2023
DOI: 10.1542/peds.2022-060640
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Clinical Practice Guideline for the Evaluation and Treatment of Children and Adolescents With Obesity

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Cited by 441 publications
(549 citation statements)
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References 717 publications
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“…The academy told its 67 000 members, as well as family doctors and other clinical professionals who care for children, that childhood obesity should be treated early and aggressively, including with drugs and bariatric surgery if appropriate 123. It said that prevention of obesity will be tackled in another statement.…”
mentioning
confidence: 99%
“…The academy told its 67 000 members, as well as family doctors and other clinical professionals who care for children, that childhood obesity should be treated early and aggressively, including with drugs and bariatric surgery if appropriate 123. It said that prevention of obesity will be tackled in another statement.…”
mentioning
confidence: 99%
“…Nonetheless, MET treatment appears to affect vitamin B 12 status in children and adolescents, irrespective of dietary intake. According to the recent clinical practice guidelines published by the American Academy of Pediatrics [ 58 ], when prescribing such medications, healthcare professionals must adequately inform patients and their parents about the risks and benefits of therapies and must have updated knowledge of the patient selection criteria, medication efficacy, possible adverse events, and the recommendations regarding follow-up monitoring. For this, frequent assessment of vitamin B 12 concentrations and recording of symptoms and signs associated with vitamin B 12 deficiency are warranted when prescribing MET to children and adolescents.…”
Section: Discussionmentioning
confidence: 99%
“…For this, frequent assessment of vitamin B 12 concentrations and recording of symptoms and signs associated with vitamin B 12 deficiency are warranted when prescribing MET to children and adolescents. In parallel, currently, there is no evidence supporting weight loss or diabetes medication use as a monotherapy [ 58 ]. In this manner, lifestyle treatment must be prescribed as an adjunct to MET therapy.…”
Section: Discussionmentioning
confidence: 99%
“…Childhood and youth are ideally the best periods in life to instill healthy behaviors [ 1 ], thereby fostering wellbeing and preventing chronic non-communicable diseases (CNCD). On the other hand, overweight, obesity, and the prevalence of hypertension are increasing, particularly in the initial phases of life [ 2 , 3 ], thus determining a dramatic increase in the risk of diseases such as diabetes, coronary artery disease, and cancer [ 3 , 4 ]. Unhealthy lifestyles, such as poor nutrition and sedentariness, contribute to this phenomenon.…”
Section: Introductionmentioning
confidence: 99%
“…), and long-term benefits (prevention/treatment of many diseases), and it may be considered a sustainable tool [ 10 ] for the individual and environment. On the other hand, epidemiological data from the USA show that only 28.3% of youth aged 6 to 11 years are active for ≥60 min every day of the week, thus meeting more recent guideline recommendations [ 3 , 11 , 12 , 13 ], and this decreases to 16.5% of youth aged 12 to 17 years [ 4 ]. European Commission data show that 32.4% of Italian children aged 8–9 years are estimated to meet sufficient physical activity levels (considering WHO guidelines), and this percentage decreases to 11.9% of children aged 11 years old and further decreases to 6.8% of children aged 15 years old [ 14 ].…”
Section: Introductionmentioning
confidence: 99%