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Special considerations for the child with obesity: An Obesity Medicine Association (OMA) clinical practice statement

Suzanne Cuda1, Marisa Censani2, Valerie O'Hara3

  • 1Alamo City Healthy Kids and Families, 1919 Oakwell Farms Parkway, Ste 145, San Antonio, TX, 78218, USA.

Obesity Pillars
|July 2, 2024
PubMed

Insights

This clinical practice statement provides guidance on assessing and managing overweight and obesity in children aged 2-12 years. It covers prevalence, treatment options, and special health needs for pediatric obesity management.

Area of Science:

  • Pediatric Endocrinology
  • Obesity Medicine

Background:

  • Defines overweight (BMI 85th-95th percentile) and obesity (BMI ≥95th percentile) in children aged 2-12 years.
  • Highlights that children are in a continuous state of development, requiring age-specific considerations.

Purpose of the Study:

  • To provide a clinical practice statement for the assessment and management of overweight and obesity in children.
  • To offer a roadmap for improving the health of children with obesity, particularly those with complications or special healthcare needs.

Main Methods:

  • Evidence-based review of scientific literature.
  • Clinical perspectives from authors.
  • Development of a Clinical Practice Statement (CPS) by the Obesity Medicine Association (OMA).

Main Results:

  • Overview of disease prevalence in pediatric obesity.
  • Discussion of precocious puberty in children with obesity.
  • Review of anti-obesity medications and hypothalamic obesity.
  • Consideration of children with obesity and special health care needs.

Conclusions:

  • The CPS offers current recommendations and an evidence-based review for managing pediatric obesity.
  • Aims to assist clinicians in decision-making for the treatment of children with obesity.
  • Focuses on improving health outcomes for children facing metabolic, physiological, psychological, or special healthcare challenges.
Abstract

Keywords:
Anti-obesity medicationsAutonomic dysregulationChildHO/ROHHADHypothalamic dysfunctionHypoventilationObesityPrecocious pubertyRapid-onset obesitySpecial health care needs

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