Italian Journal of Pediatrics (Jun 2023)
The treatment of obesity in children and adolescents: consensus position statement of the Italian society of pediatric endocrinology and diabetology, Italian Society of Pediatrics and Italian Society of Pediatric Surgery
- Claudio Maffeis,
- Francesca Olivieri,
- Giuliana Valerio,
- Elvira Verduci,
- Maria Rosaria Licenziati,
- Valeria Calcaterra,
- Gloria Pelizzo,
- Mariacarolina Salerno,
- Annamaria Staiano,
- Sergio Bernasconi,
- Raffaele Buganza,
- Antonino Crinò,
- Nicola Corciulo,
- Domenico Corica,
- Francesca Destro,
- Procolo Di Bonito,
- Mario Di Pietro,
- Anna Di Sessa,
- Luisa deSanctis,
- Maria Felicia Faienza,
- Grazia Filannino,
- Danilo Fintini,
- Elena Fornari,
- Roberto Franceschi,
- Francesca Franco,
- Adriana Franzese,
- Lia Franca Giusti,
- Graziano Grugni,
- Dario Iafusco,
- Lorenzo Iughetti,
- Riccardo Lera,
- Raffaele Limauro,
- Alice Maguolo,
- Valentina Mancioppi,
- Melania Manco,
- Emanuele Miraglia Del Giudice,
- Anita Morandi,
- Beatrice Moro,
- Enza Mozzillo,
- Ivana Rabbone,
- Paola Peverelli,
- Barbara Predieri,
- Salvo Purromuto,
- Stefano Stagi,
- Maria Elisabeth Street,
- Rita Tanas,
- Gianluca Tornese,
- Giuseppina Rosaria Umano,
- Malgorzata Wasniewska
Affiliations
- Claudio Maffeis
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University of Verona
- Francesca Olivieri
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University of Verona
- Giuliana Valerio
- Department of Movement Sciences and Wellbeing, Parthenope University of Naples
- Elvira Verduci
- Deparment of Pediatrics, Department of Health Science, Vittore Buzzi Children’s Hospital, University of Milan
- Maria Rosaria Licenziati
- Department of Neurosciences, Neuro-Endocrine Diseases and Obesity Unit, Santobono-Pausilipon Children’s Hospital
- Valeria Calcaterra
- Department of Pediatrics, Vittore Buzzi Children’s Hospital
- Gloria Pelizzo
- Department of Pediatric Surgery, Vittore Buzzi Children’s Hospital
- Mariacarolina Salerno
- Department of Traslational Medical Sciences, Section of Pediatrics, University of Naples Federico II
- Annamaria Staiano
- Department of Traslational Medical Sciences, Section of Pediatrics, University of Naples Federico II
- Sergio Bernasconi
- Microbiome Reaserch Hub, University of Parma
- Raffaele Buganza
- Pediatric Endocrinology Unit, Department of Public Health and Pediatric Sciences, University of Turin
- Antonino Crinò
- Autoimmune Endocrine Diseases Unit, Bambino Gesù Children Hospital, IRCCS
- Nicola Corciulo
- Pediatric Unit, Hospital of Gallipoli
- Domenico Corica
- Department of Human Pathology of Adulthood and Childhood, University of Messina
- Francesca Destro
- Department of Pediatric Surgery, Vittore Buzzi Children’s Hospital
- Procolo Di Bonito
- Department of Internal Medicine, S. Maria Delle Grazie Hospital
- Mario Di Pietro
- Pediatric and Neonatal Unit, Hospital of Teramo and Atri
- Anna Di Sessa
- Department of Woman, Child and General and Specialized Surgery, University of Campania L. Vanvitelli
- Luisa deSanctis
- Department of Sciences of Public Health and Pediatrics, University of Turin
- Maria Felicia Faienza
- Department of Precision and Regenerative Medicine and Ionan Area, University of Bari
- Grazia Filannino
- Pediatric Unit Ostuni Hospital
- Danilo Fintini
- Refernce Center for Prader Willi Syndrome, Endocrinology and Diabetology Unit, Bambino Gesù Children Hospital, IRCCS
- Elena Fornari
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University of Verona
- Roberto Franceschi
- Pediatric Unit, S. Chiara Hospital, APSS Trento
- Francesca Franco
- Pediatric Department, Azienda Sanitaria Universitaria del Friuli Centrale, Hospital of Udine
- Adriana Franzese
- Department of Traslational Medical Sciences, Section of Pediatrics, University of Naples Federico II
- Lia Franca Giusti
- Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)
- Graziano Grugni
- Division of Auxology, Istituto Auxologico Italiano, IRCCS
- Dario Iafusco
- Department of Woman, Child and General and Specialized Surgery, University of Campania L. Vanvitelli
- Lorenzo Iughetti
- Department of Medical and Surgical Sciences of Mother, Children and Adults, Pediatric Unit, University of Modena and Reggio Emilia
- Riccardo Lera
- Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)
- Raffaele Limauro
- Local Health Unit Napoli
- Alice Maguolo
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University of Verona
- Valentina Mancioppi
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University of Verona
- Melania Manco
- Research Area for Multifactorial Diseases, Children’s Hospital Bambino Gesù
- Emanuele Miraglia Del Giudice
- Department of Woman, Child and General and Specialized Surgery, University of Campania L. Vanvitelli
- Anita Morandi
- Department of Surgery, Dentistry, Pediatrics and Gynecology, Section of Pediatric Diabetes and Metabolism, University of Verona
- Beatrice Moro
- UOSD Diabetology, Complesso Ai Colli
- Enza Mozzillo
- Department of Traslational Medical Sciences, Section of Pediatrics, University of Naples Federico II
- Ivana Rabbone
- Division of Pediatrics, Department of Health Sciences, University of Piemonte Orientale
- Paola Peverelli
- Department of Pediatrics and Gynecology, Hospital of Belluno
- Barbara Predieri
- Department of Medical and Surgical Sciences of Mother, Children and Adults, Pediatric Unit, University of Modena and Reggio Emilia
- Salvo Purromuto
- Pediatric Obesity Unit, ASP of Ragusa
- Stefano Stagi
- Department of Health Sciences, University of Florence, Meyer Children’s Hospital IRCCS
- Maria Elisabeth Street
- Department of Medicine and Surgery, Unit of Paediatrics, University of Parma, University Hospital of Parma
- Rita Tanas
- Italian Society for Pediatric Endocrinology and Diabetology (SIEDP)
- Gianluca Tornese
- Institute for Maternal and Child Health, IRCCS “Burlo Garofolo”
- Giuseppina Rosaria Umano
- Department of Woman, Child and General and Specialized Surgery, University of Campania L. Vanvitelli
- Malgorzata Wasniewska
- Department of Human Pathology of Adulthood and Childhood, University of Messina
- DOI
- https://doi.org/10.1186/s13052-023-01458-z
- Journal volume & issue
-
Vol. 49,
no. 1
pp. 1 – 18
Abstract
Abstract This Position Statement updates the different components of the therapy of obesity (lifestyle intervention, drugs, and surgery) in children and adolescents, previously reported in the consensus position statement on pediatric obesity of the Italian Society of Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics. Lifestyle intervention is the first step of treatment. In children older than 12 years, pharmacotherapy is the second step, and bariatric surgery is the third one, in selected cases. Novelties are available in the field of the medical treatment of obesity. In particular, new drugs demonstrated their efficacy and safety and have been approved in adolescents. Moreover, several randomized control trials with other drugs are in process and it is likely that some of them will become available in the future. The increase of the portfolio of treatment options for obesity in children and adolescents is promising for a more effective treatment of this disorder.
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