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Severe Obesity in the Pediatric Population: Current Concepts in Clinical Care

Claudia K Fox1, Amy C Gross2, Eric M Bomberg2

  • 1Center for Pediatric Obesity Medicine, Department of Pediatrics, University of Minnesota, 2450 Riverside Avenue, 6th floor, East Bldg, Minneapolis, MN, 55454, USA. Lusc0001@umn.edu.

Current Obesity Reports
|May 5, 2019
PubMed

Insights

Severe pediatric obesity requires comprehensive management. While lifestyle changes alone are insufficient, surgery is not scalable, highlighting the need for new pharmacotherapies and chronic care models.

Area of Science:

  • Pediatric Endocrinology
  • Obesity Medicine
  • Public Health

Background:

  • Severe obesity in children presents complex challenges.
  • Contributing factors include biological, psychological, and social elements.
  • Effective management strategies are critical for long-term health outcomes.

Purpose of the Study:

  • To review the clinical assessment of pediatric severe obesity.
  • To summarize contributing factors to severe obesity in youth.
  • To evaluate current and emerging treatment strategies for pediatric severe obesity.

Main Methods:

  • Comprehensive literature review of clinical assessment and treatment modalities.
  • Analysis of biological, psychological, and social factors.
  • Evaluation of lifestyle modification, pharmacotherapy, and bariatric surgery.

Main Results:

  • Lifestyle modification alone is often insufficient for significant BMI reduction in severe pediatric obesity.
  • Metabolic and bariatric surgery is effective but not a scalable solution.
  • Emerging pharmacological agents show promise for addressing treatment gaps.

Conclusions:

  • Severe pediatric obesity necessitates a chronic care management approach.
  • Multidisciplinary teams and multi-pronged therapies are essential.
  • Future treatments may involve a combination of pharmacotherapy and intensive management.
Abstract

Keywords:
AdolescentAssessment and treatmentBariatric surgeryChildObesityPediatricPharmacotherapySevere obesityWeight loss surgery

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