[Management of childhood obesity].
Endocrine diseases (hypothyroidism, growth hormone deficiency, hypercortisolism) are exceptional in obese children and are searched only in case of short stature. It is not necessary to test systematically glucose tolerance (fasting glucose; oral glucose tolerance test) and lipids in order to look for obesity related comorbidities. Decreased caloric intake is the main goal for the treatment. Ways to succeed need to be adapted to each child with pragmatism and without dogmatism. Goals for treatment are reasonable (stabilization of weight excess). Weight loss surgery in obese children may be discussed in some cases with multidisciplinary expert team (doctors, surgeons, psychologist...) and close collaboration between adults teams and paediatricians.
Dubern
Béatrice
B
Hôpital Armand-Trousseau, service de gastroentérologie et nutrition pédiatriques, 26, avenue du Dr-Arnold-Netter, 75012 Paris, France. beatrice.dubern@trs.aphp.fr
D002648:Child; D006801:Humans; D009765:Obesity / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*