Abstract：
OBJECTIVE: Pediatric obesity is a growing concern globally. Patients with a history of overweight/obesity often experience stigmatization, especially in the healthcare setting, and are at increased risk of developing psychological comorbidities including eating disorders. This review appraises the most recent studies evaluating eating disorder risk in youth undergoing treatment for obesity, identifies gaps in the literature, and offers practical guidelines to pediatric providers regarding the management of this population.
RESULTS: Recent studies suggest that structured weight management programs may decrease the risk of and/or improve symptoms of certain eating disorders such as binge eating disorder and bulimia nervosa. There is a paucity of research on some components of obesity management such as obesity pharmacotherapeutics and eating disorder risk.
CONCLUSIONS: Children and adolescents with obesity are a psychologically vulnerable population with increased risk for the development of eating disorders. Further study is needed to evaluate general risk in the setting of specialized and primary care obesity interventions and develop appropriate screening and mitigation tools. Some evidence-based strategies can aid pediatric providers in both weight management and eating disorder prevention and risk assessment.
RESULTS: Recent studies suggest that structured weight management programs may decrease the risk of and/or improve symptoms of certain eating disorders such as binge eating disorder and bulimia nervosa. There is a paucity of research on some components of obesity management such as obesity pharmacotherapeutics and eating disorder risk.
CONCLUSIONS: Children and adolescents with obesity are a psychologically vulnerable population with increased risk for the development of eating disorders. Further study is needed to evaluate general risk in the setting of specialized and primary care obesity interventions and develop appropriate screening and mitigation tools. Some evidence-based strategies can aid pediatric providers in both weight management and eating disorder prevention and risk assessment.
摘要：
目的：儿童肥胖是全球日益关注的问题。有超重/肥胖病史的患者通常会受到污名化，尤其是在医疗保健环境中，并且有增加的风险发展的心理合并症，包括饮食失调。这篇综述评估了评估接受肥胖治疗的青少年饮食失调风险的最新研究。找出文献中的空白，并为儿科提供者提供有关该人群管理的实用指南。
结果：最近的研究表明，结构化的体重管理计划可以降低某些饮食失调的风险和/或改善其症状，如暴食症和神经性贪食症。关于肥胖管理的某些组成部分的研究很少，例如肥胖药物疗法和饮食失调风险。
结论：患有肥胖症的儿童和青少年是一个心理上脆弱的人群，发生饮食失调的风险增加。需要进一步的研究来评估专门和初级保健肥胖干预措施的一般风险，并开发适当的筛查和缓解工具。一些基于证据的策略可以帮助儿科提供者进行体重管理，饮食失调预防和风险评估。
结果：最近的研究表明，结构化的体重管理计划可以降低某些饮食失调的风险和/或改善其症状，如暴食症和神经性贪食症。关于肥胖管理的某些组成部分的研究很少，例如肥胖药物疗法和饮食失调风险。
结论：患有肥胖症的儿童和青少年是一个心理上脆弱的人群，发生饮食失调的风险增加。需要进一步的研究来评估专门和初级保健肥胖干预措施的一般风险，并开发适当的筛查和缓解工具。一些基于证据的策略可以帮助儿科提供者进行体重管理，饮食失调预防和风险评估。
