Childhood Obesity: Position Statement of Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes, the College of Family Physicians in Poland and Polish Association for Study on Obesity.
Artur MazurAgnieszka ZachurzokJoanna GlistaKatarzyna DereńEdyta ŁuszczkiAneta WeresJustyna WyszyńskaJustyna DylczykEwa SzczudlikDorota DrożdżPaulina MetelskaMichał BrzezińskiAgnieszka Kozioł-KozakowskaPawel MatusikPiotr SochaMagdalena Olszanecka-GilianowiczTeresa JackowskaMieczysław WalczakJarosław Peregud-PogorzelskiElżbieta TomiakMałgorzata WójcikPublished in: Nutrients (2022)
Childhood obesity is one of the most important problems of public health. Searching was conducted by using PubMed/MEDLINE, Cochrane Library, Science Direct, MEDLINE, and EBSCO databases, from January 2022 to June 2022, for English language meta-analyses, systematic reviews, randomized clinical trials, and observational studies from all over the world. Five main topics were defined in a consensus join statement of the Polish Society of Pediatrics, Polish Society for Pediatric Obesity, Polish Society of Pediatric Endocrinology and Diabetes and Polish Association for the Study on Obesity: (1) definition, causes, consequences of obesity; (2) treatment of obesity; (3) obesity prevention; (4) the role of primary care in the prevention of obesity; (5) Recommendations for general practitioners, parents, teachers, and regional authorities. The statement outlines the role of diet, physical activity in the prevention and treatment of overweight and obesity, and gives appropriate recommendations for interventions by schools, parents, and primary health care. A multisite approach to weight control in children is recommended, taking into account the age, the severity of obesity, and the presence of obesity-related diseases. Combined interventions consisting of dietary modification, physical activity, behavioral therapy, and education are effective in improving metabolic and anthropometric indices. More actions are needed to strengthen the role of primary care in the effective prevention and treatment of obesity because a comprehensive, multi-component intervention appears to yield the best results.
Keyphrases
- weight loss
- insulin resistance
- metabolic syndrome
- type diabetes
- high fat diet induced
- physical activity
- weight gain
- primary care
- public health
- randomized controlled trial
- adipose tissue
- healthcare
- systematic review
- cardiovascular disease
- young adults
- machine learning
- body composition
- mesenchymal stem cells
- autism spectrum disorder
- bone marrow
- double blind
- quality improvement
- big data