{"id":923906,"date":"2026-10-07T10:40:15","date_gmt":"2026-10-07T10:40:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/ca\/923906\/"},"modified":"2026-10-07T10:40:15","modified_gmt":"2026-10-07T10:40:15","slug":"should-kids-living-with-obesity-be-on-glp-1s-new-global-guidance-says-yes-in-some-cases","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ca\/923906\/","title":{"rendered":"Should kids living with obesity be on GLP-1s? New global guidance says yes \u2014 in some cases"},"content":{"rendered":"<p class=\"paragraph-b3GxD html-paragraph\">The first-ever international guidelines on managing childhood obesity from the World Health Organization (WHO) are raising the profile of GLP-1 treatments for kids and teens \u2014 but with strict criteria and a high degree of caution.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The new global guidance, <a class=\"link-_o8iA html-anchor\" href=\"https:\/\/url.uk.m.mimecastprotect.com\/s\/j24SC7AwwFzq0jr4s2F3YsosZYH?domain=hq_who_departmentofcommunications.cmail20.com\" target=\"_blank\" rel=\"nofollow noopener\">released on Wednesday<\/a>, recommends a broad range of interventions to manage diet, boost physical activity and change behaviours for the rising number of global youth living with obesity. And in certain cases, for some older children and teenagers, that could also mean medication or bariatric surgery.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The WHO doesn&#8217;t recommend medical treatment, surgery or weight-loss devices for children up to the age of nine, the organization notes. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">For older youth from the age of 10 to 19, medical treatments may be considered only when a supervised lifestyle program hasn&#8217;t achieved results, the guidance states, while bariatric surgery should only be an option under strict conditions for youth living with severe obesity.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;The foundation of obesity care for children and adolescents is not medicine or surgery, but access to comprehensive support that enables healthy eating, physical activity and sustainable behaviour change,&#8221; said Dr. Luz Mar\u00eda De Regil, the WHO&#8217;s director of the department of nutrition and food safety.<\/p>\n<p>WATCH | Cheaper GLP-1 drugs arrive in Canada:<img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/10\/1791369612_298_default.jpg\"  alt=\"\" class=\"thumbnail\" loading=\"lazy\"\/><\/p>\n<p class=\"video-item-title\">Cheaper GLP-1s arrive in Canada: Are they safe?<\/p>\n<p>A generic version of semaglutide, more commonly known by the brand name Ozempic, is now available in Canada as patent protections expire. For The National, CBC\u2019s Christine Birak breaks down the key details about the drug\u2019s safety, production and cost. [CORRECTION (June 4, 2026): The world map at 1:38 in this story shows a demarcation between Morocco and Western Sahara. In fact, the boundaries between the two are disputed.]<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">London, Ont.-based pediatric endocrinologist Dr. Marina Ybarra welcomed the organization&#8217;s cautious acknowledgement of medications as one avenue to tackle obesity. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Here in Canada, two GLP-1s are approved for weight management for youth aged 12 and up, but young patients typically have to pay for the drugs through their parents&#8217; insurance or out of pocket, said Ybarra, who works with Western University and leads the London Health Sciences Centre Children&#8217;s Hospital pediatric weight management clinic.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;The news about WHO encouraging GLP-1 as a possible treatment for children living with obesity \u2014 I think it&#8217;s very good news,&#8221; she said. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;Because maybe that will help us to get funding through the public system in Canada for children living with obesity. That&#8217;s my biggest hope.&#8221;<\/p>\n<p>170 million youth living with obesity<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The WHO&#8217;s new guidance is meant to tackle skyrocketing rates of obesity among global youth.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Roughly 170 million children and teens around the world between the ages of five to 19 were living with obesity in 2024, the WHO noted. Obesity prevalence in this age group has also quadrupled since 1990, rising from two to eight per cent.\u00a0<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The global recommendations echo recent <a class=\"link-_o8iA html-anchor\" href=\"https:\/\/www.cmaj.ca\/content\/197\/14\/E372#T1\" target=\"_blank\" rel=\"nofollow noopener\">Canadian guidance<\/a> to manage obesity in children. That long-awaited 2025 update also called for behavioural and psychological support and, in some cases, additional medical or surgical interventions.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">But Canadian physicians recommend only using GLP-1s to manage obesity in children after the age of 12, two years above the WHO&#8217;s cutoff due, and don&#8217;t stipulate that medical intervention should only be tried after lifestyle changes.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;There is no evidence to support a stepwise approach whereby pharmacologic and surgical interventions should be offered only if behavioural and psychological interventions prove ineffective,&#8221; reads the guidance published in the Canadian Medical Association Journal. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;Using shared decision-making with families, health care providers should consider all intervention options.&#8221; <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The WHO, in contrast, focused on the &#8220;practicality and universality&#8221; of diet, physical activity and behavioural changes as the pillars of obesity management, and it stressed the need for &#8220;structured long-term follow-up&#8221; in cases where patients use medication alongside other lifestyle interventions. <\/p>\n<p>WATCH | Weight comes back quickly after stopping GLP-1s, study shows:<img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/10\/1791369614_206_default.jpg\"  alt=\"\" class=\"thumbnail\" loading=\"lazy\"\/><\/p>\n<p class=\"video-item-title\">Weight comes back quickly after quitting GLP-1 drugs: study<\/p>\n<p>People who abandon popular GLP-1 weight loss medications like Ozempic put weight back on quickly, researchers say.  A new report found people who quit programs regained just under one pound per month, and were projected to return to their original weight within nearly two years.Caution around GLP-1 use among children<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">GLP-1s and other similar medications \u2014 known by household brand names like Ozempic, Mounjaro, Rybelsus, Wegovy and Zepbound \u2014 have exploded in popularity among adults to treat obesity and diabetes, and for general weight loss, <a class=\"link-_o8iA html-anchor\" href=\"https:\/\/www.nytimes.com\/2026\/09\/22\/well\/ozempic-glp1-medical-reason.html\" target=\"_blank\" rel=\"nofollow noopener\">even without a clear medical need<\/a>.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The drugs work by mimicking the body&#8217;s glucagon-like peptide-1 hormone, which helps manage appetite, slow digestion and regulate blood sugar.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Ybarra stressed the medications are now an effective tool for many young patients with obesity, helping to both reduce weight and improve quality of life. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">While some children and teens face similar side effects to older patients, including nausea and other gastrointestinal issues, &#8220;we didn&#8217;t see many of the severe complications that were seen in the adult population,&#8221; Ybarra noted.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Younger and younger patients are also trying this growing class of drugs.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">One U.S. study, <a class=\"link-_o8iA html-anchor\" href=\"https:\/\/publications.aap.org\/pediatrics\/article\/158\/4\/e2026077048\/208779\/Trends-in-GLP-1-Receptor-Agonist-Prescriptions-for?__cf_chl_tk=a98e.bmN8naLtzPQ7VNptgSen_EjBTdUs091WxA7E0U-1791307162-1.0.1.1-NAVVtPcOx8wNXXUpyd6dZ3lWhXWtbltwDl4Ac7RPQTc\" target=\"_blank\" rel=\"nofollow noopener\">published in the medical journal Pediatrics in September<\/a>, revealed a 310-fold increase in GLP-1 prescriptions for children ages eight to 11, shooting up from 0.03 per cent to more than nine per cent between 2019 and 2026 \u2014 though overall use in this younger group remains rare. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Still, the WHO stressed the need for caution regarding GLP-1 use among children and teens, given limited research and the potential for misuse among certain groups, such as athletes or patients with eating disorders.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">The WHO&#8217;s new guidelines note that overall evidence linked to various medication treatments for childhood obesity, including GLP-1s and other drugs such as metformin or sibutramine, was &#8220;generally of low quality due to short term follow-up and evaluation, and [due to] the small numbers of studies and participants.&#8221;<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Ybarra agreed there&#8217;s a lack of long-term data for the use of GLP-1s among youth, given how new these drugs are for younger patients. <\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;The data we have though, it&#8217;s very reassuring and helpful \u2014 in terms of there&#8217;s more benefits than risks.&#8221;<\/p>\n<p>WATCH | GLP-1s and cancer prevention:<img decoding=\"async\" src=\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2026\/10\/1791369615_653_default.jpg\"  alt=\"\" class=\"thumbnail\" loading=\"lazy\"\/><\/p>\n<p class=\"video-item-title\">GLP-1s and cancer prevention: What\u2019s known and what isn\u2019t<\/p>\n<p>Early studies suggest GLP-1s, such as Ozempic, could help reduce the risk of some cancers, but scientists say there are still more questions than answers and more long-term studies are needed to really understand the potential.Drug trials underway for younger kids<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">As for the line in the sand regarding children under 10 avoiding GLP-1s, the WHO&#8217;s Mar\u00eda De Regil stressed in a Tuesday news conference that the agency &#8220;recommends prioritizing other interventions in this age group.&#8221;\u00a0<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;However, it is clear that the research is going in this area,&#8221; she said. &#8220;Some national pediatric associations may recommend it.&#8221;<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Denmark&#8217;s Novo Nordisk and U.S.-based Eli Lilly are among the drug makers currently trialling pediatric obesity medications for kids as young as six, though Mar\u00eda De Regil wouldn\u2019t speculate on how any of those ongoing trials might change the WHO&#8217;s recommendations.<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">Major questions still remain about how children should safely use these types of drugs, and for how long, stressed Mar\u00eda De Regil.\u00a0<\/p>\n<p class=\"paragraph-b3GxD html-paragraph\">&#8220;We realize that this is a rapidly evolving field,&#8221; she said.<\/p>\n","protected":false},"excerpt":{"rendered":"The first-ever international guidelines on managing childhood obesity from the World Health Organization (WHO) are raising the profile&hellip;\n","protected":false},"author":2,"featured_media":923907,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[49,48,84],"class_list":["post-923906","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health","tag-ca","tag-canada","tag-health"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/923906","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/comments?post=923906"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/posts\/923906\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media\/923907"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/media?parent=923906"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/categories?post=923906"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ca\/wp-json\/wp\/v2\/tags?post=923906"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}