Skip to main content

The Challenge of Treating Obesity and Overweight Proceedings of a Workshop (2017) / Chapter Skim
Currently Skimming:

5 Treating Severe Obesity in Adolescents and Children
Pages 31-38

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 31...
... • Multidisciplinary programs remain the most common way to treat severe obesity in children and adolescents, but they face such obstacles as high costs, poor reimbursement, high attri tion rates, low reach, poor adherence, and poor postprogram weight loss management. (Woolford)
Read the entire page →
From page 32...
... When they started the program, Highfield reported, Ryan weighed 144 pounds, had a body mass index (BMI) of 28, and was diagnosed with severe obesity.
Read the entire page →
From page 33...
... But the entire family is continuing to help Ryan develop the tools he will need to achieve his goals. IDENTIFICATION, ASSESSMENT, AND TREATMENT OF SEVERE OBESITY IN CHILDREN Identification of obesity in children typically has relied on growth charts, noted Susan Woolford, assistant professor and co-director of the Mobile Technology to Enhance Child Health Program, Child Health Evaluation and Research Unit, University of Michigan.
Read the entire page →
From page 34...
... For example, a recent randomized controlled trial of motivational interviewing and dietary counseling for treatment of obesity in primary care produced a statistically greater decrease in mean BMI compared with a control group receiving usual care (Resnicow et al., 2015)
Read the entire page →
From page 35...
... Given the lack of effective stage four options, Woolford continued, multidisciplinary programs remain the most likely approach. However, they too face many obstacles, she argued, including high costs, poor reimbursement, high attrition rates, low reach, poor adherence, and poor postprogram weight loss maintenance (Skelton and Beech, 2011)
Read the entire page →
From page 36...
... In addition, he said, very few adolescents undergo bariatric surgery, even though evidence "supports the paradigm of at least considering bariatric surgery as an effective treatment modality for this particular subpopulation." Adolescents need "an effective means of losing weight," Michalsky asserted. He reported that according to recently published 3-year longitudinal data, Roux-en-Y gastric bypass and sleeve gastrectomy produce not only significant weight reduction over time but also a 90 percent remission rate for type 2 diabetes, a 77 percent remission rate for prediabetes, a 66 percent remission rate for dyslipidemia, and improved blood pressure and kidney function (Inge et al., 2016)
Read the entire page →
From page 37...
... . Michalsky noted that in 2014, the Adolescent Bariatric Surgery Designation Center was established by the Metabolic and Bariatric Accreditation and Quality Improvement Program of the American College of Surgeons and the American Society of Metabolic and Bariatric Surgery, which have published standards for optimal care of the metabolic and bariatric surgery patient.
Read the entire page →

Key Terms

  • severe obesity
  • weight loss
  • undergo bariatric
  • percent remission
  • remission rate

  • adolescent bariatric
  • adolescents undergo
  • woolford asserted
  • pediatric population
  • body mass

  • child health
  • exercise physiologist
  • multidisciplinary programs
  • programs remain
  • treatment modality

  • care team
  • motivational interviewing
  • loss surgery
  • poor adherence
  • mass index

  • low reach
  • psychosocial issues
  • woolford continued
  • bariatric care
  • healthy weight

  • regarding bariatric
  • multidisciplinary care
  • defining severe
  • gram weight
  • bariatric accreditation


    • This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
    More information on Chapter Skim is available.