The treatment of obesity in children and adolescents: consensus position statement of the Italian society of pediatric endocrinology and diabetology, Italian Society of Pediatrics and Italian Society of Pediatric Surgery

被引：0

作者：

Claudio Maffeis

Francesca Olivieri

Giuliana Valerio

Elvira Verduci

Maria Rosaria Licenziati

Valeria Calcaterra

Gloria Pelizzo

Mariacarolina Salerno

Annamaria Staiano

Sergio Bernasconi

Raffaele Buganza

Antonino Crinò

Nicola Corciulo

Domenico Corica

Francesca Destro

Procolo Di Bonito

Mario Di Pietro

Anna Di Sessa

Luisa deSanctis

Maria Felicia Faienza

Grazia Filannino

Danilo Fintini

Elena Fornari

Roberto Franceschi

Francesca Franco

Adriana Franzese

Lia Franca Giusti

Graziano Grugni

Dario Iafusco

Lorenzo Iughetti

Riccardo Lera

Raffaele Limauro

Alice Maguolo

Valentina Mancioppi

Melania Manco

Emanuele Miraglia Del Giudice

Anita Morandi

Beatrice Moro

Enza Mozzillo

Ivana Rabbone

Paola Peverelli

Barbara Predieri

Salvo Purromuto

Stefano Stagi

Maria Elisabeth Street

Rita Tanas

Gianluca Tornese

Giuseppina Rosaria Umano

Malgorzata Wasniewska

机构：

[1] University of Verona,Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism

[2] Parthenope University of Naples,Department of Movement Sciences and Wellbeing

[3] Vittore Buzzi Children’s Hospital,Deparment of Pediatrics, Department of Health Science

[4] University of Milan,Department of Neurosciences

[5] Neuro-Endocrine Diseases and Obesity Unit,Department of Pediatrics

[6] Santobono-Pausilipon Children’s Hospital,Department of Internal Medicine and Therapeutics

[7] Vittore Buzzi Children’s Hospital,Department of Pediatric Surgery

[8] University of Pavia,Department of Traslational Medical Sciences, Section of Pediatrics

[9] Vittore Buzzi Children’s Hospital,Pediatric Endocrinology Unit, Department of Public Health and Pediatric Sciences

[10] University of Naples Federico II,Autoimmune Endocrine Diseases Unit

[11] Microbiome Reaserch Hub,Pediatric Unit

[12] University of Parma,Department of Human Pathology of Adulthood and Childhood

[13] University of Turin,Department of Internal Medicine

[14] Bambino Gesù Children Hospital,Pediatric and Neonatal Unit

[15] IRCCS,Department of Woman, Child and General and Specialized Surgery

[16] Hospital of Gallipoli,Department of Sciences of Public Health and Pediatrics

[17] University of Messina,Department of Precision and Regenerative Medicine and Ionan Area

[18] S. Maria Delle Grazie Hospital,Refernce Center for Prader Willi Syndrome, Endocrinology and Diabetology Unit

[19] Hospital of Teramo and Atri,Pediatric Department

[20] University of Campania L. Vanvitelli,Division of Auxology

[21] University of Turin,Department of Medical and Surgical Sciences of Mother, Children and Adults, Pediatric Unit

[22] University of Bari,Research Area for Multifactorial Diseases

[23] Pediatric Unit Ostuni Hospital,Division of Pediatrics, Department of Health Sciences

[24] Bambino Gesù Children Hospital,Department of Pediatrics and Gynecology

[25] IRCCS,Pediatric Obesity Unit

[26] Pediatric Unit,Department of Health Sciences

[27] S. Chiara Hospital,Department of Medicine and Surgery, Unit of Paediatrics

[28] APSS Trento,Institute for Maternal and Child Health

[29] Azienda Sanitaria Universitaria del Friuli Centrale,undefined

[30] Hospital of Udine,undefined

[31] Italian Society for Pediatric Endocrinology and Diabetology (SIEDP),undefined

[32] Istituto Auxologico Italiano,undefined

[33] IRCCS,undefined

[34] University of Modena and Reggio Emilia,undefined

[35] Italian Society for Pediatric Endocrinology and Diabetology (SIEDP),undefined

[36] Local Health Unit Napoli,undefined

[37] Children’s Hospital Bambino Gesù,undefined

[38] UOSD Diabetology,undefined

[39] Complesso Ai Colli,undefined

[40] University of Piemonte Orientale,undefined

[41] Hospital of Belluno,undefined

[42] ASP of Ragusa,undefined

[43] University of Florence,undefined

[44] Meyer Children’s Hospital IRCCS,undefined

[45] University of Parma,undefined

[46] University Hospital of Parma,undefined

[47] Italian Society for Pediatric Endocrinology and Diabetology (SIEDP),undefined

[48] IRCCS “Burlo Garofolo”,undefined

来源：

Italian Journal of Pediatrics | / 49卷

关键词：

Children; Adolescents; Obesity; Treatment; Nutrition; Physical activity; Cognitive and family-based behavior therapy; Drug; Bariatric surgery;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

This Position Statement updates the different components of the therapy of obesity (lifestyle intervention, drugs, and surgery) in children and adolescents, previously reported in the consensus position statement on pediatric obesity of the Italian Society of Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics. Lifestyle intervention is the first step of treatment. In children older than 12 years, pharmacotherapy is the second step, and bariatric surgery is the third one, in selected cases. Novelties are available in the field of the medical treatment of obesity. In particular, new drugs demonstrated their efficacy and safety and have been approved in adolescents. Moreover, several randomized control trials with other drugs are in process and it is likely that some of them will become available in the future. The increase of the portfolio of treatment options for obesity in children and adolescents is promising for a more effective treatment of this disorder.

引用

共 921 条

[71]

Germain G(2000)Problem solving in the treatment of childhood obesity J Consult Clin Psychol 68 598-2883

[72]

Summers C(2014)Behavioural weight management review group. effect of behavioural techniques and delivery mode on effectiveness of weight management: systematic review, meta-analysis and meta-regression Obes Rev 15 4161-749

[73]

Li F(2021)Trends in the number of behavioural theory-based healthy eating interventions inclusive of dietitians/nutritionists in 2000–2020 Nutrients 13 109-362

[74]

Shaw M(2016)Why is changing health-related behaviour so difficult? Public Health 136 1172-24

[75]

Nowicka P(2020)The use of behavior change theories in dietetics practice in primary health care: a systematic review of randomized controlled trials J Acad Nutr Diet 120 1102-93

[76]

Kursawe R(1992)In search of how people change Applications to addictive behaviors Am Psychol 47 175-720

[77]

Depourcq F(1988)Social learning theory and the health belief model Health Educ Q 15 137-24

[78]

Kim G(2019)The effect of a multidisciplinary lifestyle intervention on obesity status, body composition, physical fitness, and cardiometabolic risk markers in children and adolescents with obesity Nutrients 11 2427-126

[79]

Tamborlane WV(2017)Screening for obesity and intervention for weight management in children and adolescents: evidence report and systematic review for the us preventive services task force JAMA 317 326-197

[80]

Ryder JR(2021)Severe obesity in children and adolescents: metabolic effects, assessment, and treatment J Obes Metab Syndr 30 709-485

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