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Die betroffenen Jugendlichen haben ein erh\u00f6htes Risiko f\u00fcr zahlreiche somatische Folgeerkrankungen wie Diabetes mellitus Typ\u00a02, orthop\u00e4dische St\u00f6rungen und das Schlafapnoesyndrom. Auch psychische St\u00f6rungen wie Depression und Angstst\u00f6rungen, soziale Phobien und selbstverletzendes Verhalten k\u00f6nnen sich aufgrund der funktionellen Beeintr\u00e4chtigungen und der Stigmatisierung entwickeln. Soziale Isolation einschlie\u00dflich Schulvermeidung und Arbeitslosigkeit k\u00f6nnen die Folge sein. Trotz dieser negativen Auswirkungen der extremen Adipositas im Jugendalter sind diese Jugendlichen medizinisch schwer zu erreichen und zu behandeln. Nur ein kleiner Prozentsatz der Patienten sucht aktiv nach einer Behandlung.<\/jats:p><jats:p>In Kenntnis dieser Schwierigkeiten wurde von 2012\u20132019 die vom Bundesministerium f\u00fcr Bildung und Forschung (BMBF) gef\u00f6rderte JA-Studie (Jugendliche mit extremer Adipositas) durchgef\u00fchrt mit dem Ziel, die Versorgungskonzepte f\u00fcr diese vernachl\u00e4ssigte Gruppe von Jugendlichen zu verbessern. In unserem Beitrag zeigen wir m\u00f6gliche Versorgungswege auf. Diese bestehen in der Begleitung der Jugendlichen und der Behandlung von Komorbidit\u00e4ten, einer nachhaltigen Lebensstilintervention in einem gesch\u00fctzten Umfeld sowie einer Therapie zur Gewichtsreduktion durch Adipositaschirurgie. \u00dcbergeordnete Ziele f\u00fcr die Patienten bestehen dabei in einer Steigerung des Selbstwertgef\u00fchls, in der fr\u00fchzeitigen Diagnose und Behandlung von Folgeerkrankungen und in einer Integration in den Ausbildungs- bzw. Arbeitsmarkt.<\/jats:p>","DOI":"10.1007\/s00103-020-03167-y","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T12:03:04Z","timestamp":1591704184000},"page":"831-838","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Innovative medizinische Betreuungskonzepte f\u00fcr Jugendliche mit extremer Adipositas","Innovative medical care concepts for adolescents with severe obesity"],"prefix":"10.1007","volume":"63","author":[{"given":"Martin","family":"Wabitsch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"v. 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