Pediatr Gastroenterol Hepatol Nutr.  2019 Jan;22(1):1-27. 10.5223/pghn.2019.22.1.1.

Clinical Practice Guideline for the Diagnosis and Treatment of Pediatric Obesity: Recommendations from the Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology Hepatology and Nutrition

Affiliations
  • 1Department of Pediatrics, Chung-Ang University Hospital, Chung-Ang University, College of Medicine, Seoul, Korea.
  • 2Department of Pediatrics, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
  • 3Department of Pediatrics, Chungbuk National University College of Medicine, Chungju, Korea.
  • 4Department of Pediatrics, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Korea.
  • 5Department of Pediatrics, Gyeongsang National University Changwon Hospital, Changwon, Korea.
  • 6Department of Pediatrics, Hanyang University College of Medicine, Seoul, Korea.
  • 7Department of Pediatrics, Jeju National University Hospital, Jeju, Korea.
  • 8Department of Pediatrics, Kangwon National University School of Medicine, Chuncheon, Korea.
  • 9Department of Pediatrics, Korea University Guro Hospital, Seoul, Korea.
  • 10Department of Pediatrics, Korea University College of Medicine, Seoul, Korea.
  • 11Department of Pediatrics, School of Medicine, Kyungpook National University, Daegu, Korea.
  • 12Department of Pediatrics, Pusan National University Children's Hospital, Pusan National University School of Medicine, Yangsan, Korea.
  • 13Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 14Department of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.
  • 15Department of Pediatrics, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 16Department of Physical Education, College of Education, Chung-Ang University, Seoul, Korea.
  • 17Department of Psychiatry, Jeju National University Hospital, Jeju, Korea.
  • 18Department of Medical Nutrition, Kyung Hee University, Seoul, Korea.
  • 19Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea. hryang@snubh.org
  • 20Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

Abstract

The Committee on Pediatric Obesity of the Korean Society of Pediatric Gastroenterology, Hepatology and Nutrition newly developed the first Korean Guideline on the Diagnosis and Treatment of Obesity in Children and Adolescents to deliver an evidence-based systematic approach to childhood obesity in South Korea. The following areas were systematically reviewed, especially on the basis of all available references published in South Korea and worldwide, and new guidelines were established in each area with the strength of recommendations based on the levels of evidence: 1) definition and diagnosis of overweight and obesity in children and adolescents; 2) principles of treatment of pediatric obesity; 3) behavioral interventions for children and adolescents with obesity, including diet, exercise, lifestyle, and mental health; 4) pharmacotherapy; and 5) bariatric surgery.

Keyword

Guideline; Obesity; Diagnosis; Treatment; Child

MeSH Terms

Adolescent
Bariatric Surgery
Child
Diagnosis*
Diet
Drug Therapy
Gastroenterology*
Humans
Korea
Life Style
Mental Health
Obesity
Overweight
Pediatric Obesity*

Figure

  • Fig. 1 Stepwise assessment and treatment strategies for overweight and obesity children and adolescents. BMI: body mass index, NAFLD: non-alcoholic fatty liver disease, DM: diabetes mellitus, CNS: central nervous system.


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