Current Pediatric Reviews

Giuseppe Buonocore
Department of Molecular and Developmental Medicine
University of Siena
Siena
Italy

Back

Complex Obesity

Author(s): Paola Luca, Catherine Birken, Preeti Grewal, Elizabeth Dettmer, Jill Hamilton.

Abstract:

‘Complex severe obesity’ in children and adolescents can be defined as a BMI >95th percentile for their age and gender in addition to at least one significant obesity-related co-morbidity requiring specialty care, other co-existing chronic illness impacted by obesity, or a BMI ≥99th percentile for their age and gender. These children are at high risk of acute and long-term medical and psychosocial morbidities. Optimal management strategies for this group of patients are not well studied, although general principals include emphasis on a comprehensive family-based lifestyle intervention, while addressing medical and psychological aspects of obesity, as well as motivation to change behaviours. Further treatment options, such as bariatric surgery, may be necessary, but require a skilled interdisciplinary team and careful selection of candidates most likely to benefit from these procedures.

Keywords: Childhood obesity, complex obesity, family-based behavioral therapy, lifestyle intervention, interdisciplinary, weight management program, bariatric surgery

Order Reprints Order Eprints Rights & PermissionsPrintExport

Article Details

VOLUME: 8
ISSUE: 2
Year: 2012
Page: [179 - 187]
Pages: 9
DOI: 10.2174/157339612800681316
Price: $58