Severe Obesity in the Pediatric Population: Current Concepts in Clinical Care

Claudia K. Fox*, Amy C. Gross, Eric M. Bomberg, Justin R. Ryder, Megan M. Oberle, Carolyn T. Bramante, Aaron S. Kelly

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

31 Scopus citations


Purpose of Review: This review describes (1) the clinical assessment of pediatric patients with severe obesity, including a summary of salient biological, psychological, and social factors that may be contributing to the patient’s obesity and (2) the current state of treatment strategies for pediatric severe obesity, including lifestyle modification therapy, pharmacotherapy, and metabolic and bariatric surgery. Recent Findings: Lifestyle modification therapy alone is insufficient for achieving clinically significant BMI reduction for most youth with severe obesity and metabolic and bariatric surgery, though effective and durable, is not a scalable treatment strategy. Pharmacological agents in the pipeline may 1 day fill this gap in treatment. Summary: Treatment of severe pediatric obesity requires a chronic care management approach utilizing multidisciplinary teams of health care providers and multi-pronged therapies.

Original languageEnglish (US)
Pages (from-to)201-209
Number of pages9
JournalCurrent Obesity Reports
Issue number3
StatePublished - Sep 15 2019


  • Adolescent
  • Assessment and treatment
  • Bariatric surgery
  • Child
  • Obesity
  • Pediatric
  • Pharmacotherapy
  • Severe obesity
  • Weight loss surgery

ASJC Scopus subject areas

  • Internal Medicine


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