- freely available
Nutrients 2009, 1(2), 197-209; doi:10.3390/nu1020197
Proposition for a treatment program
Why do we need new treatments?
Basic approach – school-based treatments
Cognitive behavior therapy
More aggressive interventions
Weight loss medications in the treatment of pediatric obesity
Proposition for a practical treatment program
Age 0–3 years
Age 4–10 years
Age 10–16 years
- - Given the magnitude of the childhood obesity problem, pediatricians and other health care providers need to take a major role in the care of health of the obese child.
- - Successfully treating obesity will require a major shift in pediatric care.
- - The most effective way to prevent complications of obesity in teenagers is to introduce and reinforce healthy behavior and lifestyle early in childhood.
- - More clinical studies on the efficacy of specific prevention and treatment programs; and the effort to move from efficacy to broad effectiveness are needed.
- - Evaluating an obese child should begin with:
- Detailed medical examination
- Assessment of diet
- Assessment of physical activity and behaviors that are linked to obesity
- Appraisal of the degree of obesity and its associated metabolic complications
- - Assessment of obesity/adiposity:
- Body composition assessment/measurements: from height and weight, BMI (kg/m2), skinfold thickness and waist circumferences.
- Assessment of fat, fat free mass, and bone mineral content using laboratory techniques (i.e., BIA, Dual energy X-ray Absorptiometry (DXA), computed tomography (CT), Magnetic Resonance Imaging (MRI).
- - Assessment of Obesity – related diseases:
- Laboratory tests, (glucose, insulin, lipid profile, thyroid function, appropriate hormones, hepatic function), blood pressure assessment
- - Specialized treatments – programs and interventions
- Dietary components
- Physical exercise
- Pharmacologic approaches
- Surgical approaches
- Primary and specialized care
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