High estimated prevalence of bariatric surgery in young adults treated for pediatric obesity

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Brissman, M.Karolinska Institutet (author)

High estimated prevalence of bariatric surgery in young adults treated for pediatric obesity

Article/chapterEnglish2021

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Elsevier BV,2021

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LIBRIS-ID:oai:gup.ub.gu.se/302127
https://gup.ub.gu.se/publication/302127URI
https://doi.org/10.1016/j.soard.2020.09.017DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:146296405URI

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Language:English

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SwePubSwePub

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Background: Despite the modest effects of behavioral treatment on obesity in adolescence, bariatric surgery is rarely performed. Obesity often persists from childhood to adulthood, but it is not known how many individuals proceed with bariatric surgery in young adulthood. Objective: The aim of this study was to determine what proportion of individuals who received pediatric behavioral obesity treatment subsequently underwent bariatric surgery in early adulthood, and to identify predictors thereof. Setting: National registries, Sweden. Methods: In this prospective cohort study, the Swedish Childhood Obesity Treatment Register was linked to several national registers. Results: The childhood obesity cohort included 6502 (45% females) with a median age at follow-up of 21.7 years (interquartile range [IQR] 5.2). Of these, 8.2% underwent bariatric surgery at a median age of 20.9 years (IQR 4.2). The estimated cumulative incidence of bariatric surgery at age 30 was 21.5%. Obesity-related co-morbidities were identified in 31.7% before bariatric surgery in the childhood obesity cohort. Predictors of bariatric surgery were female sex, high body mass index standard deviation score (BMI SDS) at the start and end of treatment, poor treatment response, as well as own or parental cardiometabolic disease. Conclusions: More than a fifth are estimated to undergo bariatric surgery in early adulthood, despite having received pediatric behavioral obesity treatment. Our results indicate that for many children, behavioral treatment is insufficient in reducing obesity and preventing obesity-related co-morbidity. Therefore, it is reasonable to assume that more effective treatment of adolescents with severe obesity, including more rigorous behavioral support and pharmacologic treatment, but also more frequent use of bariatric surgery, would benefit this group of patients. © 2020 American Society for Bariatric Surgery

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Pediatrik hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Pediatrics hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Endokrinologi och diabetes hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Endocrinology and Diabetes hsv//eng
Bariatric surgery
Childhood obesity
Metabolic disease
Pediatrics

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Lindberg, L.Karolinska Institutet (author)
Beamish, Andrew J.Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning,Institute of Clinical Sciences, Department of Gastrosurgical Research and Education(Swepub:gu)xbeaan (author)
Marcus, C.Karolinska Institutet (author)
Hagman, E.Karolinska Institutet (author)
Karolinska InstitutetInstitutionen för kliniska vetenskaper, Avdelningen för gastrokirurgisk forskning och utbildning (creator_code:org_t)

Related titles

In:Surgery for Obesity and Related Diseases: Elsevier BV17:2, s. 398-4051550-7289
In:Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery: Elsevier BV17:2, s. 398-4051878-7533

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By the author/editor: Brissman, M.; Lindberg, L.; Beamish, Andrew ...; Marcus, C.; Hagman, E.

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Pediatrics

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Endocrinology an ...

Articles in the publication: Surgery for Obes ...; Surgery for obes ...

By the university: University of Gothenburg; Karolinska Institutet

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