Pediatric Obesity: Causes, Prevention and Treatment

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Endocrinology & Metabolism".

Deadline for manuscript submissions: 10 October 2025 | Viewed by 2197

Special Issue Editor


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Guest Editor
Department of Pediatrics, Faculty of Medicine, McGill University, Montreal, QC, Canada
Interests: obesity; lipids; healthy lifestyle; fetal programming; 1000 first days of life

Special Issue Information

Dear Colleagues,

The science of childhood obesity has come a long way in recent years. In this Special Issue of the Journal of Clinical Medicine, I would like to take a pause to summarize what we have learned so far and to look to the future of our medical management and treatment of this chronic disease, for which we now have exciting evidence-based pharmacologic and surgical options.

To that end, in this Special Issue, we will attempt to present the genetic roots from conception to the expression of the disease through the different stages of the child's growth. In addition, we plan to look at the mental health factors that are recognized as determinants of disease expression in each young person's environment.

This is a big challenge, but we have a duty to condense and share our knowledge at this stage in the hope of creating healthier populations, a healthier workforce, a better quality of life for our patients, and a reduction in the rapidly growing number of non-communicable diseases among young people.

I hope you will join us in this exciting challenge.

Dr. Julie St-Pierre
Guest Editor

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Keywords

  • 1000 first days of life
  • childhood obesity
  • lipids
  • healthy lifestyle
  • fetal programming

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Published Papers (2 papers)

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Research

17 pages, 4130 KiB  
Article
Prevalence and Determinants of Overweight and Obesity Among Romanian Children Aged 5–17: A Cross-Sectional Study
by Anca Cristina Drăgănescu, Alexandru Dinulescu, Daniela Păcurar, Viorel Jinga and Doina Anca Pleșca
J. Clin. Med. 2025, 14(10), 3331; https://doi.org/10.3390/jcm14103331 - 10 May 2025
Viewed by 313
Abstract
Background/Objectives: Overweight and obesity in children is a worldwide health concern, with a high prevalence and an increasing trend in recent years. The prevalence of pediatric overweight and obesity in Romania is unclear; some studies estimate the rate of overweight at 15–20% [...] Read more.
Background/Objectives: Overweight and obesity in children is a worldwide health concern, with a high prevalence and an increasing trend in recent years. The prevalence of pediatric overweight and obesity in Romania is unclear; some studies estimate the rate of overweight at 15–20% and the obesity rate at 8.7–10.7%. The objective of this study is to measure the prevalence of overweight and obesity in children in Romania and to highlight their risks and protective factors. Methods: A repeated cross-sectional study that included children between 5 and 17 years old was performed across 2 years. Anamnestic data regarding demographics, family, and child’s lifestyle was collected from the child’s parent, and some medical and anthropometric parameters of the child were measured. The BMI and z-scores were calculated using the WHO charts. Logistic regression models were verified for goodness-of-fit and used for estimating the prediction value of fast-food consumption, parents’ education, and the presence of parents with obesity in the case of increased weight in the child. Results: A total of 1231 children were included in the study, 25.1% of whom exhibited an excess of weight. The prevalences of overweight and obesity were 17.5% and 7.6%, respectively. In the multivariate model, the following variables significantly predicted the weight of children: days of fast-food consumption, parents’ education, parents with excess weight, and hours of physical activity (p < 0.005) Conclusions: The prevalence of pediatric overweight and obesity in Romania is in accordance with the global prevalence. Considering fast-food consumption and the presence of parents with obesity as risk factors for children’s overweight or obesity and physical activity and a higher level of education of the parent as protector factors, we strongly emphasize the importance of public health initiatives directed towards these factors. Full article
(This article belongs to the Special Issue Pediatric Obesity: Causes, Prevention and Treatment)
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14 pages, 768 KiB  
Article
Family Shopping Basket Intervention: A Strategy to Reduce Obesity in Prepubertal Children
by Rocío Escartín, Beatriz de Peray, Yolanda Couto, Abel Martínez-Mejias and Raquel Corripio
J. Clin. Med. 2025, 14(1), 227; https://doi.org/10.3390/jcm14010227 - 3 Jan 2025
Viewed by 805
Abstract
Background/Objectives: The goal of childhood obesity treatment is to benefit the physical and mental health of children who suffer from it and to prevent complications, improving their quality of life and ensuring adequate development. Family-based interventions are demonstrating positive results, especially in prepubertal [...] Read more.
Background/Objectives: The goal of childhood obesity treatment is to benefit the physical and mental health of children who suffer from it and to prevent complications, improving their quality of life and ensuring adequate development. Family-based interventions are demonstrating positive results, especially in prepubertal children. The aim of our study was to evaluate the effectiveness of a family grocery basket intervention for the treatment of childhood obesity in a Spanish primary care office. Methods: A randomized controlled trial comparing a family grocery basket intervention through the analysis of unhealthy products included in the grocery receipts that families bring to the primary care office, in comparison with the usual interventions. Results: Ninety-one children participated in the study (intervention group: n = 60, control group: n = 31). After one year of follow-up, a relevant weight loss with a decrease of ≥0.5 SDS in the z-IMC was obtained in 60.6% of the total sample. In the intervention group, there was a significant decrease in the number of unhealthy products in the family grocery basket and a lower percentage of hypertension and severe obesity than in the control group. In families in which there was a significant decrease in the consumption of unhealthy products, a higher percentage of weight loss was observed. Conclusions: Intervention in the family grocery basket through receipts is an original, simple and effective tool for family-based treatment in childhood obesity. Full article
(This article belongs to the Special Issue Pediatric Obesity: Causes, Prevention and Treatment)
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