Comprehensive obesity evaluation and treatment of three adolescents: a case series
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Sharonda J. Alston Taylor
,
Mitchell A. Peterson
Abstract
Background: Adolescent obesity is a chronic disease that is impacted from each patient’s biopsychosocial milieu. Successfully treating pediatric obesity requires long-term, innovative, systematic involvement to facilitate patient and family engagement and change.
Methods: Extensive chart review was done for three obese adolescents who underwent comprehensive weight management in an adolescent clinic seen within the past 5 years. The charts were reviewed starting from the time of initial contact through the last visit in the clinic. The patients are no longer receiving care within the clinic.
Results: The patients presented with BMI>99th percentile, family history of obesity, severe psychosocial stressors, and multiple obesity-related comorbidities. Their treatment involved comprehensive multidisciplinary intervention in an adolescent weight management clinic within a tertiary care center. In addition to rigorous support through frequent office visits, these patients all eventually required temporary, alternative living arrangements to successfully implement recommendations. One patient resided with another family member; two went to inpatient weight management program care for 2–3 months. All subjects successfully lost weight when away from their primary residence, and they demonstrated improvement or resolution of comorbidities.
Conclusions: This case series of three adolescents who underwent comprehensive obesity evaluation and treatment demonstrates multidisciplinary care across interconnected treatment programs and active engagement of family. Those who maintained successful weight loss reduced sedentary time, demonstrated family support (e.g., key members attending follow-up visits), and altered their living environment and were committed to their own health goals.
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©2016 by De Gruyter
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Articles in the same Issue
- Frontmatter
- Editorial
- Smoking: do you really know the risk?
- Original Articles
- Practices and perceptions of adolescent girls regarding the impact of dysmenorrhea on their routine life: a comparative study in the urban, rural, and slum areas of Chandigarh
- Needs and expectations of adolescent in-patients: the experience of Gaslini Children’s Hospital
- Prevalence and determinants of cigarette smoking among adolescents in secondary schools in Port Harcourt, Southern Nigeria
- Comprehensive obesity evaluation and treatment of three adolescents: a case series
- Exercise, bodyweight perception and related weight loss behavior among adolescents in Trinidad and Tobago
- Oral health habits, attitudes and behaviors of Portuguese adolescents
- Using UV photoaged photography to better understand Western Australian teenagers’ attitudes towards adopting sun-protective behaviors
- Adolescent pesticide exposures reported to Texas poison centers
- Can a healthy youth development clinic serving latino families be youth friendly and family oriented? A mixed-methods evaluation
- Insights into Facebook Pages: an early adolescent health research study page targeted at parents
- Iranian adolescents’ insufficient physical activity: a mixed methods explanatory sequential study
- Sensation seeking indirectly affects perceptions of risk for co-occurrent substance use
- The understanding of risk factors for eating disorders in male adolescents
- Case Reports
- The role of temperament in traumatic hearing loss: a single case study of a cochlear-implanted patient
- Congenital megalourethra: a case report of an isolated delayed presentation
- Short Communication
- Problematic internet use and social networking site use among Dutch adolescents
- Letter to the Editor
- A teen’s perspective: adolescent access to their own electronic medical records
