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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

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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2. 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

Valerio Nobili, Maria Amalia Ambruzzi, Giuseppina Rosaria Umano, Antonella Diamanti, Maria E. Street, Chiara Sartori, Emanuele Miraglia del Giudice, Valeria Calcaterra, Elvira Verduci, Stefano Stilli, Marcello Bergamini, Dario Iafusco, Teresa Canali, Maria Rosaria Licenziati, Danilo Fintini, G. Trifirò, Anna Di Sessa, Giuseppe Saggese, Margherita Caroli, Adima Lamborghini, Nicola Corciulo, Adriana Franzese, Anita Morandi, Graziano Grugni, Salvatore Purromuto, Gianni Bona, Laura Perrone, Procolo Di Bonito, Claudio Maffeis, S. Bellone, Roberta Ricotti, Francesco Chiarelli, Sergio Bernasconi, Leonardo Marchesini Reggiani, Marina Picca, A. Marsciani, Eugenio Zito, Beatrice Moro, Andrea Vania, Violetta Di Pietrantonio, Giulio Maltoni, Antonio Balsamo, Marco Giussani, Lorenzo Iughetti, L. Ragusa, Melania Manco, Roberto Franceschi, Francesca Santamaria, Giuseppe Morino, Antonino Crinò, Francesco Privitera, Raffaele Limauro, Mattia Doria, Angelo Pietrobelli, Mario Di Pietro, Giuliana Valerio, Loredana Marcovecchio, Rita Tanas, Valerio, Giuliana, Maffeis, Claudio, Saggese, Giuseppe, Amalia Ambruzzi, Maria, Balsamo, Antonio, Bellone, Simonetta, Bergamini, Marcello, Bernasconi, Sergio, Bona, Gianni, Calcaterra, Valeria, Canali, Teresa, Caroli, Margherita, Chiarelli, Francesco, Corciulo, Nicola, Crinò, Antonino, Di Bonito, Procolo, Di Pietrantonio, Violetta, Di Pietro, Mario, Di Sessa, Anna, Diamanti, Antonella, Doria, Mattia, Fintini, Danilo, Franceschi, Roberto, Franzese, Adriana, Giussani, Marco, Grugni, Graziano, Iafusco, Dario, Iughetti, Lorenzo, Lamborghini, Adima, Rosaria Licenziati, Maria, Limauro, Raffaele, Maltoni, Giulio, Manco, Melania, Marchesini Reggiani, Leonardo, Marcovecchio, Loredana, Marsciani, Alberto, Miraglia del Giudice, Emanuele, Morandi, Anita, Morino, Giuseppe, Moro, Beatrice, Nobili, Valerio, Perrone, Laura, Picca, Marina, Pietrobelli, Angelo, Privitera, Francesco, Purromuto, Salvatore, Ragusa, Letizia, Ricotti, Roberta, Santamaria, Francesca, Sartori, Chiara, Stilli, Stefano, Elisabeth Street, Maria, Tanas, Rita, Trifiró, Giuliana, Rosaria Umano, Giuseppina, Vania, Andrea, Verduci, Elvira, Zito, Eugenio, Ambruzzi, Maria Amalia, Licenziati, Maria Rosaria, Reggiani, Leonardo Marchesini, Del Giudice, Emanuele Miraglia, Street, Maria Elisabeth, and Umano, Giuseppina Rosaria

Subjects
Position statement, medicine.medical_specialty, Pediatric Obesity, Evidence-based practice, Consensus, Adolescent, Pediatric endocrinology, 030209 endocrinology & metabolism, Consensu, Disease, Review, Pediatrics, 03 medical and health sciences, 0302 clinical medicine, Endocrinology, 030225 pediatrics, Intervention (counseling), Diagnosis, Medicine, Humans, Child, Societies, Medical, Pediatric, Pediatric obesity, Prevention, Treatment, business.industry, lcsh:RJ1-570, Infant, Newborn, Infant, lcsh:Pediatrics, General Medicine, medicine.disease, Obesity, Diagnosis treatment, Italy, Family medicine, Child, Preschool, business, Psychosocial, Human, Diagnosi
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. Electronic supplementary material The online version of this article (10.1186/s13052-018-0525-6) contains supplementary material, which is available to authorized users.

Published
2018

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