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The Challenge of Treating Obesity and Overweight Proceedings of a Workshop (2017) / Chapter Skim
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3 Treatment of Obesity and Overweight in Children and Adolescents
Pages 17-22

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
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From page 17...
... • Published trials on the use of medications in children show a small effect, not as large as that of lifestyle interventions. • The median decrease in BMI with bariatric surgery in pediatric populations is 30 percent, but weight loss surgery occurs in only about 1,200 children per year (extrapolated from 2009 estimates)
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From page 18...
... In the second stage, an allied health care provider is also involved. In the third and fourth stages, a multidisciplinary care team provides more frequent and intensive care focused on lifestyle modification.
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From page 19...
... found positive effects on the lipid panel, fasting blood sugar, and blood pressure with a decrease in BMI z-score of 0.2–0.3. She added that all studies including bariatric surgery showed a clear benefit of this intervention for cardiometabolic outcomes.
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From page 20...
... found a marginal effect. "The way they described this marginal effect," she explained, "is that if you compare a 10-year-old at the 90th BMI percentile in the control group with a 10-year-old peer in the intervention group, what you would find is a 1 kilogram difference in weight over 3 years." Eneli noted that no evidence currently supports the ability of schoolbased interventions to decrease BMI z-score.
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From page 21...
... "We just need more studies." Eneli cited additional potential opportunities, including using the right effectiveness measure, looking at a set of effectiveness measures rather than a single measure, making effectiveness measures more relevant to stakeholders in the field, providing better training, supporting care in clinical and community settings, focusing on children with severe obesity as well as on children who are rapidly crossing percentiles, integrating programs across settings, supporting extended research funding, integrating technology, and linking outcomes to policy on reimbursement and population health (Dietz et al., 2015; Foltz et al., 2015)
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Key Terms

  • lifestyle interventions
  • bariatric surgery
  • effectiveness measures
  • severe obesity
  • eneli noted

  • loss surgery
  • eneli reported
  • weight status
  • eneli continued
  • surgery occurs

  • median decrease
  • lipid panel
  • cardiometabolic outcomes
  • healthy weight
  • eneli distinguished

  • eneli observed
  • opportunities eneli
  • weight percentiles
  • eneli elaborated
  • ihuoma eneli

  • eneli cited
  • improving weight
  • noted eneli
  • childhood weight
  • reducing weight

  • glucose metabolism
  • integrating programs
  • involved referral
  • uspstf report
  • sparse compared


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