Obesity in Children: Public Health Challenge from Lifestyle Modification to Treatment of Its Complications

A special issue of Children (ISSN 2227-9067). This special issue belongs to the section "Global and Public Health".

Deadline for manuscript submissions: closed (20 April 2024) | Viewed by 1768

Special Issue Editor


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Guest Editor
Department of Children and Adolescents, Faculty Hospital Kralovske Vinohrady, Third Faculty of Medicine, Charles University, 110 34 Prague, Czech Republic
Interests: obesity; genetics of obesity; obesity-related complications; infectobesity; diabetes; pediatric endocrinology; telemedicine; psychological impact of increased body weight; pharmacotherapy of obesity

Special Issue Information

Dear Colleagues,

Obesity in children represents a global public health challenge in the 21st century. In the past decades, the number of children with excessive weight gain has been on the rise, partly due to the COVID-19 restrictions and changes in the daily routine. Although body weight has a significant genetic component, the worldwide increased prevalence of obesity is mainly due to an unhealthy lifestyle. In children, increased body weight is highly associated with cardiometabolic diseases and musculoskeletal problems. Additionally, children with obesity are often diagnosed with depression, anxiety, behavioral disorders, and low self-esteem, which impact their well-being and quality of life. Due to complexity of obesity, the management of these problems in children requires a long-term multidisciplinary approach which represents a challenge for public health care systems.     

In this Special Issue of Children, we welcome original research articles, reviews, and short papers on obesity in children related to management strategies, including obstacles and innovative tools, approaches for lifestyle modification in various settings (e.g., school-based, group, individual), and treatment options for obesity-related complications.

We look forward to receiving your contributions.

Dr. Irena Aldhoon-Hainerová
Guest Editor

Manuscript Submission Information

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Keywords

  • obesity in children
  • multidisciplinary team
  • obesity-related complications
  • management strategies
  • lifestyle modification
  • telemedicine
  • psychological impact of obesity

Published Papers (2 papers)

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Research

11 pages, 813 KiB  
Article
Lessons Learned from Telemedicine in Adolescent Obesity: Results of a Pilot Study
by Lenka Veselá, Aneta Klímová Rych, Anna Vážná, Markéta Kotrbatá, Kristina Rücklová and Irena Aldhoon-Hainerová
Children 2024, 11(5), 599; https://doi.org/10.3390/children11050599 - 16 May 2024
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Abstract
The rising prevalence of obesity in children calls for new strategies for the provision of effective care by a multidisciplinary team. Telemedicine has overall proven to be an effective tool for promoting a healthy lifestyle. The main objective of the current paper is [...] Read more.
The rising prevalence of obesity in children calls for new strategies for the provision of effective care by a multidisciplinary team. Telemedicine has overall proven to be an effective tool for promoting a healthy lifestyle. The main objective of the current paper is to present the protocol of our ongoing CardioMetabolic Prevention (CAMP) study and compare its design with published studies on telemedicine in paediatric obesity. Additionally, we analysed the preliminary anthropometric and laboratory data to test the efficacy of our 12-week intensive program that combines in-person and telemedicine support. The program demonstrated a positive impact on body mass index (BMI) and its z-scores in 21 adolescents, and BMI in 18 participating parents. However, we found no effect on body composition, waist circumference, cardiometabolic parameters, or fitness evaluated via a 6-min walk test in adolescents. In conclusion, the combination of in-person and telemedicine intensive support over 35 h delivered by a multidisciplinary team can be beneficial not only for adolescents with obesity but also for their parents. The ongoing CAMP study serves as a platform for precision medicine in future decisions regarding anti-obesity medication in adolescents with obesity. Full article
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14 pages, 2385 KiB  
Article
Obesity and Body Composition in Relation to Liver and Kidney Ultrasound Elastography in Paediatric Patients with Either Hypertension or Chronic Kidney Disease
by Nataša Marčun Varda, Sonja Golob Jančič and Mirjam Močnik
Children 2024, 11(1), 18; https://doi.org/10.3390/children11010018 - 23 Dec 2023
Viewed by 880
Abstract
(1) Background: Ultrasound elastography is a novel ultrasound technique for evaluating tissue elasticity. One of the key factors influencing the measurement in children is excess weight. This study aimed to evaluate the effect of body composition, namely, fat mass, on liver and kidney [...] Read more.
(1) Background: Ultrasound elastography is a novel ultrasound technique for evaluating tissue elasticity. One of the key factors influencing the measurement in children is excess weight. This study aimed to evaluate the effect of body composition, namely, fat mass, on liver and kidney ultrasound elastography in paediatric patients. (2) Methods: 114 participants, in whom bioimpedance, along with liver and kidney ultrasound elastography, were performed, were included (37 patients with chronic kidney disease, 46 patients with hypertension, and 31 healthy subjects). (3) Results: Bioimpedance analysis showed a significant correlation between liver elastography parameters and the phase angle (p = 0.002), fat-free mass (p = 0.001), body cell mass (p = 0.001), total body water (p = 0.001), extracellular water (p = 0.006), and, to lesser extent, fat mass (p = 0.041). On the contrary, kidney elastography parameters strongly correlated only with fat mass (p < 0.001 for both kidneys). (4) Conclusions: Liver and kidney stiffness increased in overweight participants and showed significant correlation with fat mass, particularly in the case of kidney elastography. Full article
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