Bariatric Surgery in Pediatric Weight Management

Obesity ◽  
2012 ◽  
pp. 947-964
Author(s):  
Anand Dusad ◽  
Cristina Fernandez ◽  
Geetanjali Rathore ◽  
Sumeet Mittal ◽  
Archana Chatterjee
Keyword(s):  
Bariatric Surgery ◽  
Weight Management ◽  
Pediatric Weight Management

scholarly journals Endovascular Bariatric Surgery as Novel Minimally Invasive Technique for Weight Management in the Morbidly Obese: Review of the Literature

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2541
Author(s):  
Giuseppe Massimo Sangiorgi ◽  
Alberto Cereda ◽  
Nicola Porchetta ◽  
Daniela Benedetto ◽  
Andrea Matteucci ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Minimally Invasive ◽  
Weight Management ◽  
World Health ◽  
Invasive Technique ◽  
Morbidly Obese ◽  
World Population ◽  
Obese Patients ◽  
The World ◽  
Open Bariatric Surgery

Nowadays, obesity represents one of the most unresolved global pandemics, posing a critical health issue in developed countries. According to the World Health Organization, its prevalence has tripled since 1975, reaching a prevalence of 13% of the world population in 2016. Indeed, as obesity increases worldwide, novel strategies to fight this condition are of the utmost importance to reduce obese-related morbidity and overall mortality related to its complications. Early experimental and initial clinical data have suggested that endovascular bariatric surgery (EBS) may be a promising technique to reduce weight and hormonal imbalance in the obese population. Compared to open bariatric surgery and minimally invasive surgery (MIS), EBS is much less invasive, well tolerated, with a shorter recovery time, and is probably cost-saving. However, there are still several technical aspects to investigate before EBS can be routinely offered to all obese patients. Further prospective studies and eventually a randomized trial comparing open bariatric surgery vs. EBS are needed, powered for clinically relevant outcomes, and with adequate follow-up. Yet, EBS may already appear as an appealing alternative treatment for weight management and cardiovascular prevention in morbidly obese patients at high surgical risk.

scholarly journals Stay in treatment: Predicting dropout from pediatric weight management study protocol

2021 ◽  
pp. 100799
Author(s):  
Diane C. Berry ◽  
Erinn T. Rhodes ◽  
Sarah Hampl ◽  
Caroline Blackwell Young ◽  
Gail Cohen ◽  
...  
Keyword(s):  
Weight Management ◽  
Study Protocol ◽  
Management Study ◽  
Pediatric Weight Management

Predictors of successful weight loss in children treated at a community hospital–based tertiary care pediatric weight management program

2021 ◽  
pp. 136749352110375
Author(s):  
Zina C Mc Sweeney ◽  
Morgan D McSweeney ◽  
Shirley H Huang ◽  
Samareh G Hill
Keyword(s):  
Body Mass Index ◽  
Weight Management ◽  
Body Mass ◽  
Community Hospital ◽  
Linear Regression Analysis ◽  
Management Program ◽  
Health Concern ◽  
Weight Management Program ◽  
Pediatric Weight Management ◽  
Weight Management Programs

Childhood obesity is a major public health concern. However, predictors of successful outcomes for patients treated at multidisciplinary community hospital–based pediatric weight management programs remain poorly understood. We conducted a retrospective analysis to evaluate 633 pediatric patients from ages 2 to 18 at a tertiary pediatric weight management program in 2018. Predictors were evaluated in univariate comparisons, and significant variables were included in a linear regression analysis to identify factors associated with improvements in body mass index relative to the age- and sex-specific 95th percentile body mass index (%BMIp95). We found that male sex and increased number of clinical visits were independently and significantly associated with reductions in %BMIp95. Baseline %BMIp95, age, preferred language, and insurance status were not significant predictors of outcomes. A total of 398 (63%) patients experienced a decrease in %BMIp95 from baseline to follow-up. One quarter (24.8%) of patients experienced a decrease in %BMIp95 of at least 5%, a threshold associated with cardiometabolic improvements. Further, we observed significant improvements in cholesterol, triglycerides, alanine aminotransferase, aspartate aminotransferase, HbA1c, and waist circumference. These findings support a potential need for sex- and gender-tailored care as well as the benefits of increased access to pediatric weight management programs.

Clinician and healthcare managers’ perspectives on the delivery of secondary and tertiary pediatric weight management services

2021 ◽  
pp. 136749352110521
Author(s):  
Jennifer Cohen ◽  
Shirley Alexander ◽  
Christina Signorelli ◽  
Kathryn Williams ◽  
Kyra A Sim ◽  
...  
Keyword(s):  
Weight Management ◽  
Holistic Approach ◽  
Models Of Care ◽  
Public Hospitals ◽  
High Risk Population ◽  
Management Service ◽  
Structured Interviews ◽  
Optimal Care ◽  
Pediatric Weight Management ◽  
Management Services

Clinician and healthcare managers' (HCMs) views on weight management service delivery are imperative for informing the nature of future services to treat children with obesity. This qualitative study used semi-structured focus groups and one-on-one semi-structured interviews. Participants were 27 clinicians (medical, nursing, or allied health) and nine HCMs (senior executives in the hospital) who worked in six secondary or tertiary pediatric weight management clinics across five public hospitals in New South Wales, Australia. Clinicians reported that using a combination of group and individual sessions improved engagement with families and reduced attrition rates. Clinicians and HCMs recommended integrating clinics into community centers and providing specific programs for sub-groups, such as children from culturally and linguistically diverse communities or children with developmental delay. Many clinicians and HCMs stressed the importance of pediatric weight clinics using a holistic approach to treatment. To improve the likelihood of future funding for pediatric weight management clinics and to optimize models of care, centers must embed research into their practice. Addressing common barriers to current pediatric weight management services and designing future models of care based on key stakeholders’ preferences is critical to achieving optimal care provision for this high-risk population.

scholarly journals Presence of Obesity Related Comorbidities Associated with Lower Attrition Rate in Pediatric Weight Management Program

2017 ◽  
Vol 2 (2) ◽  
Author(s):  
Wei Jie Nicholas Hong ◽  
Hui Ling Huang ◽  
Kumudhini Rajasegaran ◽  
Jean Yin Oh ◽  
Siobhan Kelly ◽  
...  
Keyword(s):  
Weight Management ◽  
Management Program ◽  
Attrition Rate ◽  
Weight Management Program ◽  
Pediatric Weight Management

Planned Evaluation of the Healthy Weight Clinic Pediatric Weight Management and Implementation: Massachusetts-CORD 3.0

2021 ◽  
Vol 17 (S1) ◽  
pp. S-55-S-61
Author(s):  
Lauren Fiechtner ◽  
Desiree Sierra Velez ◽  
Sujata G. Ayala ◽  
Ines Castro ◽  
Jeanne Lindros ◽  
...  
Keyword(s):  
Weight Management ◽  
Healthy Weight ◽  
Pediatric Weight Management
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