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Treatment of the Obese Patient pp 305–322Cite as

Treatment of the Obese Child or Adolescent

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Abstract

The treatment objective of childhood obesity is the prevention or amelioration of obesity-related comorbidities. Without existing comorbidities, weight management goals may range from discontinuation of further weight gain to a modest weight loss, both of which decrease body mass index in the growing child. Treatment includes diet modification, increased activity and decreased sedentary behaviors, and behavior modification that changes obesity-causing behaviors and helps maintain a healthier lifestyle. Ideally, such approaches include a family member or caregiver.

Many pediatricians are not trained to provide extensive counseling on nutrition, exercise, and lifestyle changes required to treat obesity. Additionally, most have insufficient time and lack support services in the areas of nutrition, exercise, and mental health. Comprehensive treatment programs including services from these areas are the gold standard of treatment, however. When comorbidities exist and/or there is a greater degree of obesity, more robust approaches such as pharmacological and surgical methods may be appropriate. After serious commitment to lifestyle modification, one may consider these alternatives after contemplating side effects and health risks.

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Authors and Affiliations

  1. Pediatrics, School of Medicine, Yale University, New Haven, CT, USA

    Sonia Caprio M.D.

  2. Pediatric Endocrinology, School of Medicine, Yale University, 333 Cedar St., LMP 3013, New Haven, CT, 06520, USA

    Mary Savoye R.D., C.D.E.

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  1. Sonia Caprio M.D.
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  2. Mary Savoye R.D., C.D.E.
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Correspondence to Mary Savoye R.D., C.D.E. .

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Editors and Affiliations

  1. Department of Medicine, Division of Endocrinology, Metabolism, and Molecular Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA

    Robert F. Kushner

  2. Endocrinology, University of Colorado School of Medicine, Denver, Colorado, USA

    Daniel H. Bessesen

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Caprio, S., Savoye, M. (2014). Treatment of the Obese Child or Adolescent. In: Kushner, R., Bessesen, D. (eds) Treatment of the Obese Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1203-2_21

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