Building Capacity for Childhood Obesity Prevention and Treatment in the Medical Community: Call to Action

Haemer, Matthew; Cluett, Susan B.; Hassink, Sandra G.; Liu, Lenna; Mangarelli, Caren; Peterson, Tom; Pomietto, Maureen; Young, Karen; Weill, Beau C.

doi:10.1542/peds.2011-0480g

Cited by 31 publications

(24 citation statements)

References 40 publications

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“…31 The American Academy of Pediatrics has suggested that identification and referral for treatment during early childhood yields greater success in treatment. 31 Observational evidence has shown that younger age of the child during parental lifestyle interventions is significantly associated with better long-term outcomes compared with older children. 32 Second, both parents and HCPs underestimate obesity risk indicating that identification Risk scores for the validation cohort (n = 1715).…”

Section: Discussionmentioning

confidence: 99%

Estimating Overweight Risk in Childhood From Predictors During Infancy

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Several risk factors for both overweight and obesity in childhood are identifiable during infancy. WHAT THIS STUDY ADDS:A simple risk algorithm can be used to quantify risk of overweight in children. It can be used to help identify at-risk infants in a clinical setting to facilitate targeted intervention.abstract OBJECTIVE: The aim of this study was to develop and validate a risk score algorithm for childhood overweight based on a prediction model in infants. METHODS:Analysis was conducted by using the UK Millennium Cohort Study. The cohort was divided randomly by using 80% of the sample for derivation of the risk algorithm and 20% of the sample for validation.Stepwise logistic regression determined a prediction model for childhood overweight at 3 years defined by the International Obesity Task Force criteria. Predictive metrics R 2 , area under the receiver operating curve (AUROC), sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated.RESULTS: Seven predictors were found to be significantly associated with overweight at 3 years in a mutually adjusted predictor model: gender, birth weight, weight gain, maternal prepregnancy BMI, paternal BMI, maternal smoking in pregnancy, and breastfeeding status. Risk scores ranged from 0 to 59 corresponding to a predicted risk from 4.1% to 73.8%. The model revealed moderately good predictive ability in both the derivation cohort (R 2 = 0.92, AUROC = 0.721, sensitivity = 0.699, specificity = 0.679, PPV = 38%, NPV = 87%) and validation cohort (R 2 = 0.84, AUROC = 0.755, sensitivity = 0.769, specificity = 0.665, PPV = 37%, NPV = 89%).CONCLUSIONS: Using a prediction algorithm to identify at-risk infants could reduce levels of child overweight and obesity by enabling health professionals to target prevention more effectively. Further research needs to evaluate the clinical validity, feasibility, and acceptability of communicating this risk.

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Section: Discussionmentioning

confidence: 99%

Estimating Overweight Risk in Childhood From Predictors During Infancy

et al. 2013

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“…Substantial gaps in the US medical system exist to participate meaningfully in childhood obesity prevention efforts. 55 Strategies are needed to explore how to encourage clinician discussions with parents about appropriate weight for their child and strengthen capacity for childhood obesity prevention. 55 …”

Section: Discussionmentioning

confidence: 99%

Change in Misperception of Child's Body Weight among Parents of American Preschool Children

et al. 2015

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“…These findings are possible because the parents of obese children are likely more aware of their child's condition and that underestimation of the overweight children's condition might impair parents' motivation to adopt weight control measures. 23,24 The decision to initiate the intensive care clinics, designated solely for nutrition behavior and lifestyle modification, was based on the urgent need to address the prevention, identification, and treatment of childhood obesity and overweight problems 25,26 and on the success of such clinics in other countries. The program combined most of the elements that have been suggested as key to the success of an intervention with overweight children, including parental involvement in treatment, 19,20,27 behavioral modification, and the intensity of physical activity and the intervention.…”

Section: Discussionmentioning

confidence: 99%

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

Endevelt¹,

Elkayam²,

Cohen³

et al. 2014

The Journal of the American Board of Family Medicine

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Background: Childhood and adolescent obesity constitute a significant public health concern. Family health care settings with multidisciplinary teams provide an opportunity for weight loss treatment. The objective of this study was to examine the effect of intensive treatment designed to reduce weight using a parent-child lifestyle modification intervention in a family health care clinic for obese and overweight children who had failed previous treatment attempts.Methods: This was a practice-based 6-month intervention at Maccabi Health Care Services, an Israeli health maintenance organization, consisting of parental education, individual child consultation, and physical activity classes. We included in the intervention 100 obese or overweight children aged 5 to 14 years and their parents and 943 comparison children and their parents. Changes in body mass index z-scores, adjusted for socioeconomic status, were analyzed, with a follow-up at 14 months and a delayed follow-up at an average of 46.7 months.Results: The mean z-score after the intervention was lower in the intervention group compared to the comparison group (1.74 and 1.95, respectively; P ‫؍‬ .019). The intervention group sustained the reduction in z-score after an average of 46.7 months (P < .001). Of the overweight or obese children, 13% became normal weight after the intervention, compared with 4% of the comparison children.

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Building Capacity for Childhood Obesity Prevention and Treatment in the Medical Community: Call to Action

Cited by 31 publications

References 40 publications

Estimating Overweight Risk in Childhood From Predictors During Infancy

Estimating Overweight Risk in Childhood From Predictors During Infancy

Change in Misperception of Child's Body Weight among Parents of American Preschool Children

An Intensive Family Intervention Clinic for Reducing Childhood Obesity

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