{"id":56723,"date":"2023-01-24T10:30:03","date_gmt":"2023-01-24T15:30:03","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=56723"},"modified":"2024-10-25T10:54:18","modified_gmt":"2024-10-25T14:54:18","slug":"clinical-guidelines-for-childhood-obesity","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/news\/clinical-guidelines-for-childhood-obesity\/","title":{"rendered":"AAP releases new clinical guidelines for childhood obesity"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The <\/span><a href=\"https:\/\/publications.aap.org\/pediatrics\/article\/doi\/10.1542\/peds.2022-060640\/190443\/Clinical-Practice-Guideline-for-the-Evaluation-and\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">American Academy of Pediatrics<\/span><\/a><span style=\"font-weight: 400;\"> (AAP) released new clinical practice <\/span><a href=\"https:\/\/doi.org\/10.1542\/peds.2022-060640\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">guidelines<\/span><\/a><span style=\"font-weight: 400;\"> focusing on the treatment of childhood obesity, for the first time in 15 years. New measures focus on earlier and more intensive interventions for children with obesity&mdash;including weight-loss medications and bariatric surgeries, when appropriate. The authors say, &ldquo;there is no evidence to support either watchful waiting or unnecessary delay of appropriate treatment of children with obesity.&rdquo;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These treatment recommendations came a few weeks after the U.S. Food and Drug Administration approved the injectable weight-loss drug Wegovy (semaglutide) for obese adolescents 12 and older. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/childhood-obesity-statistics\/\"><b>Childhood obesity statistics<\/b><\/a><\/p>\n<h2 id=\"aap-guidelines-to-meet-the-challenges-facing-youth\"><span style=\"font-weight: 400;\">AAP guidelines to meet the challenges facing youth<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Childhood obesity is defined as having a <\/span><a href=\"https:\/\/www.cdc.gov\/healthyweight\/bmi\/calculator.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">body mass index<\/span><\/a><span style=\"font-weight: 400;\"> (BMI) at or above the 95th percentile for age and sex. More than 14.4 million kids and teens in the United States are affected. According to data compiled by the Centers for Disease Control and Prevention (CDC), <\/span><a href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/70\/wr\/pdfs\/mm7037-H.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">the rate of BMI increases among the 2-19 age group doubled during the pandemic<\/span><\/a><span style=\"font-weight: 400;\">, with the biggest increases among youth who were overweight prior to the pandemic and younger school-aged children.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The authors noted that obesity has long been &ldquo;stigmatized as a reversible consequence of personal choices.&rdquo; They emphasize that obesity is a disease&mdash;a chronic condition associated with serious comorbidities such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/type-1-vs-type-2-diabetes\/\"><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><\/a><span style=\"font-weight: 400;\"> and cardiovascular disease. Obesity &ldquo;should be treated through the medical home with intensive and long-term care strategies, provision of medical monitoring, and treatment of associated comorbidities and ongoing access to obesity treatment.&rdquo; Children need periodic reassessments and treatment modifications as they age.&nbsp;<\/span><\/p>\n<h2 id=\"key-recommendations-from-aap-guidelines\"><span style=\"font-weight: 400;\">Key recommendations from AAP guidelines<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to the AAP, the guidelines&rsquo; key action statements represent evidence-based recommendations from the results of 400 studies for evaluating children who are overweight, have obesity, and related health concerns. The recommendations include:&nbsp;<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Comprehensive obesity treatment, which may include nutrition support, physical activity treatment, behavioral therapy, pharmacotherapy, and metabolic and bariatric surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Evidence-based treatment delivered by trained healthcare professionals with active parent\/caregiver involvement<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Intensive health, behavior, and lifestyle treatment<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">The option for weight-loss medications for youth ages 12 and older, in addition to health behavior and lifestyle treatment<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Teens 13 and older with severe obesity (BMI at or above the 120<\/span><span style=\"font-weight: 400;\">th<\/span><span style=\"font-weight: 400;\"> percentile) may be evaluated for bariatric surgery<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Future AAP guidelines will address prevention of obesity. <\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/obesity-and-health-insurance\/\"><b>What obesity treatments does insurance cover?<\/b><\/a><\/p>\n<h2 id=\"reactions-to-the-new-aap-guidelines\"><span style=\"font-weight: 400;\">Reactions to the new AAP guidelines<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The guidelines have generated a lot of attention, both positive and negative. Some of the resistance has focused on a concern that the guideline undermined the importance of focusing on good nutrition, physical activity, and stress management by including recommendations for weight-loss medications and bariatric surgery.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But some experts believe it&rsquo;s helpful to have approval for treatments to help children with obesity when lifestyle changes have not been effective. &ldquo;There are children in whom diet and exercise are not going to work,&rdquo; says pediatric gastroenterologist <\/span><a href=\"https:\/\/www.stonybrookchildrens.org\/profile?pid=443&amp;name=Anupama%20Chawla%20MD\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Anupama Chawla<\/span><\/a><span style=\"font-weight: 400;\">, MD, director of the division of pediatric gastroenterology and nutrition and director of the Healthy Weight and Wellness Center at Stony Brook Children&rsquo;s Hospital in New York.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Some children with severe obesity face associated health risks of Type 2 diabetes and nonalcoholic fatty liver disease. Oftentimes, more intensive treatment, such as medication, would be beneficial. But Dr. Chawla notes, &ldquo;It is definitely a helpful modality, but it cannot be done in a vacuum without lifestyle changes, dietary changes, and psychological changes.&rdquo;<\/span><\/p>\n<p><a href=\"https:\/\/www.sutterhealth.org\/find-doctor\/dr-natasha-r-leman\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Natasha Agbai, MD<\/span><\/a><span style=\"font-weight: 400;\">, a pediatrician who specializes in childhood weight management, adds another caveat that some may be overlooking an important aspect of the guideline. &ldquo;It&#8217;s important to note that this referral for bariatric surgery evaluation does not mean that a child will receive surgery,&rdquo; says Dr. Agbai, who is also the founder and CEO of <\/span><a href=\"https:\/\/www.weightlossforkids.com\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Weight Loss for Kids<\/span><\/a><span style=\"font-weight: 400;\">. &ldquo;But it does get a child in front of a team of metabolic experts, usually including counselors, social workers, pediatricians, and nutritionists. The team, the child, and the family members can then collaborate to determine the best plan of care for that specific child and family. Some of those patients may go on to have surgery, but many will not.&rdquo;&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Research shows that teens who undergo bariatric surgery have a better chance of reversing health problems such as <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/type-2-diabetes-treatment-and-medications\"><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/blood-pressure-treatment-and-medications\"><span style=\"font-weight: 400;\">hypertension<\/span><\/a><span style=\"font-weight: 400;\"> compared to adults who undergo bariatric surgery. &ldquo;This highlights the argument that earlier intervention can lessen the cumulative impact of these obesity-related diseases,&rdquo; Dr. Agbai says.&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The American Academy of Pediatrics (AAP) released new clinical practice guidelines focusing on the treatment of childhood obesity, for the first time in 15 years. New measures focus on earlier and more intensive interventions for children with obesity&mdash;including weight-loss medications and bariatric surgeries, when appropriate. The authors say, &ldquo;there is no evidence to support either [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":56714,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4114],"tags":[3564,790,9825],"coauthors":[9482],"class_list":["post-56723","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-children","tag-chronic-disease","tag-weight-loss","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>AAP releases new clinical guidelines for childhood obesity<\/title>\n<meta name=\"description\" content=\"The AAP clinical guidelines for childhood obesity include earlier and more intensive interventions. 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