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Review
. 2018 Jul 31;44(1):88.
doi: 10.1186/s13052-018-0525-6.

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

Giuliana Valerio  1 , Claudio Maffeis  2 , Giuseppe Saggese  3 , Maria Amalia Ambruzzi  4 , Antonio Balsamo  5 , Simonetta Bellone  6 , Marcello Bergamini  7 , Sergio Bernasconi  8 , Gianni Bona  6 , Valeria Calcaterra  9 , Teresa Canali  10 , Margherita Caroli  11 , Francesco Chiarelli  12 , Nicola Corciulo  13 , Antonino Crinò  14 , Procolo Di Bonito  15 , Violetta Di Pietrantonio  16 , Mario Di Pietro  17 , Anna Di Sessa  18 , Antonella Diamanti  19 , Mattia Doria  20 , Danilo Fintini  21 , Roberto Franceschi  22 , Adriana Franzese  23 , Marco Giussani  24 , Graziano Grugni  25 , Dario Iafusco  18 , Lorenzo Iughetti  26 , Adima Lamborghini  27 , Maria Rosaria Licenziati  28 , Raffaele Limauro  29 , Giulio Maltoni  5 , Melania Manco  30 , Leonardo Marchesini Reggiani  31 , Loredana Marcovecchio  12 , Alberto Marsciani  32 , Emanuele Miraglia Del Giudice  18 , Anita Morandi  33 , Giuseppe Morino  34 , Beatrice Moro  35 , Valerio Nobili  36   37 , Laura Perrone  18 , Marina Picca  24 , Angelo Pietrobelli  38 , Francesco Privitera  39 , Salvatore Purromuto  40 , Letizia Ragusa  41 , Roberta Ricotti  6 , Francesca Santamaria  23 , Chiara Sartori  42 , Stefano Stilli  31 , Maria Elisabeth Street  42 , Rita Tanas  43 , Giuliana Trifiró  44 , Giuseppina Rosaria Umano  18 , Andrea Vania  36 , Elvira Verduci  45 , Eugenio Zito  46
Affiliations
Review

Diagnosis, treatment and prevention of pediatric obesity: consensus position statement of the Italian Society for Pediatric Endocrinology and Diabetology and the Italian Society of Pediatrics

Giuliana Valerio et al. Ital J Pediatr. .

Abstract

The Italian Consensus Position Statement on Diagnosis, Treatment and Prevention of Obesity in Children and Adolescents integrates and updates the previous guidelines to deliver an evidence based approach to the disease. The following areas were reviewed: (1) obesity definition and causes of secondary obesity; (2) physical and psychosocial comorbidities; (3) treatment and care settings; (4) prevention.The main novelties deriving from the Italian experience lie in the definition, screening of the cardiometabolic and hepatic risk factors and the endorsement of a staged approach to treatment. The evidence based efficacy of behavioral intervention versus pharmacological or surgical treatments is reported. Lastly, the prevention by promoting healthful diet, physical activity, sleep pattern, and environment is strongly recommended since the intrauterine phase.

Keywords: Consensus; Diagnosis; Pediatric obesity; Prevention; Treatment.

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