Italian Journal of Pediatrics (Jul 2018)
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 Valerio,
- Claudio Maffeis,
- Giuseppe Saggese,
- Maria Amalia Ambruzzi,
- Antonio Balsamo,
- Simonetta Bellone,
- Marcello Bergamini,
- Sergio Bernasconi,
- Gianni Bona,
- Valeria Calcaterra,
- Teresa Canali,
- Margherita Caroli,
- Francesco Chiarelli,
- Nicola Corciulo,
- Antonino Crinò,
- Procolo Di Bonito,
- Violetta Di Pietrantonio,
- Mario Di Pietro,
- Anna Di Sessa,
- Antonella Diamanti,
- Mattia Doria,
- Danilo Fintini,
- Roberto Franceschi,
- Adriana Franzese,
- Marco Giussani,
- Graziano Grugni,
- Dario Iafusco,
- Lorenzo Iughetti,
- Adima Lamborghini,
- Maria Rosaria Licenziati,
- Raffaele Limauro,
- Giulio Maltoni,
- Melania Manco,
- Leonardo Marchesini Reggiani,
- Loredana Marcovecchio,
- Alberto Marsciani,
- Emanuele Miraglia del Giudice,
- Anita Morandi,
- Giuseppe Morino,
- Beatrice Moro,
- Valerio Nobili,
- Laura Perrone,
- Marina Picca,
- Angelo Pietrobelli,
- Francesco Privitera,
- Salvatore Purromuto,
- Letizia Ragusa,
- Roberta Ricotti,
- Francesca Santamaria,
- Chiara Sartori,
- Stefano Stilli,
- Maria Elisabeth Street,
- Rita Tanas,
- Giuliana Trifiró,
- Giuseppina Rosaria Umano,
- Andrea Vania,
- Elvira Verduci,
- Eugenio Zito
Affiliations
- Giuliana Valerio
- Department of Movement Sciences and Wellbeing, University of Naples Parthenope
- Claudio Maffeis
- Pediatric Diabetes and Metabolic Disorders Unit, University of Verona
- Giuseppe Saggese
- Department of Pediatrics, University Hospital of Pisa
- Maria Amalia Ambruzzi
- Italian Society of Pediatrics (SIP)
- Antonio Balsamo
- Department of Medical and Surgical Sciences, University Hospital S.Orsola-Malpighi
- Simonetta Bellone
- Department of Health Sciences, University of Piemonte Orientale
- Marcello Bergamini
- Local health unit
- Sergio Bernasconi
- Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)
- Gianni Bona
- Department of Health Sciences, University of Piemonte Orientale
- Valeria Calcaterra
- Pediatrics Unit, University of Pavia and Fondazione IRCCS Policlinico San Matteo
- Teresa Canali
- Local health unit Roma 2
- Margherita Caroli
- Italian Society for Obesity (SIO)
- Francesco Chiarelli
- Chair of Pediatrics, University of Chieti
- Nicola Corciulo
- Pediatric Unit, Hospital of Gallipoli
- Antonino Crinò
- Autoimmune Endocrine Diseases Unit, Bambino Gesù Children Hospital, IRCCS
- Procolo Di Bonito
- Department of Internal Medicine, “S. Maria delle Grazie”, Pozzuoli Hospital
- Violetta Di Pietrantonio
- Department of Pediatrics, ARNAS “Civico-Di Cristina-Benfratelli”
- Mario Di Pietro
- Pediatric and Neonatal Unit, “G. Mazzini”Hospital
- Anna Di Sessa
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”
- Antonella Diamanti
- Artificial Nutrition Unit Bambino Gesù, Children’s Hospital, IRCCS
- Mattia Doria
- Italian Federation of Pediatricians (FIMP)
- Danilo Fintini
- Endocrinology and Diabetology Unit Bambino Gesù Children Hospital, IRCCS
- Roberto Franceschi
- Pediatric Unit, S. Chiara Hospital
- Adriana Franzese
- Department of Translational Medical Science, Regional Center for Pediatric Diabetes, University Federico II of Naples
- Marco Giussani
- Azienda Tutela della Salute (ATS)
- Graziano Grugni
- Division of Auxology, Istituto Auxologico Italiano, IRCCS
- Dario Iafusco
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”
- Lorenzo Iughetti
- Pediatric Unit, University of Modena and Reggio Emilia
- Adima Lamborghini
- Italian Federation of Pediatricians (FIMP)
- Maria Rosaria Licenziati
- Department of Neurosurgery and Rehabilitation, AORN Santobono Pausilipon
- Raffaele Limauro
- Local health unit Napoli 3 sud
- Giulio Maltoni
- Department of Medical and Surgical Sciences, University Hospital S.Orsola-Malpighi
- Melania Manco
- Research Area for Multifactorial Diseases, Children’s Hospital Bambino Gesù
- Leonardo Marchesini Reggiani
- Istituto Ortopedico Rizzoli
- Loredana Marcovecchio
- Chair of Pediatrics, University of Chieti
- Alberto Marsciani
- Pediatric Unit, “Infermi” Hospital
- Emanuele Miraglia del Giudice
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”
- Anita Morandi
- Pediatric Diabetes and Metabolic Disorders Unit, University Hospital of Verona
- Giuseppe Morino
- Nutrition Unit, Bambino Gesù Children’s Hospital IRCCS
- Beatrice Moro
- Local health unit (AULSS) 6 Euganea
- Valerio Nobili
- Department of Pediatrics and Infantile Neuropsychiatry, Sapienza University of Rome
- Laura Perrone
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”
- Marina Picca
- Azienda Tutela della Salute (ATS)
- Angelo Pietrobelli
- Pediatric Unit, Verona University Medical School
- Francesco Privitera
- Italian Federation of Pediatricians (FIMP)
- Salvatore Purromuto
- Pediatric obesity Unit, ASP of Ragusa
- Letizia Ragusa
- Oasi Research Institute –IRCCS
- Roberta Ricotti
- Department of Health Sciences, University of Piemonte Orientale
- Francesca Santamaria
- Department of Translational Medical Science, Regional Center for Pediatric Diabetes, University Federico II of Naples
- Chiara Sartori
- Department of Obstetrics, Gynaecology and Paediatrics, Arcispedale S.Maria Nuova-IRCCS
- Stefano Stilli
- Istituto Ortopedico Rizzoli
- Maria Elisabeth Street
- Department of Obstetrics, Gynaecology and Paediatrics, Arcispedale S.Maria Nuova-IRCCS
- Rita Tanas
- Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)
- Giuliana Trifiró
- Pediatric Unit, ASST-Rhodense
- Giuseppina Rosaria Umano
- Department of Woman, Child and General and Specialized Surgery, University of Campania “Luigi Vanvitelli”
- Andrea Vania
- Department of Pediatrics and Infantile Neuropsychiatry, Sapienza University of Rome
- Elvira Verduci
- Deparment of Pediatrics, San Paolo Hospital, University of Milan
- Eugenio Zito
- Department of Social Sciences, University of Naples Federico II
- DOI
- https://doi.org/10.1186/s13052-018-0525-6
- Journal volume & issue
-
Vol. 44,
no. 1
pp. 1 – 21
Abstract
Abstract 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.
Keywords
