References

O’Connor EA, Evans CV, Burda BU, et al. JAMA 2017;317(23):2427–2444. Hampl SE, Hassink SG, Skinner SC, et al. Pediatrics 2023;151(2):e2022060640. Andela S, Browns TL, Baur LA, et al. Obes Rev 2019;20(6):871–882.

References

Hampl SE, Hassink SG, Skinner SC, et al. Pediatrics 2023;151(2):e2022060640.

Weghuber D, Barrett T, Barrientos-Perez M, et al. N Engl J Med 2022;387(24):2245–2257

Kelly AS, Auerbach P, Barrientos-Perez M, et al. N Engl J Med 2020;382(22):2117–2128.

European Medicines Agency. Saxenda. European Medicines Agency https://www.ema.europa.eu/en/medicines/human/EPAR/saxenda.

European Medicines Agency. Wegovy. European Medicines Agency https://www.ema.europa.eu/en/medicines/human/EPAR/wegovy.

US Food and Drug Administration. FDA approves weight management drug for patients aged 12 and older. FDA. April 12, 2020 https://www.fda.gov/drugs/news-events-human-drugs/fda-approves-weight-management-drug-patients-aged-12-and-older.

FDA approves once-weekly Wegovy injection for the treatment of obesity in teens aged 12 years and older. News release. Novo Nordisk. December 23, 2022. https://www.novonordisk-us.com/media/news-archive/news-details.html?id=151389

Lister NB, Baur LA, Felix JF, et al. Nat Rev Dis Primers 2023;9:24.

References

Hampl SE, Hassink SG, Skinner SC, et al. Pediatrics 2023;151(2):e2022060640.

Di Lorenzo N, Antoniou SA, Batterham RL, et al. Surg Endosc 2020;34(6):2332–2358.

Recap of the management plan 1

This plan focused on health behavior intervention alone.

Statement 1	It is a patient who would be suitable for active health behavior as a first step.
Statement 2	It is a patient who would not yet require a psychologist/counsellor involvement.
Statement 3	It would be appropriate to recommend the incorporation of fresh plant-based food and reduced sugar into all family meals.
Statement 4	It would be sufficient to initiate a behavioral plan with the help of a behavior coach/nurse, including behavior analysis, goal setting, and problem solving.

Noah, 11 years old

Anna, 12 years old

Luca, 16 years old

Dwayne, 15 years old

Wyatt, 14 years old

Finley, 15 years old

Krish, 16 years old

Mina, 16 years old

Jing, 14 years old

Jahzara, 15 years old

Recap of the management plan 2

This plan focused on health behavior intervention with anti-obesity medication.

Statement 1	It is a patient who would benefit from initiation or change of a pharmacological intervention
Statement 2	It is a patient who would benefit from referral to a psychological specialist or behavioral therapist
Statement 3	It is a patient whose goal should be to lower both body weight and blood pressure
Statement 4	It is a patient who would benefit from the initiation of a GLP-1RA

Wyatt, 14 years old

Finley, 15 years old

Recap of the management plan 3

This plan focused on health behavior intervention with the possibility of bariatric surgery.

Statement 1	It is a patient who should be referred for immediate specialist counselling
Statement 2	It would be helpful to reassess the family's motivation to change
Statement 3	It is a patient for whom you should consider stopping or changing their anti-obesity medication
Statement 4	It is a patient who should be considered for bariatric and metabolic surgery assessment

Krish, 16 years old

Mina, 16 years old

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