1. Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics
- Author
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Giuliana Valerio, Claudio Maffeis, Giuseppe Saggese, Maria Amalia Ambruzzi, Antonio Balsamo, Simonetta Bellone, Marcello Bergamini, Sergio Bernasconi, Gianni Bona, Valeria Calcaterra, Teresa Canali, Margherita Caroli, Francesco Chiarelli, Nicola Corciulo, Antonino Crinò, Procolo Di Bonito, Violetta Di Pietrantonio, Mario Di Pietro, Anna Di Sessa, Antonella Diamanti, Mattia Doria, Danilo Fintini, Roberto Franceschi, Adriana Franzese, Marco Giussani, Graziano Grugni, Dario Iafusco, Lorenzo Iughetti, Adima Lamborghini, Maria Rosaria Licenziati, Raffaele Limauro, Giulio Maltoni, Melania Manco, Leonardo Marchesini Reggiani, Loredana Marcovecchio, Alberto Marsciani, Emanuele Miraglia del Giudice, Anita Morandi, Giuseppe Morino, Beatrice Moro, Valerio Nobili, Laura Perrone, Marina Picca, Angelo Pietrobelli, Francesco Privitera, Salvatore Purromuto, Letizia Ragusa, Roberta Ricotti, Francesca Santamaria, Chiara Sartori, Stefano Stilli, Maria Elisabeth Street, Rita Tanas, Giuliana Trifiró, Giuseppina Rosaria Umano, Andrea Vania, Elvira Verduci, and Eugenio Zito
- Subjects
Consensus ,Diagnosis ,Pediatric obesity ,Prevention ,Treatment ,Pediatrics ,RJ1-570 - Abstract
Abstract The Italian Consensus Position Statement on Diagnosis, Treatment and Prevention of Obesity in Children and Adolescents integrates and updates the previous guidelines to deliver an evidence based approach to the disease. The following areas were reviewed: (1) obesity definition and causes of secondary obesity; (2) physical and psychosocial comorbidities; (3) treatment and care settings; (4) prevention. The main novelties deriving from the Italian experience lie in the definition, screening of the cardiometabolic and hepatic risk factors and the endorsement of a staged approach to treatment. The evidence based efficacy of behavioral intervention versus pharmacological or surgical treatments is reported. Lastly, the prevention by promoting healthful diet, physical activity, sleep pattern, and environment is strongly recommended since the intrauterine phase.
- Published
- 2018
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