Despina Herouvi1, Alexandra Soldatou2, Stavroula A Paschou3, Christina Kalpia2, Spyridon Karanasios2, Kyriaki Karavanaki2. 1. Diabetes and Metabolism Clinic, 2nd Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "P&A Kyriakou" Children's Hospital,, Athens, Greece. d.herouvi@gmail.com. 2. Diabetes and Metabolism Clinic, 2nd Department of Pediatrics, National and Kapodistrian University of Athens Medical School, "P&A Kyriakou" Children's Hospital,, Athens, Greece. 3. Endocrine Unit and Diabetes Centre, Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Abstract
BACKGROUND: Nowadays, childhood obesity is literally a global pandemic health problem. According to current data, pediatric obesity is strongly associated with adult excess weight status as well as the development of certain co morbidities, already present in childhood, including cardiovascular disorders (dyslipidemia, hypertension), endocrine/metabolic (Type 2 diabetes, fatty liver disease, metabolic syndrome), respiratory, gastrointestinal, and musculoskeletal problems. Additionally, children with obesity frequently experience psychosocial issues, such as mood disorders, anxiety, prejudice and low self-esteem. METHODS AND RESULTS: The aim of this article was to evaluate whether or not bariatric surgery is an effective and safe treatment option for childhood obesity. This paper is based on a literature search in Pub Med for articles referring to the medical co morbidities and the results of different types of bariatric surgery for the treatment of childhood obesity (up to 18 years) until December 2021. The following keywords were used as MESH terms: childhood obesity, adolescence obesity, co morbidities and bariatric surgery. The bibliographic references of the studies found in these databases were also reviewed. CONCLUSION: Although some researchers demonstrate that surgical interventions in adolescents might be a reliable intervention to lose weight in a maintainable way and reverse many of the co morbidities associated with severe obesity, their safety and long-term efficacy are still not clarified. Thus, large long-term prospective studies, with detailed recording of complications and co morbidity resolution are obviously needed in order to determine the role of surgical treatment in childhood obesity.
BACKGROUND: Nowadays, childhood obesity is literally a global pandemic health problem. According to current data, pediatric obesity is strongly associated with adult excess weight status as well as the development of certain co morbidities, already present in childhood, including cardiovascular disorders (dyslipidemia, hypertension), endocrine/metabolic (Type 2 diabetes, fatty liver disease, metabolic syndrome), respiratory, gastrointestinal, and musculoskeletal problems. Additionally, children with obesity frequently experience psychosocial issues, such as mood disorders, anxiety, prejudice and low self-esteem. METHODS AND RESULTS: The aim of this article was to evaluate whether or not bariatric surgery is an effective and safe treatment option for childhood obesity. This paper is based on a literature search in Pub Med for articles referring to the medical co morbidities and the results of different types of bariatric surgery for the treatment of childhood obesity (up to 18 years) until December 2021. The following keywords were used as MESH terms: childhood obesity, adolescence obesity, co morbidities and bariatric surgery. The bibliographic references of the studies found in these databases were also reviewed. CONCLUSION: Although some researchers demonstrate that surgical interventions in adolescents might be a reliable intervention to lose weight in a maintainable way and reverse many of the co morbidities associated with severe obesity, their safety and long-term efficacy are still not clarified. Thus, large long-term prospective studies, with detailed recording of complications and co morbidity resolution are obviously needed in order to determine the role of surgical treatment in childhood obesity.
Authors: Hiltje Oude Luttikhuis; Louise Baur; Hanneke Jansen; Vanessa A Shrewsbury; Claire O'Malley; Ronald P Stolk; Carolyn D Summerbell Journal: Cochrane Database Syst Rev Date: 2019-03-07
Authors: Jean Rankin; Lynsay Matthews; Stephen Cobley; Ahreum Han; Ross Sanders; Huw D Wiltshire; Julien S Baker Journal: Adolesc Health Med Ther Date: 2016-11-14