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Practice Guideline
. 2025 Aug 1;123(4):e202410478.
doi: 10.5546/aap.2024-10478.

[Guidelines for the prevention, diagnosis and treatment of obesity. Update 2024]

[Article in Spanish]
Susana De Grandis  1 , Norma Piazza  1 , Mabel Ferraro  1 , M Julia Alberti  1 , Patricia Casavalle  1 , Laura Romano  1 , Amal Hassan  1 , Blanca Ozuna  1 , Marcela Fabeiro  1 , Julieta Hernandez  1 , Verónica Garrido  1 , Laura Gaete  1 , Patricia Jáuregui Leyes  2 , Juliana Pochetti  2 , Nelly Testa  2 , Carina Mouguel  1 , Débora Setton  1 , Virginia Desantadina  1 , Adriana Roussos  1 , Romina Lambert  1 , Maribe Araujo  1
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Free article
Practice Guideline

[Guidelines for the prevention, diagnosis and treatment of obesity. Update 2024]

[Article in Spanish]
Susana De Grandis et al. Arch Argent Pediatr. .
Free article

Abstract
in English, Spanish

This document updates the "Clinical practice guidelines for the prevention, diagnosis and treatment of obesity" issued by the Nutrition Committee of the Argentine Pediatric Society, published in Archivos Argentinos de Pediatría in 2011. Obesity has a multifactorial etiology. It is recommended to diagnose it taking into account anthropometry, personal and family history, and clinical data that indicate complications (sleep apnea, elevated alanine transaminase and/or glycemia, and other components of the metabolic syndrome). It is proposed to know the risks and management of the hospitalized patient with obesity. This document reinforces the role of a healthy lifestyle as the main therapeutic strategy, recognizing the possibility of other treatments with very precise indications (pharmacological and surgical). Considering that obesity is a chronic disease, access to treatment must be guaranteed and patient follow-up must be promoted through the intervention of an interdisciplinary team.

Este documento actualiza las “Guías de práctica clínica para la prevención, el diagnóstico y el tratamiento de la obesidad” realizadas por el Comité de Nutrición de la Sociedad Argentina de Pediatría, publicado en Archivos Argentinos de Pediatría en 2011. La obesidad tiene etiología multifactorial. Se recomienda realizar su diagnóstico considerando antropometría, antecedentes personales y familiares, y datos clínicos que indiquen complicaciones (apnea de sueño, elevación de alanina transaminasa y/o glucemia y otros componentes del síndrome metabólico). En este documento se refuerza el rol del estilo de vida saludable como principal estrategia terapéutica, reconociendo la posibilidad de otros tratamientos con indicaciones muy precisas (farmacológico y quirúrgico). Considerando que la obesidad es una enfermedad crónica, se debe garantizar el acceso al tratamiento y promover el seguimiento de los pacientes mediante la intervención de un equipo interdisciplinario.

Keywords: bariatric surgery; metabolic syndrome; obesity.

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