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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.

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.

SUBMITTER: Valerio G

PROVIDER: S-EPMC6069785 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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Publications

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.

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

Italian journal of pediatrics 20180731 1

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 ...[more]

PMID: 30064525

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Project description:Background: An ENDO-European Reference Network (ERN) initiative was launched that was endorsed by the European Society for Pediatric Endocrinology and the European Society for Endocrinology with 22 participants from the ENDO-ERN and the two societies. The aim was to update the practice guidelines for the diagnosis and management of congenital hypothyroidism (CH). A systematic literature search was conducted to identify key articles on neonatal screening, diagnosis, and management of primary and central CH. The evidence-based guidelines were graded with the Grading of Recommendations, Assessment, Development and Evaluation system, describing both the strength of recommendations and the quality of evidence. In the absence of sufficient evidence, conclusions were based on expert opinion. Summary: The recommendations include the various neonatal screening approaches for CH as well as the etiology (also genetics), diagnostics, treatment, and prognosis of both primary and central CH. When CH is diagnosed, the expert panel recommends the immediate start of correctly dosed levothyroxine treatment and frequent follow-up including laboratory testing to keep thyroid hormone levels in their target ranges, timely assessment of the need to continue treatment, attention for neurodevelopment and neurosensory functions, and, if necessary, consulting other health professionals, and education of the child and family about CH. Harmonization of diagnostics, treatment, and follow-up will optimize patient outcomes. Lastly, all individuals with CH are entitled to a well-planned transition of care from pediatrics to adult medicine. Conclusions: This consensus guidelines update should be used to further optimize detection, diagnosis, treatment, and follow-up of children with all forms of CH in the light of the most recent evidence. It should be helpful in convincing health authorities of the benefits of neonatal screening for CH. Further epidemiological and experimental studies are needed to understand the increased incidence of this condition.

Dataset Information

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.

Publications

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.

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