title: Management of obesity in adolescents: state of art.
abstract: Increasing prevalence of obesity in children and adolescents might represent an emerging public health issue. Pathogenesis of obesity is multifactorial and involves a complex interplay of genetic and environmental factors. Adolescent obesity has been seen as a cosmetic problem only; nevertheless, a significant increase in cardiovascular risk, probably due to obesity-related metabolic disarrangement has been observed. Consequently, discussion on strategies for treating childhood and adolescent obesity has been promoted worldwide. The proposed treatment triad is life style modification, pharmacological, and surgical treatment. Although lacking definitive data, drug therapy has emerged as an efficacious tool, at least in adolescent obesity. Therefore, sibutramine and orlistat may be good therapeutic options when life style modifications alone do not work.
authors.affiliation: Serviço de Metabologia, Instituto Estadual de Diabetes e Endocrinologia, Rua Moncorvo Filho 90, Rio de Janeiro, RJ, Brazil. godoymatos@openlink.com.br
authors.forename: Amélio F De
authors.initials: AF
authors.lastname: Godoy-Matos
authors.forename: Erika Paniago
authors.initials: EP
authors.lastname: Guedes
authors.forename: Luciana Lopes de
authors.initials: LL
authors.lastname: Souza
authors.forename: Mariana Farage
authors.initials: MF
authors.lastname: Martins
mesh_terms: D000293:Adolescent; D050110:Bariatric Surgery; D002648:Child; D016021:Epidemiologic Studies; D015444:Exercise / Q000502:physiology; D014943:Global Health; D006801:Humans; D008019:Life Style; D009765:Obesity / Q000150:complications / Q000378:metabolism / Q000628:therapy*