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A recent update on childhood obesity: aetiology, treatment and complications
Katherine Hawton1,2, Diksha Shirodkar1,2, Thomas Siese3
1156596 Bristol Royal Hospital for Children, University Hospitals Bristol and Weston NHS Foundation Trust , Bristol, UK.
Insights
Childhood obesity is a growing global health crisis with serious complications. Effective management requires a comprehensive approach, including new medications and surgical options for adolescents.
Area of Science:
- Pediatrics
- Public Health
- Endocrinology
Background:
- Childhood obesity is a complex, chronic condition with increasing global prevalence.
- It stems from multifactorial causes including genetic, environmental, and societal influences.
- Rising obesity rates in youth correlate with increased adult obesity and significant health risks.
Purpose of the Study:
- To provide an updated review on the prevalence, causes, health complications, and treatment of childhood obesity.
- To highlight the urgent need for global population-level strategies to combat rising childhood obesity rates.
- To discuss current and emerging treatment modalities for pediatric obesity.
Main Methods:
- This review synthesizes current literature on childhood obesity.
- It examines epidemiological data, etiological factors, and associated health consequences.
- Treatment strategies discussed include dietary, exercise, psychological, pharmacological, and surgical interventions.
Main Results:
- Obesity leads to widespread health complications affecting all body systems, increasing morbidity and reducing life expectancy.
- A multi-faceted biopsychosocial approach is essential for treating obesity and its associated health issues.
- New pharmacological treatments for childhood obesity are emerging, alongside bariatric surgery as a viable option for adolescents.
Conclusions:
- Urgent global strategies are needed to address the escalating prevalence of childhood obesity.
- Comprehensive treatment plans incorporating lifestyle changes, medication, and surgery are crucial.
- Further research and development in anti-obesity medications and surgical interventions are vital for improving outcomes.
Abstract:
Obesity is a complex, chronic condition characterised by excess adiposity. Rates of obesity in childhood and adolescence are increasing worldwide, with a corresponding increase in adulthood. The aetiology of obesity is multifactorial and results from a combination of endocrine, genetic, environmental and societal factors. Population level approaches to reduce the prevalence of childhood obesity worldwide are urgently needed. There are wide-ranging complications from excess weight affecting every system in the body, which lead to significant morbidity and reduced life expectancy. Treatment of obesity and its complications requires a multi-faceted, biopsychosocial approach incorporating dietary, exercise and psychological treatments. Pharmacological treatments for treating childhood obesity have recently become available, and there is further development of new anti-obesity medications in the pipeline. In addition, bariatric surgery is being increasingly recognised as a treatment option for obesity in adolescence providing the potential to reverse complications related to excess weight. In this review, we present an update on the prevalence, aetiology, complications and treatment of childhood obesity.
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