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State Intervention in Life-Threatening Childhood Obesity

State Intervention in Life-Threatening Childhood Obesity COMMENTARY State Intervention in Life-Threatening Childhood Obesity lifestyle, and poor adherence to medical treatment—risk Lindsey Murtagh, JD, MPH factors that together could rapidly accelerate development David S. Ludwig, MD, PhD of macrovascular and microvascular diseases. Without major weight loss, type 2 diabetes usually becomes perma- ANY BIOLOGICAL, PSYCHOSOCIAL, AND BEHAV- nent several years after onset due to irreversible pancreatic ioral factors affect energy balance and, beta cell death, which decreases life expectancy signifi- therefore, childhood weight gain, with par- cantly. Because of the poor outcome of conventional treat- Ments playing an important mediating role. ment for pediatric obesity, bariatric surgery has become Ubiquitous junk food marketing, lack of opportunities increasingly considered for adolescents with type 2 diabe- for physically active recreation, and other aspects of tes. However, the long-term safety and effectiveness of modern society promote unhealthful lifestyles in chil- this invasive procedure in adolescents remains unknown, dren. Inadequate or unskilled parental supervision can and serious perioperative and long-term morbidity and leave children vulnerable to these obesigenic environ- mortality have been reported. As an alternative therapeu- mental influences. Emotional distress and depression, or tic approach, placement of the severely obese child under other psychological problems arising from abuse and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

State Intervention in Life-Threatening Childhood Obesity

JAMA , Volume 306 (2) – Jul 13, 2011

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2011.903
pmid
21750301
Publisher site
See Article on Publisher Site

Abstract

COMMENTARY State Intervention in Life-Threatening Childhood Obesity lifestyle, and poor adherence to medical treatment—risk Lindsey Murtagh, JD, MPH factors that together could rapidly accelerate development David S. Ludwig, MD, PhD of macrovascular and microvascular diseases. Without major weight loss, type 2 diabetes usually becomes perma- ANY BIOLOGICAL, PSYCHOSOCIAL, AND BEHAV- nent several years after onset due to irreversible pancreatic ioral factors affect energy balance and, beta cell death, which decreases life expectancy signifi- therefore, childhood weight gain, with par- cantly. Because of the poor outcome of conventional treat- Ments playing an important mediating role. ment for pediatric obesity, bariatric surgery has become Ubiquitous junk food marketing, lack of opportunities increasingly considered for adolescents with type 2 diabe- for physically active recreation, and other aspects of tes. However, the long-term safety and effectiveness of modern society promote unhealthful lifestyles in chil- this invasive procedure in adolescents remains unknown, dren. Inadequate or unskilled parental supervision can and serious perioperative and long-term morbidity and leave children vulnerable to these obesigenic environ- mortality have been reported. As an alternative therapeu- mental influences. Emotional distress and depression, or tic approach, placement of the severely obese child under other psychological problems arising from abuse and

Journal

JAMAAmerican Medical Association

Published: Jul 13, 2011

References