JAMA Clinical Reviews cover image

JAMA Clinical Reviews

Obesity in Adolescents

Aug 5, 2024
Aaron S. Kelly, PhD, an author and expert from the University of Minnesota Medical School, joins to tackle the pressing issue of adolescent obesity, affecting around 20% of U.S. teens. He discusses the complex interplay of screen time, food insecurity, and genetics in driving obesity. Kelly emphasizes the importance of BMI screening and recent treatment innovations, including anti-obesity medications like GLP-1 receptor agonists. He advocates for a compassionate approach in healthcare to effectively manage health risks and improve long-term outcomes for affected adolescents.
18:56

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Quick takeaways

  • Approximately 20% of U.S. adolescents face obesity, significantly increasing their risk for serious health issues like prediabetes and insulin resistance.
  • Effective treatments for adolescent obesity now include both newly approved anti-obesity medications and the importance of behavioral counseling alongside lifestyle modifications.

Deep dives

The Rising Rates of Adolescent Obesity

About 20% of adolescents in the United States between the ages of 12 and 18 live with obesity, a statistic that has been on the rise since the mid-1970s. Various complications associated with this condition include prediabetes, insulin resistance, and dyslipidemia, all of which can have serious long-term health impacts. These health issues often manifest as low HDL cholesterol levels, high triglycerides, liver disease, and musculoskeletal problems. The complex nature of obesity is influenced not only by lifestyle factors like screen time but also by biological predispositions and an environment that promotes obesity, highlighting the multifactorial causes behind this growing crisis.

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