Philip Massey, Michael Prelip, Brian Calimlim, Abdelmonem Afifi, Elaine Quiter, Sharon Nessim, Nancy Wongvipat-Kalev, Deborah Glik
Findings toward a multidimensional measure of adolescent health literacy
American journal of health behavior
european society endocrinology pediatric endocrine society guideline funded endocrine societyto formulate clinical practice guidelines assessment treatment prevention pediatric obesitythe participants include endocrine societyappointed task force 6 experts methodologist medical writerthis evidencebased guideline developed using grading recommendations assessment development evaluation approach describe strength recommendations quality evidence task force commissioned 2 systematic reviews used best available evidence published systematic reviews individual studiesone group meeting several conference calls email communications enabled consensus endocrine society committees members cosponsoring organizations reviewed commented preliminary drafts guidelinepediatric obesity remains ongoing serious international health concern affecting 17 us children adolescents threatening adult health longevity pediatric obesity basis genetic susceptibilities influenced permissive environment starting utero extending childhood adolescence endocrine etiologies obesity rare usually accompanied attenuated growth patterns pediatric comorbidities common longterm health complications often result screening comorbidities obesity applied hierarchal logical manner early identification serious complications result genetic screening rare syndromes indicated presence specific historical physical features psychological toll pediatric obesity individual family necessitates screening mental health issues counseling indicated prevention pediatric obesity promoting healthful diet activity environment primary goal achieving effective longlasting results lifestyle modification obesity occurs difficult although behavioral pharmacotherapy studies report modest success additional research accessible effective methods preventing treating pediatric obesity needed use weight loss medications childhood adolescence restricted clinical trials increasing evidence demonstrates effectiveness bariatric surgery seriously affected mature teenagers failed lifestyle modification use surgery requires experienced teams resources longterm followup adolescents undergoing lifestyle therapy medication regimens bariatric surgery obesity need cohesive planning help effectively transition adult care continued necessary monitoring support intervention transition programs obesity uncharted area requiring research efficacy despite significant increase research pediatric obesity since initial publication guidelines 8 years ago study needed genetic biological factors increase risk weight gain influence response therapeutic interventions also needed studies better understand genetic biological factors cause obese individual manifest one comorbidity vs another free comorbidities furthermore continued investigation effective methods preventing treating obesity methods changing environmental economic factors lead worldwide cultural changes diet activity priorities particular attention determining ways effect systemic changes food environments total daily mobility well methods sustaining healthy body mass index changes importance