Johnson Veronica R, Cao Michelle, Czepiel Kathryn S, Mushannen Tasnim, Nolen LaShyra, Stanford Fatima Cody
Center of Obesity Medicine and Metabolic Performance, Department of Surgery, McGovern Medical School, University of Texas Health Science Center, Houston, Texas, USA.
Massachusetts General Hospital/Harvard Medical School, Department of Pediatrics, Boston, Massachusetts, USA.
Curr Pediatr Rep. 2020 Jun;8(2):56-65. doi: 10.1007/s40124-020-00214-9. Epub 2020 Apr 27.
We review the current options to manage adolescent obesity which include nutrition, physical activity, behavior modification, sleep management, pharmacotherapy and surgery. Since lifestyle interventions alone are often not effective in adolescents, a multi-disciplinary treatment approach is necessary in management.
Medications (often used off-label) and metabolic/bariatric surgery are effective treatment strategies to treat adolescents with severe obesity.
The use of pharmacotherapy and surgery is limited due to lack of pediatric obesity tertiary care centers. With more centers, the treatment of adolescent obesity will improve and aid to decrease the prevalence of adult obesity.
我们综述了当前管理青少年肥胖的方法，包括营养、体育活动、行为矫正、睡眠管理、药物治疗和手术。由于仅靠生活方式干预在青少年中往往无效，因此在管理中采用多学科治疗方法很有必要。
药物（常超适应证使用）和代谢/减重手术是治疗重度肥胖青少年的有效治疗策略。
由于缺乏儿科肥胖三级护理中心，药物治疗和手术的应用受到限制。随着更多中心的出现，青少年肥胖的治疗将得到改善，并有助于降低成人肥胖的患病率。
