{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T18:28:34Z","timestamp":1791570514108,"version":"4.3.4"},"reference-count":70,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>In this report, we compare weight loss, comorbidity resolution, nutritional abnormalities, and quality of life between younger and older adolescents after metabolic and bariatric surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>From March 2007 to December 2011, 242 adolescents (\u226419 years of age) who underwent bariatric surgery at 5 clinical centers in the United States were enrolled in the prospective, multicenter, long-term outcome study Teen\u2013Longitudinal Assessment of Bariatric Surgery. Outcome data from younger (13\u201315 years; n = 66) and older (16\u201319 years; n = 162) study participants were compared. Outcomes included percent BMI change, comorbidity outcomes (hypertension, dyslipidemia, and type 2 diabetes mellitus), nutritional abnormalities, and quality of life over 5 years post surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Baseline characteristics, except for age, between the 2 cohorts were similar. No significant differences in frequency of remission of hypertension (P = .84) or dyslipidemia (P = .74) were observed between age groups. Remission of type 2 diabetes mellitus was high in both groups, although statistically higher in older adolescents (relative risk 0.86; P = .046). Weight loss and quality of life were similar in the 2 age groups. Younger adolescents were less likely to develop elevated transferrin (prevalence ratio 0.52; P = .048) and low vitamin D levels (prevalence ratio 0.8; P = .034).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>The differences in outcome of metabolic and bariatric surgery between younger and older adolescents were few. These data suggest that younger adolescents with severe obesity should not be denied consideration for surgical therapy on the basis of age alone and that providers should consider adolescents of all ages for surgical therapy for obesity when clinically indicated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2020-024182","type":"journal-article","created":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T04:25:46Z","timestamp":1612153546000},"source":"Crossref","is-referenced-by-count":42,"title":["Outcomes of Bariatric Surgery in Older Versus Younger Adolescents"],"prefix":"10.1542","volume":"147","author":[{"given":"Sarah B.","family":"Ogle","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital Colorado and School of Medicine, University of Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindel C.","family":"Dewberry","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado and School of Medicine, University of Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Todd M.","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas H.","family":"Inge","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado and School of Medicine, University of Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Kelsey","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado and School of Medicine, University of Colorado, Aurora, Colorado;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matias","family":"Bruzoni","sequence":"additional","affiliation":[{"name":"Lucile Packard Children\u2019s Hospital Stanford, Palo Alto, 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