有特殊保健需要的儿童和青少年肥胖症的治疗

IF 9.5 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Current Obesity Reports Pub Date : 2022-12-01 DOI:10.1007/s13679-022-00484-y
Meredith L Dreyer Gillette, Haley J Killian, Cristina Fernandez, Brooke R Sweeney
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引用次数: 2

摘要

综述目的:本文旨在根据现有的科学证据和作者的临床经验,总结有关特殊保健需要儿童肥胖治疗的文献,并提供实施实例。最近的研究发现:由于为肥胖儿童提供治疗和特殊医疗保健需求的复杂性,建议多学科团队调整护理以满足儿童的独特需求,并确保跨环境/护理人员的护理协调。通常需要药物管理来协助治疗精神药物的副作用。有特殊保健需要(SHCN)的儿童,如智力和发育障碍(IDD),应考虑进行代谢和减肥手术,因为他们的结果与没有SHCN的儿童相似。有特殊保健需求的儿童如果能获得包括饮食、行为、药理和手术干预在内的综合护理,就能成功地进行体重管理治疗。每个儿童都需要量身定制的方法,以确保他们的特殊保健需求在治疗计划中得到解决。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Treating Obesity in Children and Adolescents with Special Healthcare Needs.

Purpose of review: This paper aims to summarize the literature regarding treatment of obesity in children with special healthcare needs and provide examples of implementation based on the available scientific evidence and the clinical experience of the authors.

Recent findings: Due to the complexity of providing treatment for children with obesity and special healthcare needs, multidisciplinary teams are recommended to adapt care to meet the children's unique needs and ensure coordination of care across settings/caregivers. Medication management is often required to assist with the side effects of psychotropic medications. Children with special healthcare needs (SHCN) such as intellectual and developmental disabilities (IDD) should be considered for metabolic and bariatric surgery as they have similar outcomes to children without SHCN. Children with special healthcare needs can be successful in weight management treatment when they have access to comprehensive care including dietary, behavioral, pharmacological, and surgical interventions. Each child requires a tailored approach to ensure their special healthcare needs are addressed within the treatment plan.

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来源期刊
Current Obesity Reports
Current Obesity Reports Medicine-General Medicine
CiteScore
16.40
自引率
1.10%
发文量
25
期刊介绍: The main objective of Current Obesity Reports is to provide expert review articles on recent advancements in the interdisciplinary field of obesity research. Our aim is to offer clear, insightful, and balanced contributions that will benefit all individuals involved in the treatment and prevention of obesity, as well as related conditions such as cardiovascular diseases, endocrine disorders, gynecological issues, cancer, mental health, respiratory complications, and rheumatological diseases. We strive to redefine the way knowledge is expressed and provide organized content for the benefit of our readership.
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