Pediatric Obesity Epidemic: Treatment Options

Kirk, Shelley; Scott, Barbara; Daniels, Stephen R.

doi:10.1016/j.jada.2005.02.013

Cited by 105 publications

(115 citation statements)

References 31 publications

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“…Family-based behavioral treatment programs that target adopting healthy eating habits, increasing physical activity, and reducing sedentary behavior are currently recommended as the best treatment for childhood overweight (34,75). In some of the best trials available, Epstein and colleagues (31,32,35) combined dietary change with increasing active behaviors or reducing sedentary behaviors (e.g., television watching).…”

Section: Weight Loss In Childrenmentioning

confidence: 99%

Physical Activity and Weight Management Across the Lifespan

Goldberg

King

2007

Annu. Rev. Public Health

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This review discusses key findings and recommendations related to the role of physical activity in weight gain prevention, weight loss, and weight-loss maintenance across the lifespan. For weight gain prevention, epidemiological and clinical studies suggest that regular physical activity is critical, with increases above the recommended 30 min daily for health (e.g., to 45 to 60 min daily) potentially desirable for curtailing weight gain. For weight loss, clinical studies suggest that physical activity interventions alone usually produce only modest results. Combining physical activity with dietary interventions increases the chance of success, especially at higher levels of physical activity (e.g., 200 to 300 min or more weekly). For weightloss maintenance, high levels of physical activity (e.g., 40 to 90 min daily) may be necessary. To manage weight across the lifespan, a comprehensive approach to physical activity is needed supported by public policy interventions that help make physical activity a part of daily life.

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Section: Weight Loss In Childrenmentioning

confidence: 99%

Physical Activity and Weight Management Across the Lifespan

Goldberg

King

2007

Annu. Rev. Public Health

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“…First, adolescence is an important transition period in which health behaviours, including F&V intake, are subject to important changes (Kirk, Scott, & Daniels, 2005). For example, evidence suggests that adolescents are likely to decrease their intake of F&V and increase their intake of energy-dense, nutrient-poor foods (Neumark-Sztainer, Wall, Perry, & Story, 2003).…”

mentioning

confidence: 99%

A cluster randomised controlled trial of an intervention based on the Health Action Process Approach for increasing fruit and vegetable consumption in Iranian adolescents

Lin

Scheerman

Yaseri

et al. 2017

Psychology & Health

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“…While reports of treatment efficacy from clinical trials and qualitative reviews can guide clinical decision-making (Daniels, 2001;Dietz & Robinson, 2005;Edmunds, Waters, & Elliott, 2001;Epstein, Myers, Raynor, & Saelens, 1998;Goldfield, Raynor, & Epstein, 2002;Jelalian & Saelens, 1999;Kaur, Hyder, & Poston, 2003;Kirk, Scott, & Daniels, 2005;Whitlock, Williams, Gold, Smith, & Shipman, 2005;Yanovski, 2001), meta-analytic reviews allow for an objective assessment of the overall magnitude of treatment effects across a number of tests of treatment efficacy (Cooper, 1998). Currently, there are only three such meta-analyses to guide treatment recommendations: 1) Haddock, Shadish, Klesges, & Stein's (1994) metaanalytic review of behavioral treatments (treatments containing dietary, exercise, and/or behavioral modification components), 2) Epstein and Goldfield's (1999) meta-analysis of physical activity in the treatment of pediatric overweight, and 3) Collins, Warren, Neve, McCoy, and Stokes' (2006) meta-analysis of dietetic interventions in the treatment of pediatric overweight.…”

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confidence: 99%

Lifestyle interventions in the treatment of childhood overweight: A meta-analytic review of randomized controlled trials.

et al. 2007

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Context-Identifying and evaluating efficacious treatments for pediatric weight loss is of critical importance.Objective-This quantitative review represents the first meta-analysis of the efficacy of randomized controlled trials comparing lifestyle interventions to control conditions. Data Sources-MEDLINE, PsychINFO, and Cochrane Controlled Trials Register were searched up to August 2005.Study Selection-Eligible studies were randomized controlled trials involving lifestyle interventions for pediatric overweight that had as a comparison either a no-treatment or information/ education-only control. The primary outcome of interest was change in weight status. Fourteen trials were eligible, resulting in 19 effect sizes.Data Extraction-Information on study design, participant characteristics, interventions, and results were extracted using a standardized coding protocol.Data Synthesis-For trials with no-treatment controls, the mean effect size was 0.75 (k=9, 95% CI 0.52 to 0.98) at end of treatment and 0.60 (k=4, CI 0.27 to 0.94) at follow-up. For trials with information/education only controls, the mean effect size was 0.48 (k = 4, CI 0.13 to 0.82) at end of treatment and 0.91 (k = 2, CI 0.32 to 1.50) at follow-up. No significant moderator effects were identified.Conclusions-Lifestyle interventions for the treatment of pediatric overweight are efficacious in the short-term with some evidence for persistence of effects. Future research is required to identify moderators and mediators of outcome and to determine the optimal length and intensity of treatment required to produce enduring changes in weight status.

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Pediatric Obesity Epidemic: Treatment Options

Cited by 105 publications

References 31 publications

Physical Activity and Weight Management Across the Lifespan

Physical Activity and Weight Management Across the Lifespan

A cluster randomised controlled trial of an intervention based on the Health Action Process Approach for increasing fruit and vegetable consumption in Iranian adolescents

Lifestyle interventions in the treatment of childhood overweight: A meta-analytic review of randomized controlled trials.

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