unit, Rome, Italy

[16] Pozzuoli Hosp, Dept Internal Med S Maria delle Grazie, Naples, Italy

[17] ARNAS Civ Cristina Benfratelli, Dept Pediat, Palermo, Italy

[18] G Mazzini Hosp, Pediat & Neonatal Unit, Teramo, Italy

[19] Univ Campania Luigi Vanvitelli, Dept Woman Child & Gen & Specialized Surg, Naples, Italy

[20] Bambino Gesu Pediat Hosp, IRCCS, Artificial Nutr Unit, Rome, Italy

[21] Italian Federat Pediatricians FIMP, Venice, Italy

[22] Bambino Gesu Children Hosp, IRCCS, Endocrinol & Diabetol Unit, Rome, Italy

[23] Santa Chiara Hosp, Pediat Unit, Trento, Italy

[24] Univ Federico II Naples, Reg Ctr Pediat Diabet, Dept Translat Med Sci, Naples, Italy

[25] ATS, Milan, Italy

[26] IRCCS, Ist Auxol Italiano, Div Auxol, Verbania, Italy

[27] Univ Modena & Reggio Emilia, Pediat Unit, Modena, Italy

[28] Italian Federat Pediatricians FIMP, Teramo, Italy

[29] AORN Santobono Pausilipon, Dept Neurosurg & Rehabil, Naples, Italy

[30] Local Hlth Unit Napoli 3 Sud, Naples, Italy

[31] Childrens Hosp Bambino Gesu, Res Area Multifactorial Dis, Rome, Italy

[32] Ist Ortoped Rizzoli, Bologna, Italy

[33] Infermi Hosp, Pediat Unit, Rimini, Italy

[34] Univ Hosp Verona, Pediat Diabet & Metab Disorders Unit, Verona, Italy

[35] Bambino Gesu Pediat Hosp, IRCCS, Nutr Unit, Rome, Italy

[36] Local Hlth Unit AULSS 6 Euganea, Padua, Italy

[37] Sapienza Univ Rome, Dept Pediat & Infantile Neuropsychiat, Rome, Italy

[38] Bambino Gesu Pediat Hosp, Hepatometab Unit, IRCSS, Rome, Italy

[39] Verona Univ, Sch Med, Pediat Unit, Verona, Italy

[40] Italian Federat Pediatricians FIMP, Catania, Italy

[41] ASP Ragusa, Pediat Obes Unit, Ragusa, Italy

[42] IRCCS, Oasi Res Inst, Troina, Ragusa, Italy

[43] Arcispedale S Maria Nuova, IRCCS, Dept Obstet Gynaecol & Paediat, Reggio Emilia, Italy

[44] Italian Soc Pediat Endocrinol & Diabetol SIEDP, Ferrara, Italy

[45] ASST Rhodense, Pediat Unit, Milan, Italy

[46] Univ Milan, San Paolo Hosp, Dept Pediat, Milan, Italy

[47] Univ Naples Federico II, Dept Social Sci, Naples, Italy

来源：

ITALIAN JOURNAL OF PEDIATRICS | 2018年 / 44卷

关键词：

Consensus; Diagnosis; Pediatric obesity; Prevention; Treatment; BODY-MASS INDEX; IDIOPATHIC INTRACRANIAL HYPERTENSION; IMPAIRED GLUCOSE-TOLERANCE; POLYCYSTIC-OVARY-SYNDROME; GESTATIONAL WEIGHT-GAIN; LIFE-STYLE INTERVENTION; HDL-CHOLESTEROL RATIO; FATTY LIVER-DISEASE; GASTROESOPHAGEAL-REFLUX SYMPTOMS; LAPAROSCOPIC SLEEVE GASTRECTOMY;

D O I：

10.1186/s13052-018-0525-6

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The Italian Consensus Position Statement on Diagnosis, Treatment and Prevention of Obesity in Children and Adolescents integrates and updates the previous guidelines to deliver an evidence based approach to the disease. The following areas were reviewed: (1) obesity definition and causes of secondary obesity; (2) physical and psychosocial comorbidities; (3) treatment and care settings; (4) prevention. The main novelties deriving from the Italian experience lie in the definition, screening of the cardiometabolic and hepatic risk factors and the endorsement of a staged approach to treatment. The evidence based efficacy of behavioral intervention versus pharmacological or surgical treatments is reported. Lastly, the prevention by promoting healthful diet, physical activity, sleep pattern, and environment is strongly recommended since the intrauterine phase.

引用

页数：21

共 340 条

[81] Baby-Led Introduction to SolidS (BLISS) study: a randomised controlled trial of a baby-led approach to complementary feeding [J].

Daniels, Lisa ;

Heath, Anne-Louise M. ;

Williams, Sheila M. ;

Cameron, Sonya L. ;

Fleming, Elizabeth A. ;

Taylor, Barry J. ;

Wheeler, Ben J. ;

Gibson, Rosalind S. ;

Taylor, Rachael W. .

BMC PEDIATRICS, 2015, 15

[82] The Role of the Pediatrician in Primary Prevention of Obesity [J].

Daniels, Stephen R. ;

Hassink, Sandra G. .

PEDIATRICS, 2015, 136 (01) :E275-E292

[83] Gastro-oesophageal reflux disease in children: NICE guidance [J].

Davies, Ieuan ;

Burman-Roy, Shona ;

Murphy, M. Stephen .

BMJ-BRITISH MEDICAL JOURNAL, 2015, 350

[84] A Participatory Physical Activity Intervention in Preschools A Cluster Randomized Controlled Trial [J].

De Bock, Freia ;

Genser, Bernd ;

Raat, Hein ;

Fischer, Joachim E. ;

Renz-Polster, Herbert .

AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2013, 45 (01) :64-74

[85] Defining obesity risk status in the general childhood population: Which cut-offs should we use? [J].

de Onis, M. ;

Lobstein, T. .

INTERNATIONAL JOURNAL OF PEDIATRIC OBESITY, 2010, 5 (06) :458-460

[86] Development of a WHO growth reference for school-aged children and adolescents [J].

de Onis, Mercedes ;

Onyango, Adelheid W. ;

Borghi, Elaine ;

Siyam, Amani ;

Nishida, Chizuru ;

Siekmann, Jonathan .

BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2007, 85 (09) :660-667

[87] WHO Child Growth Standards based on length/height, weight and age [J].

de Onis, Mercedes ;

Martorell, Reynaldo ;

Garza, Cutberto ;

Lartey, Anna .

ACTA PAEDIATRICA, 2006, 95 :76-85

[88] Association between WHO cut-offs for childhood overweight and obesity and cardiometabolic risk [J].

de Onis, Mercedes ;

Martinez-Costa, Cecilia ;

Nunez, Francisco ;

Nguefack-Tsague, Georges ;

Montal, Angeles ;

Brines, Juan .

PUBLIC HEALTH NUTRITION, 2013, 16 (04) :625-630

[89]

Delgado J, 2008, J INVEST ALLERG CLIN, V18, P420

[90] Sugar-Sweetened Beverages and Obesity Risk in Children and Adolescents: A Systematic Analysis on How Methodological Quality May Influence Conclusions [J].

Della Torre, Sophie Bucher ;

Keller, Amelie ;

Depeyre, Jocelyne Laure ;

Kruseman, Maaike .

JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS, 2016, 116 (04) :638-659

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