Advances in the Management of Children and Adolescents with Obesity

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

Deadline for manuscript submissions: 15 August 2024 | Viewed by 929

Special Issue Editor


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Guest Editor
Department of Nutrition and Dietetics, Faculty of Health Sciences, Isabel I University, 09003 Burgos, Spain
Interests: pediatric obesity; primary care; obesigenic environment; eating behavior and disorder; obesogenic environment

Special Issue Information

Dear Colleagues,

It is a great honor to serve as the Guest Editors for this Special Issue of Children, ”Advances in the management of children and adolescents with obesity”.

Obesity is a frequent, severe, complex, recurrent and chronic disease characterized by an excessive accumulation of fat that can have negative effects on health and decrease life expectancy.

Obesity is widely recognized as a major public health problem. According to the fifth edition of the World Atlas of Obesity, in 2035, obesity is expected to affect almost 2 billion adults, children and adolescents. Prior to the COVID-19 pandemic, the prevalence of this disease was increasing in low- and middle-income countries, and it is possible that it has since increased in high-income countries as well, especially in families whose income or standard of living is lower than that of the rest of their community.

Obesity occurs when a combination of genetic and epigenetic factors, risky behavioral patterns, and broader environmental and sociocultural influences affect body composition regulation systems.

Suggested treatments include behavioral interactions based on changes that the family should address in several areas: diet or dietary supplementation, physical activity, sedentary behavior, sleep quality and drug treatment.

Although advances have been made in the treatment of obesity, the expected changes in overweight children and adolescents from low- and middle-income countries have not been observed.

The aim of this Special Issue is to present new strategies such as lifestyle changes that lead to significant changes in body composition, biochemical markers, and other health parameters.

Endocrinologists, dietitians–nutritionists, physical activity and sport sciences professionals and any researcher working in the line of pediatric obesity are invited to submit to this Special Issue. Original articles (prospective/retrospective studies), experimental studies, systemic reviews and meta-analyses, or new diagnostic or surgical techniques are welcome. Single case reports and narrative reviews will not be considered.

Dr. Manuel Reig Garcia-Galbis
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Children is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2400 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • obesity
  • developing countries
  • child
  • adolescent
  • family
  • precision nutrition
  • exercise
  • health risk behaviors

Published Papers (1 paper)

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Research

16 pages, 326 KiB  
Article
Prevalence of the Double Burden of Malnutrition among Adolescents: Associations with Lifestyle Behaviors and Clusters of Social Determinants
by Raytta Silva Viana, Marcus Vinicius Nascimento-Ferreira, Beatriz D. Schaan, Katia Vergetti Bloch, Kênia Mara Baiocchi de Carvalho, Felipe Vogt Cureau and Augusto César Ferreira De Moraes
Children 2024, 11(6), 620; https://doi.org/10.3390/children11060620 - 22 May 2024
Viewed by 524
Abstract
The double burden of malnutrition (DBM) is a condition in which malnutrition coexists with overweight, reflecting a new layer of malnutrition. Our objectives were to assess prevalence; test associations between DBM and 24-hour movement behaviors; and investigate whether DBM is associated with clusters [...] Read more.
The double burden of malnutrition (DBM) is a condition in which malnutrition coexists with overweight, reflecting a new layer of malnutrition. Our objectives were to assess prevalence; test associations between DBM and 24-hour movement behaviors; and investigate whether DBM is associated with clusters of social determinants. Methods: This multicenter cross-sectional study included 1152 adolescents (12 to 17 years old) from four Brazilian cities. Body mass index (BMI, kg/m2) was used to estimate overweight, and the adopted cutoff points took into account the curves established for age and sex: Z-score > 1 and ≤2 (overweight) and Z-score > 2 (obesity). The serum concentration of 25-hydroxyvitamin D [25(OH)D] was stratified into three levels: vitamin D deficiency ≤ 20 ng/mL; vitamin D insufficiency = 21–29 ng/mL; optimal vitamin D ≥ 30 ng/mL. We used multilevel Poisson regression models to estimate prevalence ratios (PRs) and their respective 95% confidence intervals (95%CI) and to analyze the association between DBM and covariates. A significance level of p < 0.05 was considered. Cluster analyses were performed by applying a combination of hierarchical and non-hierarchical methods. Results: A population prevalence of DBM of 7.3% (95% CI: 5.9–8.9) was revealed. A percentage of 19.2% (95% CI: 17.0–21.6) of adolescents were overweight, and 8.3% (95% CI: 6.8–10.1) were obese. A total of 41.5% (95% CI: 38.7–44.4) had vitamin D deficiency, and 25.8% (95% CI: 23.4–28.4) had vitamin D insufficiency. However, 24-hour movement behaviors were not associated with DBM. Adolescents living in the southern region of the country, from public schools whose mothers have higher education, have a 1.94 [PR = 2.94 (95% CI: 1.20–7.23)] times greater chance of developing DBM. These results highlight the importance of specific factors to improve the nutritional health of adolescents, considering the specific social determinants identified in this study. Full article
(This article belongs to the Special Issue Advances in the Management of Children and Adolescents with Obesity)
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