ISSN 1662-4009 (online)

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Yearbook of Paediatric Endocrinology 2019

11 Obesity and Weight Regulation

Treatment of Severe Obesity: Next Steps

ey0016.11-12 | Treatment of Severe Obesity: Next Steps | ESPEYB16

11.12. Patients with obesity caused by melanocortin-4 receptor mutations can be treated with a glucagon-like peptide-1 receptor agonist

EW Iepsen , J Zhang , HS Thomsen , EL Hansen , M Hollensted , S Madsbad , T Hansen , JJ Holst , JC Holm , SS Torekov

To read the full abstract: Cell Metabolism 2018; 28: 23–32Pathogenic mutations in the melanocortin-4 receptor gene (MC4R) are the most common cause of monogenic obesity. However, very limited treatment options exist. Therefore, these authors investigated a glucagon-like peptide-1 receptor agonist (GLP-1 RA) as a treatment option for these patients. The findings are of major signific...

ey0016.11-13 | Treatment of Severe Obesity: Next Steps | ESPEYB16

11.13. Five-year outcomes of gastric bypass in adolescents as compared with adults

TH Inge , AP Courcoulas , TM Jenkins , MP Michalsky , ML Brandt , SA Xanthakos , JB Dixon , CM Harmon , MK Chen , C Xie , ME Evans , MA Helmrath , Teen-LABS Consortium

To read the full abstract: N Engl J Med. 2019;380(22):2136–2145These authors describe the 5-year follow-up of a multicenter patient cohort of adolescents with severe obesity who underwent gastric bypass surgery to lose weight and improve cardiometabolic risk factors (the Teen-LABS study; n=161, age 13–19 years at time of surgery). They compared these data with a simila...

ey0016.11-14 | Treatment of Severe Obesity: Next Steps | ESPEYB16

11.14. Pathophysiology and individualized treatment of hypothalamic obesity following craniopharyngioma and other suprasellar tumors: a systematic review

L van Iersel , KE Brokke , RAH Adan , LCM Bulthuis , ELT van den Akker , HM van Santen

To read the full abstract: Endocr Rev. 2019;40(1):193–235This paper combines a comprehensive review of current knowledge on pathophysiologic mechanisms contributing to hypothalamic obesity in craniopharyngioma patients with a systematic literature review of intervention studies for weight management in this patient population. Findings of both reviews are merged into evidence-...

ey0016.11-15 | Treatment of Severe Obesity: Next Steps | ESPEYB16

11.15. Working toward precision medicine approaches to treat severe obesity in adolescents: report of an NIH workshop

AS Kelly , MD Marcus , JA Yanovski , SZ Yanovski , SK Osganian

To read the full abstract: Int J Obes (2005) 2018; 42(11):1834–1844This paper presents the results of a multidisciplinary expert workshop to identify current knowledge and more importantly current gaps in knowledge on the epidemiological and biopsychosocial determinants of obesity and its optimal treatment approaches.Childhood obesity is a global ...