Doms № 1 -2022

Doms № 1 -2022 (37-42 p)

Treatment of excessive body weight and obesity in children
Velichko V. I., Mankovskyi B. M., Lagoda D. O., Danylchuk G. O.,
Wenger Ya. I.

Abstract

Childhood obesity is a chronic, threatening disease that continues into adulthood, therefore it is necessary to identify and treat it in a timely manner. Unfortunately, currently in Ukraine there is no unified universally recognized approach to a change in diet or physical activity that could be recommended for use in pediatric practice. One of the ways to stop the epidemic obesity today there are medical methods of prevention excessive body weight or obesity. Proposed treatment algorithm for treatment of childhood obesity will help doctors to make personalized success plan for solving this problem. Medical treatment is prescribed only to children with severe obesity or in the presence of accompanying metabolic disorders (for example, polycystic ovary syndromelipideamia, carbohydrate disorders, arterial hypertension etc). Obesity can cause metabolic changes and development of complications. Without diagnosis and treatment of metabolic changes progresses in adulthood.

Keywords: obesity, excessive body weight, childhood, algorithm.

References

  1. Dennis M. Styne, Silva A. Arslanian, Ellen L. Connor, Ismaa Sadaf Farooqi, M. Hassan Murad, Janet H. Silverstein, Jack A. Yanovski, Pediatric Obesity—Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guide- line, The Journal of Clinical Endocrinology & Metabolism. 2017; 102 (3):709–757.

  2. https://doi.org/10.1210/jc.2016-2573

  3. https://www.worldobesity.org/resources/policy-dossiers/pd-6/pd-6-government-guidelines

  4. Cuda SE, Censani M. Pediatric Obesity Algorithm: A Practical Approach to Obesity Diagnosis and Management. Front Pediatr. 2019;6:431. Published 2019 Jan 23. doi:10.3389/ fped.2018.00431

  5. Yi DY, et al. Guideline for the diagnosis and treatment of pediatric obesity https://doi.org/10.3345/kjp.2018.07360

  6. https://obesitycanada.ca/guidelines/pediatrics/

  7. Kang KS. Nutritional Counseling for Obese Children with Obesity-Related Metabolic Abnormalities in Korea. Pediatr Gastroenterol Hepatol Nutr 2017;20:71-8.

  8. Kim JH, Yun S, Hwang SS, Shim JO, Chae HW, Lee YJ, et al.
    The 2017 Korean National Growth Charts for children and adolescents: development, improvement, and prospects. Korean J Pediatr 2018; 61:135-49.

  9. Styne DM, Arslanian SA, Connor EL, Farooqi IS, Murad MH, Silverstein JH, et al. Pediatric obesity-assessment, treat- ment, and prevention: an endocrine society clinical practice guideline. J Clin Endocrinol Metab 2017;102:709-57.

 

  1. Zametkin AJ, Zoon CK, Klein HW, Munson S. Psychiatric aspects of child and adolescent obesity: a review of the past 10 years. J Am Acad Child Adolesc Psychiatry 2004;43:134-50.
  2. Rajjo T, Mohammed K, Alsawas M, Ahmed AT, Farah W, Asi N, et al. Treatment of pediatric obesity: an umbrella systematic review. Endocrinol Metab 2017;102:763-75.
  3. Schalkwijk AA, Bot SD, de Vries L, Westerman MJ, Nijpels G, Elders PJ. Perspectives of obese children and their parents on lifestyle behavior change: a qualitative study. Int J Behav Nutr Phys Act 2015;12:102.
  4. US Preventive Services Task Force, Grossman DC, Bibbins- Domingo K, Curry SJ, Barry MJ, Davidson KW, et al. Screen- ing for obesity in children and adolescents: US Preventive Services Task Force Recommendation Statement. JAMA 2017;317:2417-26.
  5. Costa S, Pinto A, Santos AC, Oliveira A. The association of problematic eating behaviours with food quality and body mass index at 7 years of age. Eur J Clin Nutr 2018.
  6. Torbahn G, Gellhaus I, Koch B, von Kries R, Obermeier V, Holl RW, et al. Reduction of portion size and eating rate is associated with BMI- SDS reduction in overweight and obese children and adolescents: results on eating and nutrition behaviour from the observational KgAS study. Obes Facts 2017;10:503-16.
  7. Park EH, Oh MS, Kim S, Lee J, Kang KS. The analysis of factors causing the high prevalence of child obesity in Jeju Island. Pediatr Gastroenterol Hepatol Nutr 2018;21:127-33.

 

 

 

 

Received: 22.12.2021

Revised: 10.01.2022

Accepted: 19.01.2022