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Multidisciplinary care of pediatric obesity and its impact on sleep: a review

Ravali Inja1, Christopher Cielo1

  • 1Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, United States.

Frontiers in Sleep
|January 19, 2026
PubMed

Insights

Pediatric obesity impacts sleep health, leading to conditions like obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS). Multidisciplinary care and further research on treatments like GLP-1 agonists are crucial for managing these complex issues.

Area of Science:

  • Pediatric Endocrinology
  • Sleep Medicine
  • Public Health

Background:

  • Pediatric obesity is a growing global health concern with serious sleep-related comorbidities.
  • Obstructive sleep apnea (OSA) and obesity hypoventilation syndrome (OHS) are common in obese children, affecting quality of life and increasing cardiovascular risks.
  • These conditions often co-occur with insulin resistance, type 2 diabetes, hypertension, and non-alcoholic fatty liver disease (NAFLD).

Purpose of the Study:

  • To review the importance of multidisciplinary care for pediatric obesity.
  • To highlight the role of early diagnosis, lifestyle interventions, and pharmacologic therapies.
  • To discuss the limited data on newer treatments like GLP-1 receptor agonists and bariatric surgery for sleep disorders in children.

Main Methods:

  • Literature review focusing on pediatric obesity and its sleep-related comorbidities.
  • Exploration of multidisciplinary care strategies including nutritional, physical activity, and psychological support.
  • Analysis of current and emerging pharmacologic and surgical interventions.

Main Results:

  • Multidisciplinary care is essential for addressing pediatric obesity and its associated health issues.
  • Pharmacologic therapies like GLP-1 receptor agonists show promise but require more pediatric data.
  • Surgical interventions and newer drug data are limited regarding their impact on sleep disorders.

Conclusions:

  • Effective management of pediatric obesity requires a comprehensive, multidisciplinary approach.
  • Further research is needed to understand the long-term effects of GLP-1 receptor agonists and bariatric surgery on sleep, cognition, and wellbeing in obese children.
  • Evidence-based strategies are vital for improving health outcomes in pediatric obesity.

Keywords:
multidisciplinary approachobesityobesity hypoventilationpediatricssleep apneaweight loss

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