Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy

Amy Fleischman, Erinn T RhodesDivision of Endocrinology, Children&rsquo;s Hospital Boston, Boston, MA, United StatesAbstract: Childhood obesity has become a national and international epidemic. The prevalence and incidence of type 2 diabetes in youth have been increasing, and type 2 diabetes...

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Main Authors:	Amy Fleischman, Erinn T Rhodes
Format:	article
Language:	EN
Published:	Dove Medical Press 2009
Subjects:	Specialties of internal medicine RC581-951
Online Access:	https://doaj.org/article/4c445ceff3d74d0095b2d530d1c4439c
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spelling	oai:doaj.org-article:4c445ceff3d74d0095b2d530d1c4439c2021-12-02T06:28:00ZManagement of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy1178-7007https://doaj.org/article/4c445ceff3d74d0095b2d530d1c4439c2009-11-01T00:00:00Zhttp://www.dovepress.com/management-of-obesity-insulin-resistance-and-type-2-diabetes-in-childr-a3780https://doaj.org/toc/1178-7007Amy Fleischman, Erinn T RhodesDivision of Endocrinology, Children&rsquo;s Hospital Boston, Boston, MA, United StatesAbstract: Childhood obesity has become a national and international epidemic. The prevalence and incidence of type 2 diabetes in youth have been increasing, and type 2 diabetes is one of the most challenging complications of obesity in childhood. Comprehensive lifestyle interventions that include attention to dietary change, increased physical activity and behavior change appear to be required for the successful treatment of pediatric obesity. In particular, aspects of behavioral interventions that have been identified as contributing to effectiveness have included intensity, parent/family participation, addressing healthy dietary change, promoting physical activity, and involving behavioral management principles such as goal setting. A multidisciplinary team approach is required for successful management of type 2 diabetes in youth as well. As with many therapies in pediatrics, clinical trials and support for treatments of obesity and type 2 diabetes in youth lag behind adult data. Pediatric recommendations may be extrapolated from adult data and are often based on consensus guidelines. Type 2 diabetes in children is most commonly managed with lifestyle modification and medications, metformin and/or insulin, the only medications currently approved for use in children. However, many opportunities exist for ongoing research to clarify optimal management for obesity and type 2 diabetes in youth.Keywords: children, obesity, type 2 diabetes, metformin, insulin, bariatric surgery Amy FleischmanErinn T RhodesDove Medical PressarticleSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol 2009, Iss default, Pp 185-202 (2009)
institution	DOAJ
collection	DOAJ
language	EN
topic	Specialties of internal medicine RC581-951
spellingShingle	Specialties of internal medicine RC581-951 Amy Fleischman Erinn T Rhodes Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
description	Amy Fleischman, Erinn T RhodesDivision of Endocrinology, Children&rsquo;s Hospital Boston, Boston, MA, United StatesAbstract: Childhood obesity has become a national and international epidemic. The prevalence and incidence of type 2 diabetes in youth have been increasing, and type 2 diabetes is one of the most challenging complications of obesity in childhood. Comprehensive lifestyle interventions that include attention to dietary change, increased physical activity and behavior change appear to be required for the successful treatment of pediatric obesity. In particular, aspects of behavioral interventions that have been identified as contributing to effectiveness have included intensity, parent/family participation, addressing healthy dietary change, promoting physical activity, and involving behavioral management principles such as goal setting. A multidisciplinary team approach is required for successful management of type 2 diabetes in youth as well. As with many therapies in pediatrics, clinical trials and support for treatments of obesity and type 2 diabetes in youth lag behind adult data. Pediatric recommendations may be extrapolated from adult data and are often based on consensus guidelines. Type 2 diabetes in children is most commonly managed with lifestyle modification and medications, metformin and/or insulin, the only medications currently approved for use in children. However, many opportunities exist for ongoing research to clarify optimal management for obesity and type 2 diabetes in youth.Keywords: children, obesity, type 2 diabetes, metformin, insulin, bariatric surgery
format	article
author	Amy Fleischman Erinn T Rhodes
author_facet	Amy Fleischman Erinn T Rhodes
author_sort	Amy Fleischman
title	Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
title_short	Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
title_full	Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
title_fullStr	Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
title_full_unstemmed	Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
title_sort	management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy
publisher	Dove Medical Press
publishDate	2009
url	https://doaj.org/article/4c445ceff3d74d0095b2d530d1c4439c
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Management of obesity, insulin resistance and type 2 diabetes in children: consensus and controversy

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