Document Type
Article
Publication Date
9-2024
Identifier
DOI: 10.1016/j.obpill.2024.100113; PMCID: PMC11216014
Abstract
BACKGROUND: This Obesity Medicine Association (OMA) Clinical Practice Statement (CPS) details assessment and management of the child with overweight or obesity. The term "child" is defined as the child between 2 and 12 years of age. Because children are in a continual state of development during this age range, we will specify when our discussion applies to subsets within this age range. For the purposes of this CPS, we will use the following definitions: overweight in the child is a body mass index (BMI) ≥ 85th and <95th >percentile, obesity in the child is a BMI ≥95th percentile, and severe obesity is a BMI ≥120% of the 95th percentile.
METHODS: The information and clinical guidance in this OMA Clinical Practice Statement are based on scientific evidence, supported by medical literature, and derived from the clinical perspectives of the authors.
RESULTS: This OMA Clinical Practice Statement provides an overview of prevalence of disease in this population, reviews precocious puberty in the child with obesity, discusses the current and evolving landscape of the use of anti-obesity medications in children in this age range, discusses the child with obesity and special health care needs, and reviews hypothalamic obesity in the child.
CONCLUSIONS: This OMA Clinical Practice Statement on the child with obesity is an evidence based review of the literature and an overview of current recommendations. This CPS is intended to provide a roadmap to the improvement of the health of children with obesity, especially those with metabolic, physiological, psychological complications and/or special healthcare needs. This CPS addresses treatment recommendations and is designed to help the clinician with clinical decision making.
Journal Title
Obes Pillars
Volume
11
First Page
100113
Last Page
100113
Keywords
Anti-obesity medications; Autonomic dysregulation; Child; HO/ROHHAD; Hypothalamic dysfunction; Hypoventilation; Obesity; Precocious puberty; Rapid-onset obesity; Special health care needs
Recommended Citation
Cuda S, Censani M, O’Hara V, et al. Special considerations for the child with obesity: An Obesity Medicine Association (OMA) clinical practice statement (CPS) 2024. Obesity Pillars. 2024;11:100113. doi:10.1016/j.obpill.2024.100113
Comments
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Publisher's Link: https://www.sciencedirect.com/science/article/pii/S2667368124000159?via%3Dihub