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Current Pediatric Reviews


ISSN (Print): 1573-3963
ISSN (Online): 1875-6336

Complex Obesity

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

Volume 8, Issue 2, 2012

Page: [179 - 187] Pages: 9

DOI: 10.2174/157339612800681316

Price: $65


‘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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