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Pediatric multidisciplinary weight management—how can we improve further?

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References

  1. C.D. Fryar, M.D. Carroll, J. Afful, Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2017–2018. NCHS Health E-Stats. (NCHS, 2020).

  2. L.H. Epstein, R.A. Paluch, J.N. Roemmich, M.D. Beecher, Family-based obesity treatment, then and now: twenty-five years of pediatric obesity treatment. Health Psychol. 26, 381–391 (2007). https://doi.org/10.1037/0278-6133.26.4.381

    Article  PubMed  PubMed Central  Google Scholar 

  3. M. Kovac Blaz, I. Svab, A multidisciplinary approach to treating obesity in a community health centre. Zdr. Varst. 54, 252–258 (2015). https://doi.org/10.1515/sjph-2015-0033

    Article  PubMed  PubMed Central  Google Scholar 

  4. I. Majumdar, B. Espino, K. Bianco, J. Epstein, L. Mamilly, C.M. Harmon, Multi-disciplinary weight management compared to routine care in youth with obesity: what else should be monitored? Endocrine 65, 263–269 (2019). https://doi.org/10.1007/s12020-019-01988-9

    Article  CAS  PubMed  Google Scholar 

  5. R. Dalle Grave, N. Melchionda, S. Calugi, E. Centis, A. Tufano, G. Fatati, M.A. Fusco, G. Marchesini, Continuous care in the treatment of obesity: an observational multicentre study. J. Intern. Med. 258, 265–273 (2005). https://doi.org/10.1111/j.1365-2796.2005.01524.x

    Article  CAS  PubMed  Google Scholar 

  6. R.S. Gill, S. Karmali, G. Hadi, D.P. Al-Adra, X. Shi, D.W. Birch, Predictors of attrition in a multidisciplinary adult weight management clinic. Can. J. Surg. 55, 239–243 (2012). https://doi.org/10.1503/cjs.035710

    Article  PubMed  PubMed Central  Google Scholar 

  7. M. Husain, A.L. Birkenfeld, M. Donsmark, K. Dungan, F.G. Eliaschewitz, D.R. Franco, O.K. Jeppesen, I. Lingvay, O. Mosenzon, S.D. Pedersen, C.J. Tack, M. Thomsen, T. Vilsboll, M.L. Warren, S.C. Bain, P. Investigators, Oral semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N. Engl. J. Med. 381, 841–851 (2019). https://doi.org/10.1056/NEJMoa1901118

    Article  CAS  PubMed  Google Scholar 

  8. S. Kurtoglu, N. Hatipoglu, M. Mazicioglu, M. Kendirici, M. Keskin, M. Kondolot, Insulin resistance in obese children and adolescents: HOMA-IR cut-off levels in the prepubertal and pubertal periods. J. Clin. Res. Pediatr. Endocrinol. 2, 100–106 (2010). https://doi.org/10.4274/jcrpe.v2i3.100

    Article  PubMed  PubMed Central  Google Scholar 

  9. J.M. Lee, M.J. Okumura, M.M. Davis, W.H. Herman, J.G. Gurney, Prevalence and determinants of insulin resistance among U.S. adolescents: a population-based study. Diabetes Care 29, 2427–2432 (2006). https://doi.org/10.2337/dc06-0709

    Article  PubMed  Google Scholar 

  10. E.A. O’Connor, C.V. Evans, B.U. Burda, E.S. Walsh, M. Eder, P. Lozano, Screening for obesity and intervention for weight management in children and adolescents: evidence report and systematic review for the US preventive services task force. JAMA 317, 2427–2444 (2017). https://doi.org/10.1001/jama.2017.0332

    Article  PubMed  Google Scholar 

  11. D. Corica, L. Oreto, G. Pepe, M.P. Calabro, L. Longobardo, L. Morabito, G.B. Pajno, A. Alibrandi, T. Aversa, M. Wasniewska, Precocious preclinical cardiovascular sonographic markers in metabolically healthy and unhealthy childhood obesity. Front. Endocrinol. 11, 56 (2020). https://doi.org/10.3389/fendo.2020.00056

    Article  Google Scholar 

  12. M. Wasniewska, M. Valenzise, A. Manganaro, S. Bombaci, R. Iudicello, T. Aversa, F. De Luca, F. Lombardo, Increased intima media thickness at many arterial sites in obese adolescents with abdominal adiposity, insulin resistance, and high LDL-cholesterol. J. Endocrinol. Investig. 34, 647–649 (2011). https://doi.org/10.1007/BF03345399

    Article  CAS  Google Scholar 

  13. M.L. Kolsgaard, G. Joner, C. Brunborg, S.A. Anderssen, S. Tonstad, L.F. Andersen, Reduction in BMI z-score and improvement in cardiometabolic risk factors in obese children and adolescents. The Oslo Adiposity Intervention Study—a hospital/public health nurse combined treatment. BMC Pediatr. 11, 47 (2011). https://doi.org/10.1186/1471-2431-11-47

    Article  PubMed  PubMed Central  Google Scholar 

  14. E. Szymanska, J. Bouwman, K. Strassburg, J. Vervoort, A.J. Kangas, P. Soininen, M. Ala-Korpela, J. Westerhuis, J.P. van Duynhoven, D.J. Mela, I.A. Macdonald, R.J. Vreeken, A.K. Smilde, D.M. Jacobs, Gender-dependent associations of metabolite profiles and body fat distribution in a healthy population with central obesity: towards metabolomics diagnostics. OMICS 16, 652–667 (2012). https://doi.org/10.1089/omi.2012.0062

    Article  CAS  PubMed  Google Scholar 

  15. M. Graner, R. Siren, K. Nyman, J. Lundbom, A. Hakkarainen, M.O. Pentikainen, K. Lauerma, N. Lundbom, M. Adiels, M.S. Nieminen, M.R. Taskinen, Cardiac steatosis associates with visceral obesity in nondiabetic obese men. J. Clin. Endocrinol. Metab. 98, 1189–1197 (2013). https://doi.org/10.1210/jc.2012-3190

    Article  CAS  PubMed  Google Scholar 

  16. Y.H. Oh, S. Choi, G. Lee, J.S. Son, K.H. Kim, S.M. Park, Changes in body composition are associated with metabolic changes and the risk of metabolic syndrome. J. Clin. Med. 10 (2021). https://doi.org/10.3390/jcm10040745

  17. C.B. Frederick, K. Snellman, R.D. Putnam, Increasing socioeconomic disparities in adolescent obesity. Proc. Natl. Acad. Sci. U.S.A. 111, 1338–1342 (2014). https://doi.org/10.1073/pnas.1321355110

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Y. Kim, C. Cubbin, S. Oh, A systematic review of neighbourhood economic context on child obesity and obesity-related behaviours. Obes. Rev. 20, 420–431 (2019). https://doi.org/10.1111/obr.12792

    Article  CAS  PubMed  Google Scholar 

  19. I. Vlaev, D. King, A. Darzi, P. Dolan, Changing health behaviors using financial incentives: a review from behavioral economics. BMC Public Health 19, 1059 (2019). https://doi.org/10.1186/s12889-019-7407-8

    Article  PubMed  PubMed Central  Google Scholar 

  20. D.E. Wilfley, J.F. Hayes, K.N. Balantekin, D.J. Van Buren, L.H. Epstein, Behavioral interventions for obesity in children and adults: evidence base, novel approaches, and translation into practice. Am. Psychol. 73, 981–993 (2018). https://doi.org/10.1037/amp0000293

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

Authors

Contributions

I.M. was responsible for study design, planning, data analysis, and paper preparation. B.E. was responsible for data collection, and paper preparation. C.M.H. was responsible for paper preparation.

Corresponding author

Correspondence to Indrajit Majumdar.

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The authors declare no competing interests.

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Consents were not obtained from participants since data were obtained from the EMR database retrospectively without any direct patient contact.

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Granted.

Ethics approval

The study was approved by the Institutional Review Board and was in accordance with the ethical standards of the Helsinki Declaration of 1975.

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Majumdar, I., Espino, B. & Harmon, C.M. Pediatric multidisciplinary weight management—how can we improve further?. Endocrine 74, 723–726 (2021). https://doi.org/10.1007/s12020-021-02885-w

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