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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
[Prevention and treatment of obesity in children]
Kenji Togashi1, Kosei Iguchi, Hidenari Masuda
1Department of Health and Physical Education, Faculty of Education, Mie University.
Insights
Childhood obesity in Japan requires primary prevention strategies like breastfeeding and daily school exercise. Combined dietary and exercise treatment significantly reduces fat and chronic disease risk factors in obese children.
Area of Science:
- Pediatrics
- Public Health
- Metabolic Disorders
Context:
- High prevalence of childhood obesity and associated comorbidities in Japan.
- Increasing rates necessitate urgent primary prevention strategies.
- Focus on early intervention to mitigate long-term health complications.
Purpose:
- To outline primary prevention strategies for childhood obesity.
- To detail effective treatment interventions for obese children.
- To evaluate the impact of combined dietary and exercise treatment on body composition and risk factors.
Summary:
- Recommends breastfeeding for at least 6 months and 60 minutes of daily moderate-to-vigorous exercise in schools for prevention.
- Treatment includes behavioral therapy, reduced sedentary time, and education on diet and exercise.
- Significant reduction in subcutaneous and visceral fat observed after combined dietary and exercise treatment.
Impact:
- Suggests that combined dietary and exercise interventions normalize abdominal fat distribution in obese children.
- Demonstrates a reduction in chronic disease risk factors.
- Highlights the importance of lifestyle modifications for managing childhood obesity and its sequelae.
Abstract:
The prevalence of childhood obesity and its comorbidities is high in Japan. Increasing prevalence of obesity among children emphasizes the importance of focusing on primary prevention to avoid health complications later in life. We emphasize the prevention of obesity by recommending breast-feeding of infants for at least 6 months and advocating that schools provide for 60 min of moderate to vigorous daily exercise in all grades. Treatment interventions include behavioral therapy, reduction in sedentary behavior, and dietary and exercise education. After dietary treatment combined with exercise treatment, the areas of subcutaneous and visceral fat decreased significantly. These data suggest that dietary treatment combined with exercise treatment in obese children normalizes the distribution of abdominal fat and reduces the risk factors for chronic disease.
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