Response to Letter: “Pediatric Obesity—Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline”

Styne, Dennis M.; Arslanian, Silva; Connor, Ellen L.; Farooqi, I. Sadaf; Murad, M. Hassan; Silverstein, Janet H.; Yanovski, Jack A.

doi:10.1210/jc.2017-00561

Cited by 179 publications

(182 citation statements)

References 0 publications

Supporting

Mentioning

160

Contrasting

Unclassified

Order By: Relevance

“…Life style modifications include adopting healthy eating habits by increasing intake of fruits and vegetables, more fiber and less dietary fat in addition to avoiding carbonated drinks, refined carbohydrates, high fructose corn syrup, high sodium, and processed food (45)(46)(47). Fruit juice intake should be limited to 4-6 ounces per day for children 6 month to 6 years of age and 8-12 ounces daily for older children according the American Academy of Pediatrics (AAP).…”

Section: Preventionmentioning

confidence: 99%

“…Fruit juice should be replaced with whole fruits for additional nutritional value. Incorporation of at least 20 min of vigorous short bursts of physical activity 1 day, 3 to 5 days per week can improve metabolic measures in children and adolescents and may prevent obesity (47). A meta-analysis conducted by Kamath and colleagues found that life style modifications had a positive effect on reducing sedentary behavior in long-term trials and reduced unhealthy dietary habits.…”

Section: Preventionmentioning

confidence: 99%

“…Those changes were more effective when directed toward children compared to adolescents (50). Additional life style modifications that can reduce the likelihood of developing obesity include: adopting healthy sleep habits; limiting discretionary screen time; involving the whole family and community in prevention efforts; using school-based programs and community engagement in prevention of pediatric obesity (45,47). A multidisciplinary approach, which includes dieticians, mental health practitioners, providers, and nurses is very helpful in obesity prevention.…”

Section: Preventionmentioning

confidence: 99%

“…A multidisciplinary approach, which includes dieticians, mental health practitioners, providers, and nurses is very helpful in obesity prevention. (47).…”

Section: Preventionmentioning

confidence: 99%

“…Further, consumption of whole fruits, vegetables and dietary fiber is encouraged in addition to portion control education, enhancing food labeling, and encouraging eating regular meals to avoid grazing (47). A recent meta-analysis conducted by Gow et al (55) suggests that primary goal in dietary intervention programs should focus on reduced total energy intake based on the observation that a reduced energy diet, irrespective of the macronutrient distribution, was successful in improving weight status in overweight and obese children and adolescents.…”

Section: Dietary Interventionmentioning

confidence: 99%

See 4 more Smart Citations

Metabolic syndrome in children and adolescents

2017

View full text Add to dashboard Cite

Prevalence of metabolic syndrome in children and adolescents is increasing, in parallel with the increasing trends in obesity rates. Varying definitions of this syndrome have hindered the development of a consensus for the diagnostic criteria in the pediatric population. While pathogenesis of metabolic syndrome is not completely understood, insulin resistance and subsequent inflammation are thought to be among its main mechanistic underpinnings. Overweight and obesity are cardinal features, along with abnormal glucose metabolism, dyslipidemia, and hypertension. Other disorders associated with metabolic syndrome include fatty liver, polycystic ovarian syndrome (PCOS), and pro-inflammatory states. Prevention and management of this condition can be accomplished with lifestyle modifications, behavioral interventions, pharmacological and surgical interventions as needed.

show abstract

Section: Preventionmentioning

confidence: 99%

Section: Preventionmentioning

confidence: 99%

Section: Preventionmentioning

confidence: 99%

“…A multidisciplinary approach, which includes dieticians, mental health practitioners, providers, and nurses is very helpful in obesity prevention. (47).…”

Section: Preventionmentioning

confidence: 99%

Section: Dietary Interventionmentioning

confidence: 99%

See 3 more Smart Citations

Metabolic syndrome in children and adolescents

2017

View full text Add to dashboard Cite

show abstract

How Forcefully Should Clinicians Encourage Treatment When Disagreement Persists About Obesity Risk?

Samuels

Rossi

2018

AMA Journal of Ethics

View full text Add to dashboard Cite

Pediatric obesity is a major public health problem, and weight reduction in children and adolescents with obesity is associated with improvement in health outcomes. This case of an adolescent diagnosed with obesity whose mother disagrees with the diagnosis illustrates challenges often encountered in clinical practice, including (1) diagnosing a disease in an asymptomatic patient whose future risk for negative health outcomes is uncertain, (2) addressing ethical implications of naming a stigmatizing disease, and (3) resolving conflicting goals and opinions of a patient, caregiver, and physician. Suggestions for navigating disagreement and implementing courses of action are discussed. Case Ms D presents with her daughter, Ms W, for an adolescent medicine appointment with Dr N. Ms W is 14 years old and on weigh-in at Dr N's office has a recorded weight of 175 pounds and a height of 5'1''. As Dr N reviews Ms W's records, he notes that her body mass index (BMI) is 33 and discusses with Ms D and Ms W that Ms W meets criteria for being labeled obese. He reviews with Ms W and Ms D the long-term ramifications of obesity and encourages the patient to enact a diet and exercise routine with a goal of losing 10% of her body weight over the next year. At that same appointment, Dr N obtains a hemoglobin A1c (6.0), a total cholesterol of 310, and verifies that thyroid stimulating hormone levels are within normal limits.

show abstract

Obesity

2019

Practical Endocrinology and Diabetes in Children

View full text Add to dashboard Cite

Response to Letter: “Pediatric Obesity—Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline”

Cited by 179 publications

References 0 publications

Metabolic syndrome in children and adolescents

Metabolic syndrome in children and adolescents

How Forcefully Should Clinicians Encourage Treatment When Disagreement Persists About Obesity Risk?

Obesity

Contact Info

Product

Resources

About