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Childhood Obesity for Pediatric Gastroenterologists

Huang, Jeannie S.*; Barlow, Sarah E.; Quiros-Tejeira, Ruben E.; Scheimann, Ann§; Skelton, Joseph||; Suskind, David; Tsai, Patrika#; Uko, Victor**; Warolin, Joshua P.††; Xanthakos, Stavra A.‡‡; for the NASPGHAN Obesity Task Force

Journal of Pediatric Gastroenterology & Nutrition: January 2013 - Volume 56 - Issue 1 - p 99–109
doi: 10.1097/MPG.0b013e31826d3c62
Consensus Statement

ABSTRACT: Obesity in childhood is one of the major health issues in pediatric health care today. As expected, the prevalence of obesity-related comorbidities has risen in parallel with that of obesity. Consultation regarding these concomitant diseases and subsequent management by subspecialists, including pediatric gastroenterologists, is now common and has resulted in obesity being recognized as a chronic disease requiring coordination of care. Although medications and even surgery may provide effective, though often temporary, treatments for obesity and its comorbidities, behavioral interventions addressing healthy dietary and physical activity habits remain a mainstay in the obesity treatment paradigm. Therefore, the issue of weight management must be addressed by both general practitioner and subspecialist alike. In this report, we review select aspects of pediatric obesity and obesity-related management issues because it relates in particular to the field of pediatric gastroenterology and hepatology.

*University of California, San Diego and Rady Children's Hospital, San Diego, CA

Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Baylor College of Medicine, Houston, TX

University of Nebraska and Children's Hospital & Medical Center, Omaha, NE

§Department of Pediatric Gastroenterology, Johns Hopkins School of Medicine, Baltimore, MD

||Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, NC

Department of Pediatrics, University of Washington, Seattle, WA

#Department of Pediatric Gastroenterology, University of California, San Francisco, CA

**Cleveland Clinic, Cleveland, OH

††Department of Pediatrics, Vanderbilt School of Medicine, Nashville, TN

‡‡Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

Address correspondence and reprint requests to Jeannie S. Huang, MD, MPH, 9500 Gilman Dr, MC 0984, La Jolla, CA 92093 (e-mail:

Received 24 July, 2012

Accepted 2 August, 2012

The authors report no conflicts of interest.

Copyright 2013 by ESPGHAN and NASPGHAN