Strategies in the Management of Adolescent Obesity.

IF 3.6 Q1 PEDIATRICS Current pediatrics reports Pub Date : 2020-06-01 Epub Date: 2020-04-27 DOI:10.1007/s40124-020-00214-9
Veronica R Johnson, Michelle Cao, Kathryn S Czepiel, Tasnim Mushannen, LaShyra Nolen, Fatima Cody Stanford
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引用次数: 6

Abstract

Purpose of review: We review the current options to manage adolescent obesity which include nutrition, physical activity, behavior modification, sleep management, pharmacotherapy and surgery. Since lifestyle interventions alone are often not effective in adolescents, a multi-disciplinary treatment approach is necessary in management.

Recent findings: Medications (often used off-label) and metabolic/bariatric surgery are effective treatment strategies to treat adolescents with severe obesity.

Summary: The use of pharmacotherapy and surgery is limited due to lack of pediatric obesity tertiary care centers. With more centers, the treatment of adolescent obesity will improve and aid to decrease the prevalence of adult obesity.

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青少年肥胖的管理策略。
综述目的:我们回顾了目前控制青少年肥胖的方法,包括营养、体育活动、行为矫正、睡眠管理、药物治疗和手术。由于单独的生活方式干预通常对青少年无效,因此在管理方面需要多学科的治疗方法。最近的研究发现:药物(通常在说明书外使用)和代谢/减肥手术是治疗严重肥胖青少年的有效治疗策略。摘要:由于缺乏儿童肥胖三级保健中心,药物治疗和手术的使用受到限制。有了更多的中心,青少年肥胖的治疗将得到改善,并有助于降低成人肥胖的患病率。
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