Guidelines For Kids with Obesity: Family and Treatment Are Key

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Guidelines For Kids with Obesity: Family and Treatment Are Key
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One-tenth of parents have children who were overweight or obese, and over a quarter worry about their child’s weight, a new survey found.

According to Sandra Hassink, MD, co-author of the guideline and vice chair of the Clinical Practice Guideline Subcommittee on Obesity, the goal was to “help patients make changes in lifestyle, behaviors, or environment in a sustainable way and also to involve families in decision-making at every step of the way.”

“We’re living at a time where we’ve watched obesity affect our children and adult population for 4 decades and, along with the risk of obesity, we’ve watched a rise in obesity, we’re seen increases in illness that go along with obesity, such as type 2 diabetes, lipid diseases like high cholesterol, and nonalcoholic fatty liver disease,” Hassink said.

Nearly 40% of parents would consider weight loss medication for their child if the child became obese at age 12, and about 16% would consider weight loss surgery. But most parents would not consider this surgery until their child was an average age of 15 rather than the AAP’s recommended age of 13. Lunsford said that when his son was in his late teens and would go out with friends, they typically went to fast-food restaurants.

“If a parent or caregiver is concerned about a child’s weight, he or she can take the child to their pediatrician,” Hassink said. “The first thing the pediatrician will do is ask about the child’s overall health, review the family history — because obesity tends to run in families — and see if other conditions, like diabetes, also run in the family.”

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