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Assessment and management of severely obese children and adolescents
  1. Neil Wright1,
  2. Jerry Wales2
  1. 1Sheffield Children's Hospital, Sheffield, UK
  2. 2Department of Endocrinology & Diabetes, Lady Cilento Children's Hospital, Brisbane, Australia
  1. Correspondence to Dr Neil Wright, Sheffield Children's Hospital, Western Bank, Sheffield S10 2TH, UK; N.P.Wright{at}


Approximately 3% of children and adolescents in the UK have severe obesity. The incidence of cardiovascular risk factors such as hypertension, hyperinsulinism and hyperlipidaemia approaches 20% in such individuals. Lifestyle intervention programmes and pharmacotherapy are effective in some individuals, but the relapse rate is high. In exceptional cases, bariatric surgery is effective. This review outlines the scale of the problem, highlights those at risk and discusses referral, current services, appropriate screening and therapeutic interventions.

  • Obesity
  • Treatment
  • Genetics
  • Orlistat
  • Assessment

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