Psychological, Nutritional and Sports-Scientific Aspects of Obesity in Adolescence

Ardelt-Gattinger, Elisabeth; Ring-Dimitriou, Susanne; Dämon, Sabine; Meindl, Markus; Miller, Karl; Neubauer, Mirjam; Thun‐Hohenstein, Leonhard; Weghuber, Daniel

doi:10.1007/978-3-7091-0968-7_16

Cited by 1 publication

(1 citation statement)

References 39 publications

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“…A study on the ten-year outcome of bariatric surgery in children and adolescents also showed that there is no negative impact on pubertal development or linear growth, so a specific Tanner stage should not be considered a requirement [81]. In the European guidelines from 2014, you can consider bariatric surgery if the patient has the following characteristics: (1) BMI ≥ 40 kg/m 2 and at least one comorbidity; (2) Followed at least six months of the multidisciplinary treatment; (3) Skeletal and developmental maturity; (4) Capable of committing to comprehensive medical and psychological evaluation before and after surgery; (5) Willing to participate in a post-surgery multidisciplinary treatment program; and (6) Can access surgery in a unit with specialist paediatric support [82,83]. A specific age limit is not recommended, but there are few studies on bariatric surgery below the age of 12 years.…”

Section: Bariatric Surgerymentioning

confidence: 99%

Optimizing Childhood Obesity Management: The Role of Edmonton Obesity Staging System in Personalized Care Pathways

De Wolf,

Nauwynck,

Vanbesien

et al. 2024

Life

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Childhood obesity, affecting 29% of 7–9-year-olds across 33 European countries, is a significant public health challenge. Its persistence into adulthood poses grave health risks influenced by genetic, environmental, and socio-economic factors. Belgium introduced a new care pathway in December 2023, based on the Edmonton Obesity Staging System for Pediatrics (EOSS-P), addressing four health domains and staging obesity severity. This pathway operates across three levels: primary care physicians, Paediatric Multidisciplinary Obesity Management Centres (PMOCs), and Centers of Expertise for Paediatric Obesity Management (CEPOs). Each stage of EOSS-P demands tailored interventions. Early stages involve dietary interventions, physical activity promotion, and behavior modifications. As obesity severity progresses, treatments intensify, encompassing psychological support, anti-obesity medications, and, in some cases, bariatric surgery. Throughout these stages, the involvement of multidisciplinary teams is crucial, emphasizing family-based approaches and continuous monitoring. This article provides detailed guidelines for healthcare professionals, delineating interventions and recommendations tailored to each EOSS-P stage. It emphasizes a holistic approach that extends beyond BMI-based diagnosis, promoting personalized care and prompt escalations between care levels, thereby ensuring optimal management of childhood obesity. This comprehensive framework aims to address the complexities of childhood obesity, emphasizing the importance of timely and targeted interventions for better health outcomes.

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Section: Bariatric Surgerymentioning

confidence: 99%