| Abstract: | Obesity is now recognised as the most prevalent nutritional disorder affecting children. Prevalence rates across Europe have increased sharply in the past decade and the consequences of this are increasingly clear with type 2 diabetes, hyperlipidaemia and hypertension now affecting children in growing numbers. The causes of this modern epidemic are many and involve complex genetic and environmental factors and the traditional view of obesity as a product of laziness and greed is increasingly being challenged. Whatever the causes, prevention and treatment need to be considered with urgency. While personal and parental responsibility remain crucial, it also falls to government to help control powerful environmental pressures which are leading our children into premature ill‐health and mortality. Equally health professionals are increasingly recognising that they have a significant role to play in delivering medical treatment of obesity in children. Successful treatment requires a greater understanding of obesity, causes, and consequences, and of the particular style of approach that is required for children, and their families. The role of weight loss medication remains unclear, but is being examined seriously, such is the need for effective treatment strategies to minimise the incidence and severity of co‐morbid disease. Inaction at any level can no longer be considered a viable option. |
