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Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies

As a major public health concern, childhood obesity is a multifaceted and multilevel metabolic disorder influenced by genetic and behavioral aspects. While genetic risk factors contribute to and interact with the onset and development of excess body weight, available evidence indicates that several...

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Autores principales: Motevalli, Mohamad, Drenowatz, Clemens, Tanous, Derrick R., Khan, Naim Akhtar, Wirnitzer, Katharina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067342/
https://www.ncbi.nlm.nih.gov/pubmed/33917383
http://dx.doi.org/10.3390/nu13041200
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author Motevalli, Mohamad
Drenowatz, Clemens
Tanous, Derrick R.
Khan, Naim Akhtar
Wirnitzer, Katharina
author_facet Motevalli, Mohamad
Drenowatz, Clemens
Tanous, Derrick R.
Khan, Naim Akhtar
Wirnitzer, Katharina
author_sort Motevalli, Mohamad
collection PubMed
description As a major public health concern, childhood obesity is a multifaceted and multilevel metabolic disorder influenced by genetic and behavioral aspects. While genetic risk factors contribute to and interact with the onset and development of excess body weight, available evidence indicates that several modifiable obesogenic behaviors play a crucial role in the etiology of childhood obesity. Although a variety of systematic reviews and meta-analyses have reported the effectiveness of several interventions in community-based, school-based, and home-based programs regarding childhood obesity, the prevalence of children with excess body weight remains high. Additionally, researchers and pediatric clinicians are often encountering several challenges and the characteristics of an optimal weight management strategy remain controversial. Strategies involving a combination of physical activity, nutritional, and educational interventions are likely to yield better outcomes compared to single-component strategies but various prohibitory limitations have been reported in practice. This review seeks to (i) provide a brief overview of the current preventative and therapeutic approaches towards childhood obesity, (ii) discuss the complexity and limitations of research in the childhood obesity area, and (iii) suggest an Etiology-Based Personalized Intervention Strategy Targeting Childhood Obesity (EPISTCO). This purposeful approach includes prioritized nutritional, educational, behavioral, and physical activity intervention strategies directly based on the etiology of obesity and interpretation of individual characteristics.
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spelling pubmed-80673422021-04-25 Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies Motevalli, Mohamad Drenowatz, Clemens Tanous, Derrick R. Khan, Naim Akhtar Wirnitzer, Katharina Nutrients Review As a major public health concern, childhood obesity is a multifaceted and multilevel metabolic disorder influenced by genetic and behavioral aspects. While genetic risk factors contribute to and interact with the onset and development of excess body weight, available evidence indicates that several modifiable obesogenic behaviors play a crucial role in the etiology of childhood obesity. Although a variety of systematic reviews and meta-analyses have reported the effectiveness of several interventions in community-based, school-based, and home-based programs regarding childhood obesity, the prevalence of children with excess body weight remains high. Additionally, researchers and pediatric clinicians are often encountering several challenges and the characteristics of an optimal weight management strategy remain controversial. Strategies involving a combination of physical activity, nutritional, and educational interventions are likely to yield better outcomes compared to single-component strategies but various prohibitory limitations have been reported in practice. This review seeks to (i) provide a brief overview of the current preventative and therapeutic approaches towards childhood obesity, (ii) discuss the complexity and limitations of research in the childhood obesity area, and (iii) suggest an Etiology-Based Personalized Intervention Strategy Targeting Childhood Obesity (EPISTCO). This purposeful approach includes prioritized nutritional, educational, behavioral, and physical activity intervention strategies directly based on the etiology of obesity and interpretation of individual characteristics. MDPI 2021-04-06 /pmc/articles/PMC8067342/ /pubmed/33917383 http://dx.doi.org/10.3390/nu13041200 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Motevalli, Mohamad
Drenowatz, Clemens
Tanous, Derrick R.
Khan, Naim Akhtar
Wirnitzer, Katharina
Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies
title Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies
title_full Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies
title_fullStr Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies
title_full_unstemmed Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies
title_short Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies
title_sort management of childhood obesity—time to shift from generalized to personalized intervention strategies
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8067342/
https://www.ncbi.nlm.nih.gov/pubmed/33917383
http://dx.doi.org/10.3390/nu13041200
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