Children's Hospital Association Consensus Statements for Comorbidities of Childhood Obesity
Open accessAbstract
Background: Childhood obesity and overweight affect approximately 30% of US children. Many of these children have obesity-related comorbidities, such as hypertension, dyslipidemia, fatty liver disease, diabetes, polycystic ovary syndrome (PCOS), sleep apnea, psychosocial problems, and others. These children need routine screening and, in many cases, treatment for these conditions. However, because primary care pediatric providers (PCPs) often are underequipped to deal with these comorbidities, they frequently refer these patients to subspecialists. However, as a result of the US pediatric subspecialist shortage and considering that 12.5 million children are obese, access to care by subspecialists is limited. The aim of this article is to provide accessible, user-friendly clinical consensus statements to facilitate the screening, interpretation of results, and early treatment for some of the most common childhood obesity comorbidities. Methods: Members of the Children's Hospital Association (formerly NACHRI) FOCUS on a Fitter Future II (FFFII), a collaboration of 25 US pediatric obesity centers, used a combination of the best available evidence and collective clinical experience to develop consensus statements for pediatric obesity-related comorbidities. FFFII also surveyed the participating pediatric obesity centers regarding their current practices. Results: The work group developed consensus statements for use in the evaluation and treatment of lipids, liver enzymes, and blood pressure abnormalities and PCOS in the child with overweight and obesity. The results of the FFFII survey illustrated the variability in the approach for initial evaluation and treatment as well as pattern of referrals to subspecialists among programs. Conclusions: The consensus statements presented in this article can be a useful tool for PCPs in the management and overall care of children with overweight and obesity.
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Rates of type 2 diabetes, nonalcoholic fatty liver disease, dyslipidemia, and hypertension in youthful generations exceed anything observed at these ages in prior human history.
“in whom rates of type 2 diabetes, nonalcoholic fatty liver disease, dyslipidemia, and hypertension exceed anything observed at these ages in prior human history.44”
From Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review (2016) · cites this paper as [44]
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- Authors
- Estrada, E., Eneli, I., Hampl, S., Mietus-Snyder, M., Mirza, N., Rhodes, E., Sweeney, B., Tinajero-Deck, L., Woolford, S. J., & Pont, S. J.
- Affiliations
- University of Connecticut (US)
- Nationwide Children's Hospital (US)
- Children's Mercy Hospital (US)
- George Washington University School of Medicine
- Children's National (US)
- Boston Children's Hospital (US)
- University of Louisville (US)
- UCSF Benioff Children's Hospital (US)
- University of Michigan (US)
- Dell Children's Medical Center of Central Texas (US)
- Corresponding author
- Estrada, Elizabeth
- ORCID
- Venue
- Childhood Obesity
- Publisher
- SAGE Publications
- Published
- 2014-07-14
- Volume
- 10
- Issue
- 4
- Pages
- 304-317
- ISSN
- 2153-2168 (ISSN-L)
- 2153-2176
- PMC
- PMC4120655
- OpenAlex
- W203790566
- Cited by
- 85
- References
- 52
- Citations by year
- 2025: 5 · 2024: 3 · 2023: 7 · 2022: 10 · 2021: 11 · 2020: 9 · 2019: 7 · 2018: 10 · 2017: 6 · 2016: 8 · 2015: 5 · 2014: 4
- FWCI
- 7.60
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Childhood Obesity (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Deep Blue (University of Michigan) (submittedVersion, other-oa)
- Funders
- Connecticut Children's Medical Center
- Children's Hospital Association
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- childhood overweight, obesity-related comorbidities, hypertension, dyslipidemia, hepatic steatosis, polycystic ovary syndrome, lipid screening, blood pressure screening, pediatric primary care
- MeSH terms
- Child, Child, Preschool, Diabetes Mellitus, Type 2, Female, Humans, Hypertension, Infant, Male, Polycystic Ovary Syndrome, Sleep Apnea Syndromes, United States, Comorbidity, Dyslipidemias, Pediatric Obesity, Non-alcoholic Fatty Liver Disease
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