Merck Manual

Please confirm that you are not located inside the Russian Federation

honeypot link

Obesity in Adolescents

By

Sharon Levy

, MD, MPH, Harvard Medical School

Last full review/revision Jul 2022| Content last modified Sep 2022
CLICK HERE FOR THE PROFESSIONAL VERSION
Topic Resources

Obesity is defined as a body mass index (BMI) equal to or greater than the 95th percentile for age and gender.

  • Although genetics and some disorders cause obesity, most adolescent obesity results from a lack of physical activity and consuming more calories than needed for activity level.

  • The diagnosis is based on a BMI at or over the 95th percentile for age and gender.

  • Eating a nutritious diet and increasing exercise help treat obesity.

Obesity is defined by the body mass index Obesity Obesity (BMI). BMI is weight (in kilograms) divided by height (in meters) squared. Adolescents whose BMI is in the top 5% for their age and gender are considered to have obesity. Being in the top 5% means their BMI is higher than 95% of their peers (at or over the 95th percentile).

Obesity Obesity Obesity is excess body weight. Obesity is influenced by a combination of factors, which usually results in consuming more calories than the body needs. These factors may include physical inactivity... read more Obesity is twice as common among adolescents as it was 30 years ago. Although most of the complications of obesity occur in adulthood, adolescents with obesity are more likely than their peers to have high blood pressure and type 2 diabetes Type 2 diabetes Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin or fails to respond normally to the insulin produced... read more Type 2 diabetes . Although fewer than one third of adults with obesity were obese as adolescents, most adolescents with obesity become adults with obesity.

Causes of Obesity in Adolescents

The factors that influence obesity among adolescents are the same as those among adults. Hormonal disorders, such as an underactive thyroid gland (hypothyroidism Hypothyroidism Hypothyroidism is underactivity of the thyroid gland that leads to inadequate production of thyroid hormones and a slowing of vital body functions. Facial expressions become dull, the voice... read more Hypothyroidism ) or overactive adrenal glands, may result in obesity but are rarely the cause. Adolescents with weight gain caused by hormonal disorders are usually short and most often have other signs of the underlying disorder. Any adolescent with obesity who is short and has high blood pressure should be tested for the hormonal disorder Cushing syndrome Cushing Syndrome In Cushing syndrome, the level of corticosteroids is excessive, usually due to taking corticosteroid drugs or overproduction by the adrenal glands. Cushing syndrome usually results from taking... read more Cushing Syndrome . Genetics play a role, which means that some people are at greater risk of obesity than others, and obesity may be more common among members of the same family.

Because of society’s stigma against obesity, many adolescents with obesity have a poor self-image and may become socially isolated.

Treatment of Obesity in Adolescents

  • Healthy eating and exercise habits

The treatment of adolescent obesity is focused on developing healthy eating and exercise habits rather than on losing a specific amount of weight. Reducing calorie intake and burning calories are two ways to meet these goals.

Calorie intake is reduced by

  • Establishing a well-balanced diet of ordinary foods

  • Making permanent changes in eating habits

Calorie burning is increased by

  • Increasing physical activity

Counseling to help adolescents cope with social problems, including poor self-esteem, may be helpful.

Drugs that help reduce weight are generally not used during adolescence because of concerns about safety and possible misuse of the drugs. One exception is for adolescents with obesity who have a strong family history of type 2 diabetes Type 2 diabetes treatment Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high because the body does not produce enough insulin or fails to respond normally to the insulin produced... read more Type 2 diabetes treatment . They are at risk of developing diabetes. The drug metformin, which is used to treat diabetes, may help them lose weight and also lower their risk of becoming diabetic.

Drugs Mentioned In This Article

Generic Name Select Brand Names
GLUCOPHAGE
NOTE: This is the Consumer Version. DOCTORS: CLICK HERE FOR THE PROFESSIONAL VERSION
CLICK HERE FOR THE PROFESSIONAL VERSION
quiz link

Test your knowledge

Take a Quiz!
iOS ANDROID
iOS ANDROID
iOS ANDROID
TOP