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

Dae Yong Yi¹, Soon Chul Kim², Ji Hyuk Lee³, Eun Hye Lee⁴, Jae Young Kim⁵, Yong Joo Kim⁶, Ki Soo Kang⁷, Jeana Hong⁸, Jung Ok Shim⁹, Yoon Lee¹⁰, Ben Kang¹¹, Yeoun Joo Lee¹², Mi Jin Kim¹³, Jin Soo Moon¹⁴, Hong Koh¹⁵, JeongAe You¹⁶, Young-Sook Kwak¹⁷, Hyunjung Lim¹⁸, Hye Ran Yang¹⁹

Affiliations

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

PMID: 30589999
PMCID: PMC6351800
DOI: 10.3345/kjp.2018.07360

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

Dae Yong Yi et al. Korean J Pediatr. 2019 Jan.

. 2019 Jan;62(1):3-21.

doi: 10.3345/kjp.2018.07360. Epub 2018 Dec 27.

Authors

Affiliations

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

PMID: 30589999
PMCID: PMC6351800
DOI: 10.3345/kjp.2018.07360

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.

Keywords: Child; Diagnosis; Guideline; Obesity; Treatment.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

**Fig. 1.**
Stepwise assessment and treatment strategies for overweight and obesity children and adolescents. BMI, body mass index; CNS, central nervous system; NAFLD, nonalcoholic fatty liver disease; DM, diabetes mellitus.

See this image and copyright information in PMC

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References

1. Kang KS. Nutritional Counseling for Obese Children with Obesity-Related Metabolic Abnormalities in Korea. Pediatr Gastroenterol Hepatol Nutr. 2017;20:71–8. - PMC - PubMed
1. Yang HR, Yi DY, Choi HS. Comparison between a pediatric health promotion center and a pediatric obesity clinic in detecting metabolic syndrome and non-alcoholic fatty liver disease in children. J Korean Med Sci. 2014;29:1672–7. - PMC - PubMed
1. Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, et al. Grading quality of evidence and strength of recommendations. BMJ. 2004;328:1490. - PMC - PubMed
1. Atkins D, Eccles M, Flottorp S, Guyatt GH, Henry D, Hill S, et al. Systems for grading the quality of evidence and the strength of recommendations I: critical appraisal of existing approaches The GRADE Working Group. BMC Health Serv Res. 2004;4:38. - PMC - PubMed
1. Guarino A, Albano F, Ashkenazi S, Gendrel D, Hoekstra JH, Shamir R, et al. European Society for Paediatric Gastroenterology, Hepatology, and Nutrition/European Society for Paediatric Infectious Diseases evidence-based guidelines for the management of acute gastroenteritis in children in Europe. J Pediatr Gastroenterol Nutr. 2008;46 Suppl 2:S81–122. - PubMed

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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

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

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Abstract

Conflict of interest statement

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