Management

Management of obesity is still suboptimal. Strategies for weight reduction include dietary advice and support, and programmes to increase exercise and decrease time in front of computer and TV screens. In morbid obesity, bariatric surgery and laparoscopic sleeve gastrectomy have been used in adolescence. However, complications include trace element deficiency and increased suicide risk has been described in adults.

• Patient education
  
• Mainstay of treatment is lifestyle changes:
  
  
  
  • Change in eating patterns: healthy eating
    
  • Appropriate portion size
    
  • Reduce sedentary behaviour and increase physical activity
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