NGC - Compare - Comparison: MANAGEMENT OF OVERWEIGHT AND OBESITY IN CHILDREN AND ADOLESCENTS

NATIONAL GUIDELINE CLEARINGHOUSE™ (NGC)
GUIDELINE SYNTHESIS
MANAGEMENT OF OVERWEIGHT AND OBESITY IN CHILDREN AND ADOLESCENTS

Guidelines
American Heart Association (AHA). Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation 2005 Apr 19;111(15):1999-2012. [103 references]

Massachusetts Department of Public Health (MDPH). Expert panel on weight loss surgery. Boston (MA): Massachusetts Department of Public Health; 2007 Dec 12. 106 p. [77 references]

The Endocrine Society (TES). Prevention and treatment of pediatric obesity: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2008 Dec;93(12):4576-99.


INTRODUCTION
A direct comparison of the American Heart Association (AHA), Massachusetts Department of Public Health (MDPH), and The Endocrine Society (TES) recommendations for management of overweight and obesity in children and adolescents is provided in the tables below.

* Table 1 provides a quick-view glance at the primary interventions considered by each group.
* Table 2 provides a comparison of the overall scope of the guidelines.
* Table 3 provides a more detailed comparison of the specific recommendations offered by each group for the topics under consideration in this synthesis, including:
- General Recommendations
- Dietary Interventions
- Physical Activity
- Pharmacological Treatment
- Surgical Intervention
* Table 4 lists the potential benefits and harms associated with the implementation of each guideline as stated in the original guideline.
* Table 5 presents the rating schemes used by the guideline groups to rate the level of evidence and/or the strength of the recommendations.

Following the content and recommendation comparison tables, the areas of agreement and areas of differences among the guidelines are identified.

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NGC - Compare - Comparison