肥胖症儿童的特殊考虑因素:肥胖症医学协会(OMA)临床实践声明(CPS)2024

Suzanne Cuda, Marisa Censani, Valerie O'Hara, Jennifer Paisley, Roohi Kharofa, Rushika Conroy, Brooke Sweeney, Cristina Fernandez, Meredith L. Dreyer Gillette, Nancy T. Browne
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引用次数: 0

摘要

背景本肥胖医学协会(OMA)临床实践声明(CPS)详细介绍了对超重或肥胖儿童的评估和管理。儿童 "是指 2 到 12 岁的儿童。由于儿童在这一年龄段处于持续发育阶段,因此我们将明确说明我们的讨论何时适用于这一年龄段的子集。在本 CPS 中,我们将使用以下定义:儿童超重是指体重指数(BMI)≥ 第 85 百分位数和第 95 百分位数;儿童肥胖是指体重指数≥ 第 95 百分位数;严重肥胖是指体重指数≥ 第 95 百分位数的 120%。结果本OMA临床实践声明概述了该人群的疾病流行情况,回顾了肥胖症儿童的性早熟情况,讨论了在该年龄段儿童中使用抗肥胖药物的现状和演变情况,讨论了肥胖症儿童和特殊健康护理需求,并回顾了儿童的下丘脑肥胖症。本 CPS 旨在为改善肥胖症儿童的健康状况提供路线图,尤其是那些有代谢、生理、心理并发症和/或特殊医疗需求的儿童。本 CPS 涉及治疗建议,旨在帮助临床医生做出临床决策。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Special considerations for the child with obesity: An Obesity Medicine Association (OMA) clinical practice statement (CPS) 2024

Special considerations for the child with obesity: An Obesity Medicine Association (OMA) clinical practice statement (CPS) 2024

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.

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