title: The rehabilitation of children and adolescents with severe or medically complicated obesity: an ISPED expert opinion document.
abstract: Severe/medically complicated obesity in childhood, and particularly in adolescence, is a real disability that requires an intensive and continuous approach which should follow the procedures and schedule of rehabilitation medicine. Given the lack of a specific document focusing on children and adolescents, the Childhood Obesity Study Group set out to explore the available evidence for the treatment of severe or medically complicated obesity and to set standards tailored to the specific context of the Italian Health Service. Through a series of meetings and electronic communications, the writing committee (selected from members of the Study Group) selected the key issues, explored the literature and produced a draft document which was submitted to the other experts until the final synthesis was approved by the group. In brief, the following issues were involved: (1) definition and epidemiology; (2) identification of common goals designed to regain functional competence and limit the progression of metabolic and psychological complications; (3) a multi-professional team approach; (4) the care setting. This paper is an expert opinion document on the rehabilitation of severe and medically complicated obesity in children and adolescents produced by experts belonging to the Childhood Obesity Study Group of the Italian Society for Pediatric Endocrinology and Diabetology (ISPED).
authors: Division of Auxology, Italian Auxological Institute, Verbania, Italy.
authors: Graziano
authors: G
authors: Grugni
authors: Department of Pediatrics, AORN Santobono-Pausilipon, Naples, Italy. mrlicenziati@gmail.com.
authors: Maria Rosaria
authors: MR
authors: Licenziati
authors: Department of Movement Sciences and Wellness, Parthenope University, Naples, Italy.
authors: Giuliana
authors: G
authors: Valerio
authors: Autoimmune Endocrine Diseases Unit Bambino Gesù Hospital, Research Hospital Palidoro, Rome, Italy.
authors: Antonino
authors: A
authors: Crinò
authors: Pediatric Diabetes and Metabolic Disorders Unit, Department of Life and Reproduction Sciences, University of Verona, Verona, Italy.
authors: Claudio
authors: C
authors: Maffeis
authors: Pediatric Unit, Azienda Ospedaliera Universitaria, Ferrara, Italy.
authors: Rita
authors: R
authors: Tanas
authors: Nutrition Education Unit, Bambino Gesù Hospital, San Paolo Hospital, Rome, Italy.
authors: Giuseppe Stefano
authors: GS
authors: Morino
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D063766:Pediatric Obesity / Q000523:psychology / Q000534:rehabilitation*
keywords: Adolescents; Children; Multidimensional approach; Obesity; Rehabilitation; Severe obesity