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Treatment of adolescent overweight and obesity.

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  • معلومة اضافية
    • Subject Terms:
    • Author-Supplied Keywords:
      Behavioural therapy
      Diet
      Exercise
      Lifestyle
      Pharmacology
      Surgery
      Treatment outcome
      Weight loss
    • NAICS/Industry Codes:
      541712 Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
    • Abstract:
      Adolescence is a vulnerable period for the development of obesity, and adolescent weight tracks strongly into adulthood. Previous reviews of treatment strategies have failed to discriminate between adolescents and children, thereby, disregarding the uniqueness of this population. Hence, this review aims to summarise the evidence for treatment approaches for adolescent obesity. Pubmed, OVID, EBSCOhost and Google Scholar were searched for randomised controlled trials, meta-analyses and systematic reviews testing treatments for overweight/obese adolescents (aged 12-19 years), published from 1982-2006 in English. Eligible studies had to assess either weight, percentage overweight, body mass index (BMI) or body fat. Thirty-four randomised controlled trials were eligible. The results of this review indicate that the safety and efficacy of surgical and pharmacotherapy treatments for adolescent obesity is uncertain. Diet and physical activity approaches may improve obese status in the short term. However, obesity interventions appear more effective when strategies are combined, rather than when used in isolation. Psychological interventions, such as behavioural and cognitive behavioural therapy, show promise in achieving the necessary lifestyle changes for obesity reduction; however, long-term follow-up studies are needed. There were multiple limitations in appraising the literature. Inconsistent definitions of overweight/obesity make comparisons between studies difficult. Many studies have not used direct adiposity measures, have failed to assess pubertal status or have not used an exclusive adolescent sample. We conclude that, despite these limitations, current evidence indicates that behavioural and cognitive behavioural strategies combined with diet and physical activity approaches may assist in reducing adolescent obesity,although long-term follow-up studies are needed. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of European Journal of Pediatrics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Nutritional Physiology Research Centre and ATN Centre for Metabolic Fitness, School of Health Sciences, University of South Australia, P.O. Box 2471, Adelaide, SA 5001, Australia
    • ISSN:
      0340-6199
    • Accession Number:
      10.1007/s00431-007-0575-z
    • Accession Number:
      27604795
  • Citations
    • ABNT:
      TSIROS, M. D. et al. Treatment of adolescent overweight and obesity. European Journal of Pediatrics, [s. l.], v. 167, n. 1, p. 9–16, 2008. DOI 10.1007/s00431-007-0575-z. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=27604795&custid=s8280428. Acesso em: 26 maio. 2020.
    • AMA:
      Tsiros MD, Sinn N, Coates AM, Howe PRC, Buckley JD. Treatment of adolescent overweight and obesity. European Journal of Pediatrics. 2008;167(1):9-16. doi:10.1007/s00431-007-0575-z.
    • APA:
      Tsiros, M. D., Sinn, N., Coates, A. M., Howe, P. R. C., & Buckley, J. D. (2008). Treatment of adolescent overweight and obesity. European Journal of Pediatrics, 167(1), 9–16. https://doi.org/10.1007/s00431-007-0575-z
    • Chicago/Turabian: Author-Date:
      Tsiros, Margarita D., Natalie Sinn, Alison M. Coates, Peter R. C. Howe, and Jonathan D. Buckley. 2008. “Treatment of Adolescent Overweight and Obesity.” European Journal of Pediatrics 167 (1): 9–16. doi:10.1007/s00431-007-0575-z.
    • Harvard:
      Tsiros, M. D. et al. (2008) ‘Treatment of adolescent overweight and obesity’, European Journal of Pediatrics, 167(1), pp. 9–16. doi: 10.1007/s00431-007-0575-z.
    • Harvard: Australian:
      Tsiros, MD, Sinn, N, Coates, AM, Howe, PRC & Buckley, JD 2008, ‘Treatment of adolescent overweight and obesity’, European Journal of Pediatrics, vol. 167, no. 1, pp. 9–16, viewed 26 May 2020, .
    • MLA:
      Tsiros, Margarita D., et al. “Treatment of Adolescent Overweight and Obesity.” European Journal of Pediatrics, vol. 167, no. 1, Jan. 2008, pp. 9–16. EBSCOhost, doi:10.1007/s00431-007-0575-z.
    • Chicago/Turabian: Humanities:
      Tsiros, Margarita D., Natalie Sinn, Alison M. Coates, Peter R. C. Howe, and Jonathan D. Buckley. “Treatment of Adolescent Overweight and Obesity.” European Journal of Pediatrics 167, no. 1 (January 2008): 9–16. doi:10.1007/s00431-007-0575-z.
    • Vancouver/ICMJE:
      Tsiros MD, Sinn N, Coates AM, Howe PRC, Buckley JD. Treatment of adolescent overweight and obesity. European Journal of Pediatrics [Internet]. 2008 Jan [cited 2020 May 26];167(1):9–16. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=27604795&custid=s8280428