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Adipositas im Kindes- und Jugendalter

Evidenzbasierte Therapieleitlinie der AGA (Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter)

Obesity in children and adolescents

Evidence-based therapy guideline of the German Working Group on Obesity in Childhood and Adolescence (AGA)

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Zusammenfassung

Adipositas im Kindes- und Jugendalter nimmt weltweit zu. Eine Konsensusleitlinie (S2) zu ihrer Therapie in Deutschland wurde erstmals 2000 von der Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter (AGA) veröffentlicht. Diese wird sukzessive durch eine evidenzbasierte S3-Leitlinie ersetzt. Auf Basis einer systematischen Literaturrecherche wurden 21 Empfehlungen überwiegend im „starken Konsens“ (Zustimmung >95%) konsentiert und verabschiedet. Körpergewicht und Körperfettmasse sind mit verhaltenstherapeutischen sowie medikamentösen Maßnahmen signifikant beeinflussbar, die damit erreichbare Gewichtsreduktion ist jedoch eher gering. Mit chirurgischen Maßnahmen (nicht geprüfte, experimentelle Therapie) kann das Körpergewicht sehr erfolgreich reduziert werden. Neben der Langfassung der evidenzbasierten Leitlinie existiert eine Kurzfassung; eine Praxisleitlinie ist geplant. Die Weiterentwicklung der Leitlinie soll im Rahmen des BMBF(Bundesministerium für Bildung und Forschung)-Kompetenznetzes Adipositas durchgeführt werden. Die Leitlinie wird in den Fachzeitschriften der beteiligten Fachgesellschaften veröffentlicht, ist im Internet verfügbar und soll über weitere Publikationsorgane, auf Kongressen und über Informationen an Einrichtungen verbreitet werden.

Abstract

Obesity in childhood and adolescence has increased worldwide in recent years. A consensus guideline (S2) for treating obesity in childhood and adolescence in Germany was first published by the German Working Group on Obesity in Childhood and Adolescence (AGA) in 2000. The intention is to gradually replace this consensus-based (S2) guideline with an evidence-based (S3) guideline. Following a systematic literature search 21 recommendations were predominantly approved with “strong consensus” (agreement above 95%). Body weight and body fat mass can be significantly influenced by conventional behaviour-based measures and also by the currently available drug therapies. However, the extent of the achieved weight reduction is small. Surgical measures (unproven, experimental therapy) to reduce body weight, in contrast, are very successful. In addition to the long version of this evidence-based guideline, an abbreviated version exists, and a practice guideline is planned. This guideline should be further developed within the competence network on obesity of the German Federal Ministry of Education and Research. The guideline will be published in the scholarly journals of the professional associations concerned, will be available via the Internet, and will also be distributed through periodicals, congress events, and information at facilities.

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  1. Sektion Pädiatrische Endokrinologie und Diabetologie, Universitätsklinik für Kinder- und Jugendmedizin, Eythstraße 24, 89075, Ulm, Deutschland

    M. Wabitsch & A. Moß

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  1. M. Wabitsch
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  2. A. Moß
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Correspondence to A. Moß.

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Die Entwicklung der Leitlinie wurde finanziell unterstützt durch die Deutsche Gesellschaft für Kinderheilkunde und Jugendmedizin (DGKJ), die Deutsche Adipositas Gesellschaft (DAG), die Deutsche Diabetesgesellschaft (DDG) und vom Universitätsklinikum Ulm.

Eine ausführliche Zusammenfassung der Literatur kann in der Langfassung der Leitlinie unter www.a-g-a.de nachgelesen werden (AWMF-Reg.-Nr.: 050/001).

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Wabitsch, M., Moß, A. Adipositas im Kindes- und Jugendalter. Monatsschr Kinderheilkd 157, 1151–1156 (2009). https://doi.org/10.1007/s00112-009-2046-2

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