The adolescent with obesity: what perspectives for treatment?

Nicolucci, Antonio; Maffeis, Claudio

doi:10.1186/s13052-022-01205-w

Cited by 52 publications

(52 citation statements)

References 69 publications

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“…The prevalence of obesity is seen in one-third of the entire population, and it increases in all age groups of both sexes ( 2 ). According to the World Health Organization, which defines obesity as a body mass index (BMI) ≥ 30 kg/m 2 , obesity is a 21 st -century epidemic and health risk factor with a prevalence that is rapidly increasing in children and adolescents ( 3 , 4 ).…”

Section: Introductionmentioning

confidence: 99%

Obesity and periodontitis: A systematic review and updated meta-analysis

Kim

Lee²,

Hwang³

et al. 2022

Front. Endocrinol.

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BackgroundA previous 2014 meta-analysis reported a positive association between obesity and periodontitis. It was considered necessary to update the recently published papers and to analyse subgroups on important clinical variables that could affect the association between obesity and periodontitis. Therefore, we updated the latest studies and attempted to derive more refined results.MethodsAll observational studies were eligible for inclusion. The Newcastle–Ottawa scale was used to qualitatively evaluate the risk of bias. Subgroup analyses were conducted for patients aged 18–34, 35–54, and 55+ years and the countries (European countries, USA, Brazil, Japan, Korea, and other Asian countries).ResultsThirty-seven full-text articles were included. Obesity conferred increased odds of periodontal disease with an odds ratio (1.35, 95% CI: 1.05–1.75). In the subgroup analysis by age, the odds ratio was the highest in the 18–34 years group (2.21, 95% CI: 1.26–3.89). In the subgroup analysis by country, European countries had the highest odds ratio (2.46, 95% CI: 1.11–5.46).ConclusionDespite the differences in degree, a positive association between obesity and periodontitis was found regardless of country or age. Therefore, medical professionals should try to prevent periodontitis by controlling patient weights, and more studies should be conducted to determine the association between obesity and oral health.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/, identifier CRD42022301343.

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Section: Introductionmentioning

confidence: 99%

Obesity and periodontitis: A systematic review and updated meta-analysis

Kim

Lee²,

Hwang³

et al. 2022

Front. Endocrinol.

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“…Overweight/obesity is a public health problem constituting an independent risk factor for several chronic non-communicable diseases and increased mortality [ 1 , 2 ]. Globally, there has been an increase in obesity and a decline in the underweight: the increase in obesity, including severe obesity, may be linked to increasing social disparities that limit healthy food access for people at the greatest risk of malnutrition [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Physical Activity and Body Image Perception in Adolescents: A Systematic Review

Gualdi‐Russo

Rinaldo

Zaccagni

2022

IJERPH

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Adolescence represents a vulnerable phase of life for psychological health. The practice of physical activity (PA) appears to have a positive influence on adolescents, increasing self-esteem and producing a more positive body image. A systematic review of published articles over the past 10 years until June 2022 was conducted according to the PRISMA statement employing the electronic databases MEDLINE and Web of Science (639 records) to summarize the literature on the relationship between body image dissatisfaction (BID) and assessed by figural scales and practice of structured and unstructured PA in adolescents (10–18 years), taking into account BMI and/or weight status. All articles were independently reviewed using inclusion/exclusion criteria, retrieved data, and assessed quality with the adapted Newcastle-Ottawa Scale for observational studies. The main finding of interest that emerged from most of the 28 included studies is the negative association between BID and PA during adolescence: as PA increases, BID decreases. However, this updated systematic review also identified some flaws in the existing literature, highlighting the need for high-quality adolescent research using validated figural scales and objective PA assessments. In conclusion, the reviewed studies showed that PA involvement can be efficacious in protecting from body image perception concerns and enhancing body satisfaction. Future interventions should promote structured and unstructured PA during adolescence to improve self-esteem and body image.

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“…In numerous studies, laparoscopic sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most common bariatric surgery procedures performed in both adolescent and adult patients [4,[22][23][24]. The Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) study reported 3-year mean BMI reductions of 29% with Roux-en-Y gastric bypass and 27% with vertical sleeve gastrectomy among individuals aged 19 years or younger [13].…”

Section: Resultsmentioning

confidence: 99%

Challenges of bariatric surgery in adolescents with obesity

Manole¹

2022

Surgery

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bypass INTRODUCTION Obesity is a complex, multifactorial condition and one of the most frequent pathology encountered in practice worldwide, which after the SARS-COV-2 pandemic period took a rapid increase of prevalence in children and adolescents, which almost tripled. By increasing the prevalence of overweight and obesity, both in the paediatric population and in adults, there is a high risk of comorbidities with multiple social and economic consequences [1].The prevalence of obesity over time has almost tripled since 1975 according to the World Health Organization. In 2016, there were more than 650 million obese adults, with age 18 years and older (13%), and for children and adolescents ReviewOpen Access Abstract. Challenges of bariatric surgery in adolescents with obesityObjective: Obesity is a multifactorial condition and one of the most frequent pathology encountered in practice worldwide, who took a big increase of prevalence in children and adolescents after the SARS-COV-2 pandemic period. The aim of this review is to evaluate the surgical treatment options, outcomes, and clinical indications in adolescents with severe obesity, focusing on types of procedures, nutritional management and resolution of metabolic comorbidities. Materials and method: In this review we analysed the most relevant published studies (original papers and reviews) in the scientific literature. The literature search of articles was made in electronic international indexed databases PubMed, Medline and Web of Science. The papers published up to November 2022 were searched with the following keywords: obesity, adolescents, bariatric surgery, obesity complications, metabolic risk, sleeve gastrectomy, clinical indications for bariatric surgery. Results: The bariatric surgery is a safe and effective treatment for the population younger than 18 years, with durable weight loss and improvement in comorbid conditions. Laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass are the most common bariatric surgery procedures performed in both adolescent and adult patients, with an average percent body mass index loss between 25-29% after surgery. In bariatric surgery is recommended a multidisciplinary approach to evaluate the eligible candidates, especially for an adolescent. Following the bariatric surgery, the patients must optimize their lifestyle habits and make healthy dietary choices. Multiple studies have demonstrated important improvements, prevention and even remission of complications of obesity. Psychosocial issues and the quality of life are important components in evaluating the patients diagnosed with obesity. Conclusions: The prevention and treatment of obesity and comorbidities in adolescence are key strategic goals, in order to reduce morbidity, mortality in adulthood. The early results in bariatric surgery, made in both sleeve gastrectomy or Roux-en-Y gastric bypass technique, have all indicated that adolescent surgical intervention is a successful therapeutic option, if lifestyle modifications fail.

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The adolescent with obesity: what perspectives for treatment?

Cited by 52 publications

References 69 publications

Obesity and periodontitis: A systematic review and updated meta-analysis

Obesity and periodontitis: A systematic review and updated meta-analysis

Physical Activity and Body Image Perception in Adolescents: A Systematic Review

Challenges of bariatric surgery in adolescents with obesity

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