RT Journal Article
SR Electronic
T1 Assessment and management of severely obese children and adolescents
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP 1161
OP 1167
DO 10.1136/archdischild-2015-309103
VO 101
IS 12
A1 Wright, Neil
A1 Wales, Jerry
YR 2016
UL http://adc.bmj.com/content/101/12/1161.abstract
AB 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.