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Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Racial Disparities in Obesity Treatment Among Children and Adolescents
Veronica R Johnson1, Nonyerem O Acholonu2, Ana C Dolan3
1Department of Internal Medicine, Northwestern Medicine, 259 E. Erie Street, Suite 2150, Chicago, IL, 60611, USA. veronica.johnson@nm.org.
Insights
Racial disparities in pediatric obesity are evident from conception, influenced by genetics and environment. Treatment access and utilization are limited in minority communities, necessitating further research.
Area of Science:
- Pediatric Endocrinology
- Public Health
- Health Disparities
Background:
- Childhood obesity is a growing epidemic requiring urgent intervention.
- Racial disparities in obesity prevalence and treatment necessitate focused study.
Purpose of the Study:
- To evaluate the origins of childhood obesity and identify strategies to slow disease progression.
- To investigate racial disparities in pediatric obesity to inform public health strategies.
Main Methods:
- Review of existing literature on racial disparities in pediatric obesity.
- Analysis of factors contributing to obesity from conception through adolescence.
- Examination of current treatment modalities and their utilization in diverse populations.
Main Results:
- Pronounced disparities exist among Black and Hispanic pediatric patients due to genetic and fetal environmental factors.
- Postnatal environment and psychosocial factors exacerbate weight gain propensity.
- Treatment options are underutilized in communities of color due to access and cost barriers.
Conclusions:
- Limited data exists on treatment disparities for pediatric obesity.
- Race significantly impacts disease treatment, highlighting a need for further research.
- Increased research in pharmacotherapy and metabolic and bariatric surgery (MBS) is crucial to combat pediatric obesity in minority communities.
Purpose Of Review:
With the growing obesity epidemic among children and adolescents, the evaluation of disease origin to slow disease progression is necessary. Racial disparities which are evident amid prevalence and treatment must be studied to counteract disease propagation.
Recent Findings:
Disparities are pronounced among Black and Hispanic pediatric patients prior to conception and birth due to genetic composition and fetal environment. Postnatal environment and psychosocial influences can further increase a child/adolescent's propensity to increased weight. Current treatment options including nutrition, physical activity, behavior modification, pharmacotherapy, and surgery are underutilized in communities of color due to limited access to care and cost. Data is limited to demonstrate disparities among treatment of obesity in children and adolescents. The reviewed studies show the role of race on disease treatment. Increased research efforts, especially in pharmacotherapy and metabolic and bariatric surgery (MBS), will help combat obesity in pediatric communities of color.
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