Book contents
- Frontmatter
- Contents
- Foreword by David W. Haslam
- Preface
- Acknowledgements
- List of abbreviations
- 1 Introduction
- 2 How fat is fat? Measuring and defining overweight and obesity
- 3 Where should overweight/obese children be managed?
- 4 How do we approach the overweight/obese child and family?
- 5 The clinical assessment: what are the special points?
- 6 What complications should we look for now and later?
- 7 How does psychology influence management?
- 8 Management: what do we mean by lifestyle changes?
- 9 How can we reduce energy intake?
- 10 How can we increase energy expenditure?
- 11 What else can be done?
- 12 How can we sustain healthy weight management?
- 13 What can we do to prevent childhood overweight and obesity?
- References
- Index
11 - What else can be done?
Published online by Cambridge University Press: 08 August 2009
- Frontmatter
- Contents
- Foreword by David W. Haslam
- Preface
- Acknowledgements
- List of abbreviations
- 1 Introduction
- 2 How fat is fat? Measuring and defining overweight and obesity
- 3 Where should overweight/obese children be managed?
- 4 How do we approach the overweight/obese child and family?
- 5 The clinical assessment: what are the special points?
- 6 What complications should we look for now and later?
- 7 How does psychology influence management?
- 8 Management: what do we mean by lifestyle changes?
- 9 How can we reduce energy intake?
- 10 How can we increase energy expenditure?
- 11 What else can be done?
- 12 How can we sustain healthy weight management?
- 13 What can we do to prevent childhood overweight and obesity?
- References
- Index
Summary
This book is concerned with first-line approaches to the management of childhood overweight and obesity. Drug treatment and surgical interventions are not first-line management. They are not solutions for those who are non-compliant with diet or other standard management. Interventions with drugs or surgery should only be considered for adolescents and children when their overweight/obesity has been investigated and assessed thoroughly by a paediatric team experienced in managing overweight children. For obese adults, drugs and surgery can contribute to management in some severely affected obese and in those with co-morbidities. Paediatric services are beginning to define young people, adolescents in particular, for whom drug treatment or bariatric surgery may usefully complement other weight management practices. Thus we feel it is important that those treating all overweight/obese children should have some knowledge of the children who might benefit from pharmaceutical or surgical interventions, particularly since these primary care teams may be involved in the follow up management of these children.
The recent NICE (2006) Guidelines on the management of overweight/obesity do accept that some children and adolescents benefit from drug treatment or from bariatric surgery. However no drug is currently licensed for use in childhood obesity in the UK although licenses for use with adolescents are being sought. Surgery should be confined to children who are at real risk from the complications of their obesity and, because surgery can occasionally lead to nutritional inadequacies, have completed or almost completed growth and physical maturation.
- Type
- Chapter
- Information
- Management of Childhood Obesity , pp. 153 - 160Publisher: Cambridge University PressPrint publication year: 2008