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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Managing cardiovascular risk in overweight children and adolescents
Sarita Dhuper1, Sujatha Buddhe, Sunil Patel
1Department of Pediatric Cardiology, Brookdale University Hospital and Medical Center, 1 Brookdale Plaza, Room 300CHC, Brooklyn, NY 11212, USA. sdhuper@brookdale.edu
Insights
Obesity is a global health crisis, leading to serious co-morbidities like hypertension and type 2 diabetes in children. Early detection and treatment strategies are crucial for managing these conditions and preventing premature death.
Area of Science:
- Public Health
- Cardiology
- Pediatrics
Background:
- The global epidemic of obesity presents a significant medical and public health challenge.
- Obesity is increasingly associated with severe co-morbidities, becoming a leading cause of premature death.
- Pediatric and adult cardiologists observe a rise in young patients with obesity-related diseases like hypertension, dyslipidemia, metabolic syndrome, and type 2 diabetes.
Purpose of the Study:
- To review current literature and recommendations from the American Heart Association (AHA) and American Academy of Pediatrics (AAP).
- To discuss metabolic abnormalities associated with obesity in children and adolescents.
- To highlight newer strategies for identifying and treating obesity, dyslipidemia, and early subclinical coronary artery disease in high-risk youth.
Main Methods:
- Literature review.
- Analysis of scientific statements and recommendations from leading medical organizations (AHA, AAP).
Main Results:
- Obesity in children and adolescents is linked to early onset of serious conditions like hypertension, dyslipidemia, metabolic syndrome, type 2 diabetes, and preclinical atherosclerotic cardiovascular disease.
- There is a growing need for updated identification and treatment strategies for these conditions in pediatric populations.
Conclusions:
- The rising prevalence of childhood obesity necessitates urgent attention and updated management approaches.
- Early identification and intervention for obesity-related metabolic and cardiovascular issues in children and adolescents are critical for long-term health outcomes.
Abstract:
The scientific, medical, and lay communities are currently confronted with a serious medical and public health problem related to the marked non-remitting worldwide epidemic of obesity. This ever-increasing prevalence of obesity is accompanied by a host of inherently associated co-morbidities. As a result, obesity is fast becoming the major cause of premature death in the developed world. As pediatric and adult cardiologists, we have seen a dramatic increase in office referrals of overweight and obese children and adolescents, who already have obesity-related degenerative disease processes such as hypertension, dyslipidemia, the metabolic syndrome, and type 2 diabetes mellitus, as well as manifestations of early preclinical atherosclerotic cardiovascular disease, not previously observed in this age group. This article presents a review of the literature and recent scientific statements and recommendations issued by the American Heart Association (AHA) and the American Academy of Pediatrics (AAP) regarding the metabolic abnormalities associated with obesity, including newer identification and treatment strategies for obesity, dyslipidemia, and early subclinical coronary artery disease seen in high-risk children and adolescents.
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