Review

. 2019 Jan;22(1):1-27.

doi: 10.5223/pghn.2019.22.1.1. Epub 2019 Jan 10.

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 Shim^{9

10}, Yoon Lee¹⁰, Ben Kang¹¹, Yeoun Joo Lee¹², Mi Jin Kim¹³, Jin Soo Moon¹⁴, Hong Koh¹⁵, JeongAe You¹⁶, Young-Sook Kwak¹⁷, Hyunjung Lim¹⁸, Hye Ran Yang^{19

20}

Affiliations

¹ Department of Pediatrics, Chung-Ang University Hospital, Chung-Ang University, College of Medicine, Seoul, Korea.
² Department of Pediatrics, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
³ Department of Pediatrics, Chungbuk National University College of Medicine, Chungju, Korea.
⁴ Department of Pediatrics, Nowon Eulji Medical Center, Eulji University School of Medicine, 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, 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, Severance Children's Hospital, Yonsei University College of Medicine, 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, Seongnam, Korea.
²⁰ Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

PMID: 30671370
PMCID: PMC6333581
DOI: 10.5223/pghn.2019.22.1.1

Review

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. Pediatr Gastroenterol Hepatol Nutr. 2019 Jan.

. 2019 Jan;22(1):1-27.

doi: 10.5223/pghn.2019.22.1.1. Epub 2019 Jan 10.

Authors

Affiliations

¹ Department of Pediatrics, Chung-Ang University Hospital, Chung-Ang University, College of Medicine, Seoul, Korea.
² Department of Pediatrics, Chonbuk National University Hospital, Chonbuk National University Medical School, Jeonju, Korea.
³ Department of Pediatrics, Chungbuk National University College of Medicine, Chungju, Korea.
⁴ Department of Pediatrics, Nowon Eulji Medical Center, Eulji University School of Medicine, 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, 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, Severance Children's Hospital, Yonsei University College of Medicine, 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, Seongnam, Korea.
²⁰ Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

PMID: 30671370
PMCID: PMC6333581
DOI: 10.5223/pghn.2019.22.1.1

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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Figures

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.

See this image and copyright information in PMC

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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

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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

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