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Overweight and Cystic Fibrosis: An Unexpected Challenge
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  • Megan Gabel,
  • Claudia Fox,
  • Rachel Grimes,
  • John Lowman,
  • Catherine McDonald,
  • Virginia Stallings,
  • Suzanne Michel
Megan Gabel
University of Rochester Medical Center

Corresponding Author:[email protected]

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Claudia Fox
University of Minnesota System
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Rachel Grimes
Cook Children's Medical Center
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John Lowman
University of Alabama at Birmingham HCOP
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Catherine McDonald
Primary Children's Hospital
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Virginia Stallings
The Children's Hospital of Philadelphia
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Suzanne Michel
Medical University of South Carolina
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Abstract

Achieving a healthy weight balance has been a central focus of care for people who have cystic fibrosis (CF). Over the years, the emphasis has primarily been on promoting weight gain in order to optimize pulmonary outcomes. With continued improvements in CF care, including highly effective CF modulator available for many people, the CF community is now experiencing a new challenge: addressing the concern that some people are gaining weight excessively. While at this time, we do not know to what extent overweight and obesity will affect health outcomes for people with CF, it is likely that excessive weight gain may have negative health impacts similar to those seen in the general population. In this paper, we review the history of nutritional guidelines for people with CF, as well as more recent trends toward overweight and obesity for some. A multidisciplinary approach is needed to collaboratively start the oftentimes difficult conversation regarding excessive weight gain, and to identify resources to help people achieve and maintain a healthy weight through diet, exercise, and behavioral modification.
18 Aug 2021Submitted to Pediatric Pulmonology
19 Aug 2021Submission Checks Completed
19 Aug 2021Assigned to Editor
19 Aug 2021Reviewer(s) Assigned
23 Sep 2021Review(s) Completed, Editorial Evaluation Pending
23 Sep 2021Editorial Decision: Revise Major
06 Oct 20211st Revision Received
07 Oct 2021Submission Checks Completed
07 Oct 2021Assigned to Editor
07 Oct 2021Reviewer(s) Assigned
15 Oct 2021Review(s) Completed, Editorial Evaluation Pending
18 Oct 2021Editorial Decision: Accept
Feb 2022Published in Pediatric Pulmonology volume 57 issue S1. 10.1002/ppul.25748