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The rehabilitation of children and adolescents with severe or medically complicated obesity: an ISPED expert opinion document

  • Graziano Grugni
  • Maria Rosaria LicenziatiEmail author
  • Giuliana Valerio
  • Antonino Crinò
  • Claudio Maffeis
  • Rita Tanas
  • Giuseppe Stefano Morino
  • Childhood Obesity Study Group of the Italian Society for Pediatric Endocrinology and Diabetology (ISPED)
Review

Abstract

Severe/medically complicated obesity in childhood, and particularly in adolescence, is a real disability that requires an intensive and continuous approach which should follow the procedures and schedule of rehabilitation medicine. Given the lack of a specific document focusing on children and adolescents, the Childhood Obesity Study Group set out to explore the available evidence for the treatment of severe or medically complicated obesity and to set standards tailored to the specific context of the Italian Health Service. Through a series of meetings and electronic communications, the writing committee (selected from members of the Study Group) selected the key issues, explored the literature and produced a draft document which was submitted to the other experts until the final synthesis was approved by the group. In brief, the following issues were involved: (1) definition and epidemiology; (2) identification of common goals designed to regain functional competence and limit the progression of metabolic and psychological complications; (3) a multi-professional team approach; (4) the care setting. This paper is an expert opinion document on the rehabilitation of severe and medically complicated obesity in children and adolescents produced by experts belonging to the Childhood Obesity Study Group of the Italian Society for Pediatric Endocrinology and Diabetology (ISPED).

Keywords

Obesity Rehabilitation Multidimensional approach Children Adolescents Severe obesity 

Notes

Acknowledgements

The following members of Childhood Obesity Study Group of the Italian Society of Pediatric Endocrinology and Diabetology (ISPED) approved the content of the document on rehabilitation of children and adolescents with severe or medically complicated obesity, contributing to the discussion through a series of meetings and electronic communications. They are considered coauthors: Amalia Ambruzzi (Roma); Antonio Balsamo (Bologna); Simonetta Bellone (Novara); Sergio Bernasconi (Parma); Vanessa Bianchi (Pisa); Adriana Bobbio (Aosta); Patrizia Bruzzi (Modena); Carmen Buongiovanni (Napoli); Annalisa Calcagno (Genova); Valeria Calcaterra (Pavia); Teresa Canali (Roma); Franco Cerutti (Torino); Nicola Corciulo (Gallipoli, Lecce); Fortunato Cotugno (Salerno); Giuliano Cuccarolo (Venezia); Osvaldo D’Amico (Salerno); Procolo Di Bonito (Pozzuoli, Napoli); Stefania Di Candia (Milano); Violetta Di Pietrantonio (Palermo); Mario Di Pietro (Atri, Teramo); Grazia Filannino (Ostuni, Brindisi); Danilo Fintini (Roma); Claudia Forziato (Pozzuoli, Napoli); Roberto Franceschi (Trento); Adriana Franzese (Napoli); Daniela Galeazzi (Narni, Terni); Luigi Gargantini (Treviglio, Bergamo); Lia Franca Giusti (Lucca); Antonella Gualtieri (Avezzano, L’Aquila); Dario Iafusco (Napoli); Maria Laura Iezzi (L’Aquila); Lorenzo Iughetti (Modena); Riccardo Lera (Alessandria); Raffaele Limauro (Napoli); Francesca Lombardi (Bologna); Sonia Lucchesi (Livorno); Annamaria Macchiaroli (Campobasso); Giulio Maltoni (Bologna); Melania Manco (Roma); Miraglia Del Giudice Emanuele (Napoli); Elisabetta Modestini (Atri, Teramo); Anita Morandi (Verona); Enza Mozzillo (Napoli); Laura Nanni (Pistoia); Alessandra Nicolosi (Catania); Maria Chiara Pellegrin (Trieste); Sonia Peruzzi (Lecce); Paola Peverelli (Belluno); Salvatore Purromuto (Comiso, Ragusa); Letizia Ragusa (Troina, Enna); Teresa Rosato (Pescara); Caterina Salvo (Palermo); Chiara Sartori (Parma); Maura Sticco (Caserta); Maria Elisabeth Street (Parma); Giuliana Trifirò (Rho, Milano); Patrizia Vianelli (Jesi, Ancona); Pietro Yiannakou (Albano Laziale, Roma).

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, formal consent is not required.

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Graziano Grugni
    • 1
  • Maria Rosaria Licenziati
    • 2
    Email author
  • Giuliana Valerio
    • 3
  • Antonino Crinò
    • 4
  • Claudio Maffeis
    • 5
  • Rita Tanas
    • 6
  • Giuseppe Stefano Morino
    • 7
  • Childhood Obesity Study Group of the Italian Society for Pediatric Endocrinology and Diabetology (ISPED)
  1. 1.Division of AuxologyItalian Auxological InstituteVerbaniaItaly
  2. 2.Department of PediatricsAORN Santobono-PausiliponNaplesItaly
  3. 3.Department of Movement Sciences and WellnessParthenope UniversityNaplesItaly
  4. 4.Autoimmune Endocrine Diseases Unit Bambino Gesù HospitalResearch Hospital PalidoroRomeItaly
  5. 5.Pediatric Diabetes and Metabolic Disorders Unit, Department of Life and Reproduction SciencesUniversity of VeronaVeronaItaly
  6. 6.Pediatric UnitAzienda Ospedaliera UniversitariaFerraraItaly
  7. 7.Nutrition Education UnitBambino Gesù Hospital, San Paolo HospitalRomeItaly

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