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1. Introduction
2. Talk outline
3. Do obese children/adolescents present to clinics
4. Obesity and weight management intervention
5. High overweight/obesity prevalence in Australia
6. Overweight children present often to paediatrics
7. What sort of assessment is required?
8. Anthropometry
9. Recognizing weight status
10. Recognizing the overweight or obese child
11. Serial BMI measurements are important
12. Waist circumference, waist\height ratio
13. Clinical history and examination
14. Assessment - history
15. Assessment - lifestyle history
16. Assessment - clinical examination
17. Acanthosis nigricans
18. Clinical examination - finding that act as red flags
19. Clinical investigations
20. When to investigate?
21. What investigations?
22. Case study - 15 year old boy
23. Evidence for lifestyle intervention in obese children
24. The Cochrane review
25. Family based lifestyle interventions effective
26. Lifestyle intervention vs. self help\control (under 12)
27. Lifestyle intervention vs. self help\control (over 12)
28. Limitations of current studies
29. Evidence gaps - areas for further research
30. Managing obesity in children - basic principles
31. Effective elements of behavioural interventions
32. Parental involvement improves long-term outcomes
33. Parents as agents of change in childhood obesity
34. Sedentary behaviour vs. physical activity
35. Maintenance targeted therapy improves outcomes
36. Managing childhood obesity - pharmacotherapy
37. Drug therapy - effect of Orlistat
38. Drug therapy - effect of Sibutramine
39. Drug therapy - Metformin vs. Placebo
40. Pharmacotherapy and lifestyle intervention
41. Issues in managing severe childhood obesity
42. The severely obese child or adolescent
43. Other interventions?
44. Lap banding vs. moderate lifestyle intervention
45. Bariatric surgery recommendations in adolescents
46. Child protection issues
47. Clinical service considerations in obese children
48. Managing obesity at a population level is important
49. Issues in health service delivery
50. The Chronic Disease Management Model
51. Population management
52. Obesity and the chronic disease care pyramid
53. Resources and summary
54. Summary
55. Useful resources

Topics Covered

• Do obese children/adolescents present to clinical services?
• Clinical assessment of the obese child/adolescent (anthropometry, history and examination, investigations)
• Management of the obese child/adolescent (evidence for lifestyle interventions, elements of behavioural change, pharmacotherapy, severe obesity)
• Providing a clinical service to obese children/adolescents

Links

Series:

• Obesity

Categories:

• Clinical Practice
• Metabolism & Nutrition

Therapeutic Areas:

• Cardiovascular & Metabolic

Talk Citation

Baur, L. (2011, July 26). The clinical assessment and management of child and adolescent obesity [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved April 24, 2024, from https://hstalks.com/bs/2049/.
Export Citation (RIS)

Publication History

• Published on July 26, 2011

Financial Disclosures

• Prof. Louise Baur has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.