Veronica R Johnson1, Michelle Cao1, Kathryn S Czepiel2, Tasnim Mushannen3, LaShyra Nolen4, Fatima Cody Stanford4,5. 1. Center of Obesity Medicine and Metabolic Performance, Department of Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, Texas, USA. 2. Massachusetts General Hospital/Harvard Medical School, Department of Pediatrics, Boston, Massachusetts, USA. 3. Weill Cornell Medicine-Qatar, Education City, Doha 24144, Qatar. 4. Harvard Medical School, Boston, Massachusetts, USA. 5. Massachusetts General Hospital, MGH Weight Center, Department of Medicine-Division of Endocrinology-Neuroendocrine, Department of Pediatrics-Division of Endocrinology, MGH Weight Center, Boston, Massachusetts, USA.
Abstract
PURPOSE OF REVIEW: We review the current options to manage adolescent obesity which include nutrition, physical activity, behavior modification, sleep management, pharmacotherapy and surgery. Since lifestyle interventions alone are often not effective in adolescents, a multi-disciplinary treatment approach is necessary in management. RECENT FINDINGS: Medications (often used off-label) and metabolic/bariatric surgery are effective treatment strategies to treat adolescents with severe obesity. SUMMARY: The use of pharmacotherapy and surgery is limited due to lack of pediatric obesity tertiary care centers. With more centers, the treatment of adolescent obesity will improve and aid to decrease the prevalence of adult obesity.
PURPOSE OF REVIEW: We review the current options to manage adolescent obesity which include nutrition, physical activity, behavior modification, sleep management, pharmacotherapy and surgery. Since lifestyle interventions alone are often not effective in adolescents, a multi-disciplinary treatment approach is necessary in management. RECENT FINDINGS: Medications (often used off-label) and metabolic/bariatric surgery are effective treatment strategies to treat adolescents with severe obesity. SUMMARY: The use of pharmacotherapy and surgery is limited due to lack of pediatric obesity tertiary care centers. With more centers, the treatment of adolescent obesity will improve and aid to decrease the prevalence of adult obesity.
Authors: Hiba Jebeile; Megan L Gow; Natalie B Lister; Marjan Mosalman Haghighi; Julian Ayer; Christopher T Cowell; Louise A Baur; Sarah P Garnett Journal: J Nutr Date: 2019-07-01 Impact factor: 4.798
Authors: Sarah Andela; Tracy L Burrows; Louise A Baur; Daisy H Coyle; Clare E Collins; Megan L Gow Journal: Obes Rev Date: 2019-02-07 Impact factor: 9.213
Authors: Thomas Danne; Torben Biester; Kerstin Kapitzke; Sanja H Jacobsen; Lisbeth V Jacobsen; Kristin C Carlsson Petri; Paula M Hale; Olga Kordonouri Journal: J Pediatr Date: 2016-12-13 Impact factor: 4.406