Managing Pediatric Obesity Using Advanced Therapies: Practical Guide for Pediatric Health Care Providers

Treatment of pediatric obesity, to date, has largely focused on lifestyle therapy. While lifestyle therapy is essential for obesity management, it is often insufficient, particularly for youth who have severe forms of the disease. Underlying the limitations of lifestyle therapy is the recognition that obesity is a biological disorder of the energy regulatory system and accordingly, to effectively manage obesity, the underpinning pathophysiology needs to be addressed. This pathophysiology can be targeted with more advanced therapies including anti-obesity medications and metabolic and bariatric surgery, two treatment strategies supported by the American Academy of Pediatrics.

Written by leading experts in the field, A Practical Guide to Managing Pediatric Obesity is comprised of thirteen chapters, each including suggested protocols and case examples. The first chapter details the complex pathophysiology of obesity and sets the stage for why advanced therapies are critical for effective obesity management. Chapter two provides guidance on best practices for communicating with patients and families about obesity. The next three chapters provide direction on how to do a comprehensive patient assessment, and employ dietary and physical activity interventions. The heart of this guidebook is the chapter on pharmacological treatments, which details the mechanisms of action, research results, and recommendations for anti-obesity medication selection and monitoring outlined in a step-by-step fashion. Pre- and post-operative care for the pediatric bariatric surgery patient is detailed in the next chapter. Assessment and management of behavioral and psychological complications, type 2 diabetes, non-alcoholic fatty liver disease, polycystic ovary syndrome, hypertension, and dyslipidemia are covered in the subsequent five chapters. Syndromic and monogenic obesity are discussed in the final chapter.

Claudia K. Fox, M.D., M.P.H., FAAP, DABOM

Associate Professor, Department of Pediatrics

University of Minnesota, Medical School

Claudia Fox, MD is an Associate Professor of Pediatrics and Co-Director of the Center for Pediatric Obesity Medicine at the University of Minnesota Medical School, where she earned her Medical Degree and Masters of Public Health degree. Dr. Fox is one of the first pediatricians to become board certified by the American Board of Obesity Medicine and is nationally and internationally recognized as an expert in the treatment of pediatric obesity. She is the medical director of the University of Minnesota Children's Hospital Pediatric Weight Management Program and is an accomplished researcher and educator in the field of pediatric obesity, particularly in the area of pharmacotherapy for pediatric obesity. Dr. Fox is the principle investigator and co-investigator of multiple NIH-funded clinical trials and co-directs the Pediatric Obesity Medicine Fellowship at the University of Minnesota.