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
Giuliana ValerioDepartment of Movement Sciences and Wellbeing, University of Naples Parthenope, via Medina 40, 80133, Naples, Italy. [email protected]Claudio MaffeisPediatric Diabetes and Metabolic Disorders Unit, University of Verona, Verona, ItalyGiuseppe SaggeseDepartment of Pediatrics, University Hospital of Pisa, Pisa, ItalyMaria Amalia AmbruzziItalian Society of Pediatrics (SIP), Rome, ItalyAntonio BalsamoDepartment of Medical and Surgical Sciences, University Hospital S.Orsola-Malpighi, Bologna, ItalySimonetta BelloneDepartment of Health Sciences, University of Piemonte Orientale, Novara, ItalyMarcello BergaminiLocal health unit, Ferrara, ItalySergio BernasconiGianni BonaDepartment of Health Sciences, University of Piemonte Orientale, Novara, ItalyValeria CalcaterraPediatrics Unit, University of Pavia and Fondazione IRCCS Policlinico San Matteo, Pavia, ItalyTeresa CanaliLocal health unit Roma 2, Rome, ItalyMargherita CaroliItalian Society for Obesity (SIO), Francavilla Fontana (Brindisi), ItalyFrancesco ChiarelliChair of Pediatrics, University of Chieti, Chieti, ItalyNicola CorciuloPediatric Unit, Hospital of Gallipoli, Gallipoli (Lecce), ItalyAntonino CrinòAutoimmune Endocrine Diseases Unit, Bambino Gesù Children Hospital, IRCCS, Rome, ItalyProcolo Di BonitoVioletta Di PietrantonioDepartment of Pediatrics, ARNAS "Civico-Di Cristina-Benfratelli", Palermo, ItalyMario Di PietroAnna Di SessaDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, ItalyAntonella DiamantiArtificial Nutrition Unit Bambino Gesù, Children's Hospital, IRCCS, Rome, ItalyMattia DoriaItalian Federation of Pediatricians (FIMP), Venice, ItalyDanilo FintiniEndocrinology and Diabetology Unit Bambino Gesù Children Hospital, IRCCS, Rome, ItalyRoberto FranceschiPediatric Unit, S. Chiara Hospital, Trento, ItalyAdriana FranzeseMarco GiussaniGraziano GrugniDivision of Auxology, Istituto Auxologico Italiano, IRCCS, Verbania, ItalyDario IafuscoDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, ItalyLorenzo IughettiPediatric Unit, University of Modena and Reggio Emilia, Modena, ItalyAdima LamborghiniItalian Federation of Pediatricians (FIMP), Teramo, ItalyMaria Rosaria LicenziatiRaffaele LimauroGiulio MaltoniDepartment of Medical and Surgical Sciences, University Hospital S.Orsola-Malpighi, Bologna, ItalyMelania MancoResearch Area for Multifactorial Diseases, Children's Hospital Bambino Gesù, Rome, ItalyLeonardo Marchesini ReggianiIstituto Ortopedico Rizzoli, Bologna, ItalyLoredana MarcovecchioChair of Pediatrics, University of Chieti, Chieti, ItalyAlberto MarscianiPediatric Unit, "Infermi" Hospital, Rimini, ItalyEmanuele Miraglia del GiudiceDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, ItalyAnita MorandiPediatric Diabetes and Metabolic Disorders Unit, University Hospital of Verona, Verona, ItalyGiuseppe MorinoNutrition Unit, Bambino Gesù Children's Hospital IRCCS, Rome, ItalyB Gonzalez Martin MoroValério NobiliDepartment of Pediatrics and Infantile Neuropsychiatry, Sapienza University of Rome, Rome, ItalyLaura PerroneDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, ItalyMarina PiccaAngelo PietrobelliPediatric Unit, Verona University Medical School, Verona, ItalyFrancesco PriviteraItalian Federation of Pediatricians (FIMP), Catania, ItalySalvatore PurromutoPediatric obesity Unit, ASP of Ragusa, Ragusa, ItalyLetizia RagusaOasi Research Institute -IRCCS, Troina (Ragusa), ItalyRoberta RicottiDepartment of Health Sciences, University of Piemonte Orientale, Novara, ItalyFrancesca SantamariaChiara SartoriStefano StilliIstituto Ortopedico Rizzoli, Bologna, ItalyMaria Elisabeth StreetRita TanasItalian Society for Pediatric Endocrinology and Diabetology (SIEDP), Ferrara, ItalyGiuliana TrifiròGiuseppina Rosaria UmanoDepartment of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, ItalyAndrea VaniaDepartment of Pediatrics and Infantile Neuropsychiatry, Sapienza University of Rome, Rome, ItalyElvira VerduciDeparment of Pediatrics, San Paolo Hospital, University of Milan, Milan, ItalyEugenio ZitoDepartment of Social Sciences, University of Naples Federico II, Naples, Italy
2018en
ABI
Аннотация
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.
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