Complex Obesity

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

Journal Name: Current Pediatric Reviews

Volume 8 , Issue 2 , 2012

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‘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

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Article Details

Year: 2012
Published on: 20 May, 2012
Page: [179 - 187]
Pages: 9
DOI: 10.2174/157339612800681316
Price: $65

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