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Book Effectiveness of Primary Care Interventions for Weight Management in Children and Adolescents  an Updated  Targeted Systematic Review for the USPSTF

Download or read book Effectiveness of Primary Care Interventions for Weight Management in Children and Adolescents an Updated Targeted Systematic Review for the USPSTF written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-09 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: This targeted systematic review was undertaken to assist the United States Preventive Services Task Force (USPSTF) in updating its previous recommendation on screening and interventions for overweight in children and adolescents. Based on our previous systematic review in 2005, the USPSTF found insufficient evidence to recommend screening for overweight, due to uncertainties about the effectiveness of behavior counseling or other interventions with overweight children and adolescents that could be conducted in primary care settings or to which primary care clinicians can make referrals. Given recent work on another systematic review, Effectiveness of Weight Management Programs in Children and Adolescents, the USPSTF determined to focus its update on what was considered the critical evidence gap at the time of our last systematic review to allow an efficient and timely updating of their recommendation. Thus, for this targeted updated systematic review, we examine previous and newly available evidence on behavioral and pharmacological weight management interventions for overweight and/or obese children and adolescents (defined as those between 2 and 18 years of age that meet criteria for increased body mass index [BMI] appropriate to their age and sex) that are relevant to primary care practice. Attention to these differences in terminology is key, as children and adolescents defined as “overweight” in the 2005 report would now be defined as “obese”. And, while the current review is intended to fill the critical evidence gap about intervention effectiveness identified during the 2005 review, our previous review also found that there was insufficient evidence to ascertain the magnitude of the potential harms of screening or intervention. In this targeted update, the USPSTF focused our attention on updating both the benefits and potential harms of primary care feasible interventions, but did not choose to update the evidence on screening benefits or harms. Evidence on the harms as well as benefits of BMI screening programs, along with good data on the diagnostic accuracy of BMI as a measure of obesity in children, still appear to be lacking, resulting in arguments against the use of BMI screening of individuals in schools or in other screening programs that go beyond its use as a tool by clinicians for monitoring growth and development. The previous review also found fair evidence that obese adolescents and children (i.e., those at or above the 95th BMI percentile for age and sex) aged 8 years and older are at increased risk for becoming obese adults. Evidence on the benefits and harms of screening and on the risk of pediatric obesity persisting into adulthood will not be updated in the current review. Additionally, in keeping with the USPSTF focus on primary and secondary clinical preventive services, surgical treatment of obesity was considered out of scope for this updated review, since surgical treatment is only considered for extremely obese young people, particularly those who are experiencing negative health effects as a result of their obesity necessitating treatment. We therefore focus on behavioral and pharmacological interventions, both of which may be appropriate for less obese or overweight children who would be identified and treated in or in coordination with primary care. While prevention is a critical component of an overall public health strategy to address the dramatic increase in childhood and adolescent overweight in the United States and elsewhere, recent reviews indicate little empirical evidence of effective interventions for preventing development of overweight in clinical settings and are not included in this report. Guidance on obesity prevention thereby generally focuses on pragmatic advice for clinicians or on settings with evidence, as in schools and, to a lesser extent, community settings.

Book Effectiveness of Primary Care Interventions for Weight Management in Children and Adolescents

Download or read book Effectiveness of Primary Care Interventions for Weight Management in Children and Adolescents written by Evelyn P. Whitlock and published by . This book was released on 2010 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: To examine behavioral and pharmacological weight management interventions for overweight (defined as BMI greater or equal to 85th to 94th percentile of age- and sex-specific norms) and/or obese (BMI greater or equal to 95th percentile) children and adolescents which are feasible to conduct in primary care settings or that may be available for referral from primary care in order to update an identified gap in the previous report on childhood obesity for the United States Preventive Services Task Force (USPSTF). DATA SOURCES: We identified two good quality systematic reviews published after the previous USPSTF review that addressed our research questions. We searched Ovid MEDLINE(r), PsycINFO, Database of Abstracts of Reviews of Effects, the Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and Education Resources Information Center from 2005 (2003 for pharmacological studies) to June 10, 2008 to identify literature that was published after the search dates of prior relevant systematic reviews; we also examined reference lists of five other good-quality systematic reviews and of included trials, and considered experts' recommendations. From the two good quality systematic reviews and 2786 abstracts, we identified 25 trials in 30 publications that addressed our research questions. REVIEW METHODS: After review by two investigators against pre-determined inclusion/exclusion criteria, we included fair-to-good quality trials to evaluate the effects of treatment on weight and weight-related co-morbidities; we would have included large comparative cohort studies to evaluate longer term followup and harms of treatment if they had been available. Investigators abstracted data into standard evidence tables with abstraction checked by a second investigator. Studies were quality-rated by two investigators using established criteria. RESULTS: Available research primarily enrolled obese (rather than overweight) children and adolescents aged 4 to 18 years and no studies targeted those less than 4 years of age. Comprehensive behavioral interventions involving medium- to high-intensity interventions were the most effective behavioral approach and consistently resulted in small to moderate short-term improvements, with a weighted mean difference in BMI change of 2.4 kg/m2 between groups. More limited evidence suggests that these improvements can be maintained completely (or somewhat) over the 12 months following the end of treatments, and that there are few harms with behavioral interventions. Two medications (sibutramine, orlistat) combined with behavioral interventions resulted in small to moderate short-term weight loss in very obese adolescents (BMI reduction of 2.6 kg/m2 more than behavioral treatment plus placebo for sibutramine, 0.85 kg/m2 for orlistat); however, no studies followed weight changes after medication use ended. Potential side effects were greater than for behavioral interventions and varied in severity. Only one medication (orlistat) is FDA-approved for use in children and adolescents, and it is approved for prescription use in those 12 years and older. CONCLUSIONS: The research evaluating the treatment of obese children and adolescents has improved in terms of quality and quantity in the past several years. While there are still significant gaps in our understanding of obesity and overweight treatment in children and adolescents, current research suggests that behavioral interventions can be effective in managing weight in obese children and adolescents. Combined behavioral-pharmacological interventions may be useful in very obese adolescents, particularly if research confirms that weight loss is maintained.

Book 2000 CDC Growth Charts for the United States

Download or read book 2000 CDC Growth Charts for the United States written by and published by . This book was released on 2002 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Childhood Obesity

    Book Details:
  • Author : Denise E. Wilfley
  • Publisher :
  • Release : 2019
  • ISBN : 9780889374065
  • Pages : 63 pages

Download or read book Childhood Obesity written by Denise E. Wilfley and published by . This book was released on 2019 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clear, up-to-date guidance for professionals working with children with obesity. One in every six children, and more in some ethnic groups, are obese, which can lead to serious health problems in adulthood. Successful treatment of young patients is complex, requiring time-intensive, evidence- based care delivered by a multidisciplinary team. Help is at hand with this well written, compact book by leading experts, which gives health professionals a clear overview of the current scientific knowledge on childhood obesity, from causality models and diagnosis to prevention and treatment. In particular, the authors outline a family-based treatment method which is best supported by the evidence and meets the recommendations of the American Academy of Pediatrics and other organizations. The appendix provides the clinician with hands-on tools: a session plan, a pretreatment assessment form, self-monitoring forms, and a meal planning and physical activity worksheet. This book is essential reading for anyone who works with children and their families, equipping them to guide patients to appropriate and effective treatment.

Book Prevention and Treatment of Childhood Obesity

Download or read book Prevention and Treatment of Childhood Obesity written by Christine L. Williams and published by . This book was released on 1993 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, containing 24 papers and 19 poster papers, reviews the etiology and epidemiology of childhood obesity. It explores genetic and contributory environmental factors. It also describes recent research and educational efforts in prevention of the condition, including programmes aimed at high-risk minority populations.

Book Effectiveness of Weight Management Programs in Children and Adolescents

Download or read book Effectiveness of Weight Management Programs in Children and Adolescents written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-29 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Childhood and adolescent obesity has increased dramatically during the past 30 years and now represents one of the most pressing national and international public health priorities. During the early 1970s, 3 to 6 percent of American children and adolescents were obese. By 2004, this number had increased five fold to 16 to 18 percent of all US 6 to 19 year olds. This increase is especially troubling as obese children and adolescents have a greater risk for adult obesity, with its attendant health risks, and may experience obesity-related health conditions before adulthood, including type 2 diabetes mellitus, fatty liver disease, and elevated cardiovascular risk factors. Severe obesity in children and adolescents can be associated with severe health consequences and dire impacts on quality of life. The true toll of childhood obesity must be calculated across the lifespan since it often continues into adulthood. Thus, an important step to preventing adult obesity and its related health consequences is effectively treating childhood obesity. To this end, we conducted this systematic review to determine which treatments could effectively address child and adolescent obesity and overweight, including behavioral, pharmacological, and surgical treatment options. In conjunction with a Technical Expert Panel, we developed a set of five key research questions to evaluate the effectiveness and safety of behavioral, pharmacological, and surgical treatments for obese and overweight children and adolescents who were 2 to 18 years old. These research questions addressed various measures of the health impact of treatments to reduce or stabilize weight, including: short-term impacts on weight control (6 to12 months after enrolling in treatment); maintenance of weight changes in the medium-term (between 1 to 5 years after enrollment) or longer-term (5 or more years after enrollment); adverse effects of treatment (immediate and over time); beneficial effects of treatment, aside from weight control or weight loss; and treatment components or other factors that influence the effectiveness of treatments.

Book A primary health care approach to obesity prevention and management in children and adolescents

Download or read book A primary health care approach to obesity prevention and management in children and adolescents written by World Health Organization and published by World Health Organization. This book was released on 2023-05-17 with total page 19 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity in all age groups, including children and adolescents, is a public health challenge across all settings. Obesity is now classified as a complex multifactorial chronic disease and not just a risk factor for other noncommunicable diseases and comorbidities. Recognizing the significance of primary health care for an effective and efficient response to the obesity epidemic, the World Health Organization (WHO) has developed guidance on how to build capacity in the health system to deliver health services for prevention and management of obesity across the life course. This policy brief discusses the challenges and opportunities for preventing obesity in children and adolescents, and providing health services to treat and manage those already living with obesity. It outlines possible interventions through the primary health care approach.

Book Childhood Obesity Prevention Programs

Download or read book Childhood Obesity Prevention Programs written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-07 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: OBJECTIVES: Childhood obesity is a serious health problem in the United States and worldwide. More than 30 percent of American children and adolescents are overweight or obese. We assessed the effectiveness of childhood obesity prevention programs by reviewing all interventional studies that aimed to improve diet, physical activity, or both and that were conducted in schools, homes, primary care clinics, childcare settings, the community, or combinations of these settings in high-income countries. We also reviewed consumer health informatics interventions. We compared the effects of the interventions on weight-related outcomes (e.g., body mass index [BMI], waist circumference, percent body fat, skinfold thickness, prevalence of obesity and overweight); intermediate outcomes (e.g., diet, physical activity); and obesity-related clinical outcomes (e.g., blood pressure, blood lipids). DATA SOURCES: We searched MEDLINE(r), Embase(r), PsycInfo(r), CINAHL(r), clinicaltrials.gov, and the Cochrane Library through August 11, 2012. METHODS: Two reviewers independently reviewed each article for eligibility. For each study, one reviewer extracted the data and a second reviewer verified the accuracy. Both reviewers assessed the risk of bias for each study. Together, the reviewers graded the strength of the evidence (SOE) supporting interventions--diet, physical activity, or both--in each setting for the outcomes of interest. We quantitatively pooled the results of studies that were sufficiently similar. Only experimental studies with followup of at least 1 year (6 months for studies in school settings) were included. We abstracted data on comparisons of intervention versus control. RESULTS: We identified 34,545 unique citations and included 131 articles describing 124 interventional studies. The majority of the interventions (104 studies) were school based, although many of them included components delivered in other settings. Most were conducted in the United States and in the past decade. Results of four studies were pooled for BMI and four for BMI z-score in the school-only setting; results of five school-home studies were pooled for BMI. Other studies tested interventions delivered at home (n=6), in primary care (n=1), in childcare (n=4), and in the community (n=9). Six studies tested consumer health informatics interventions. For obesity prevention, the following settings and interventions showed benefit: school-based--diet or physical activity interventions (SOE moderate); school-based with a home component--physical activity interventions (SOE high) and both diet and physical activity (SOE moderate); school-based with home and community components--diet and physical activity interventions (SOE high); school-based with a community component--diet and physical activity interventions (SOE moderate); community with a school component--diet and physical activity interventions (SOE moderate). The strength of the evidence is either low or insufficient for the remainder of the interventions and settings. CONCLUSIONS: The evidence is moderate about the effectiveness of school-based interventions for childhood obesity prevention. Physical activity interventions in a school-based setting with a family component or diet and physical activity interventions in a school-based setting with home and community components have the most evidence for effectiveness. More research is needed to test interventions in other settings, such as those testing policy, environmental, and consumer health informatics strategies.

Book Childhood Obesity Prevention Programs

Download or read book Childhood Obesity Prevention Programs written by U. S. Department of Health and Human Services and published by CreateSpace. This book was released on 2013-07 with total page 666 pages. Available in PDF, EPUB and Kindle. Book excerpt: “Childhood Obesity Prevention Programs: Comparative Effectiveness Review and Meta-Analysis” – Appendices (see also “Main Report”) - The epidemic of childhood obesity is threatening America's children. Overweight children and adolescents are at greater risk for health problems compared with their normal-weight counterparts and are more likely to become obese adults. Obese children and adolescents are more likely to have serious health conditions, such as cardiovascular, metabolic, and psychosocial illnesses; type 2 diabetes; hypertension; high cholesterol; stroke; heart disease; nonalcoholic fatty liver disease; certain cancers; and arthritis. Other reported health consequences of childhood obesity include eating disorders and mental health issues, such as depression and low self-esteem. Childhood obesity is highly prevalent in the U.S. Obesity is the result of biological, behavioral, social, environmental, and economic factors and the complex interactions among these factors that promote a positive energy balance. At present, the way that these factors contribute to the disparities in obesity prevalence among population groups in the U.S. is poorly understood. Nevertheless, a growing body of research suggests that many factors interact, including individual factors, home influences, the school environment, factors in the local community, and policies implemented at the regional and national level. They can contribute to obesogenic environments and affect children's weight. A number of leading health organizations and expert panels, including the World Health Organization and an Institute of Medicine expert panel, have recommended comprehensive interventions to fight the growing obesity epidemic. For this review, we differentiate between prevention, often called “intervention” in the childhood obesity research field, and treatment, also called “weight management” or “weight loss.” The main goal of most childhood obesity prevention programs is to prevent nonoverweight children from becoming overweight or obese, while the primary objective of obesity treatment programs is for pediatric patients to lose weight. Programs designed for obesity prevention may also help overweight or obese children lose or stabilize their weight. The present review focuses on prevention. The Key Questions are as follows: KQ1. What is the comparative effectiveness of school-based interventions for the prevention of obesity or overweight in children? KQ2. What is the comparative effectiveness of home-based interventions for the prevention of obesity or overweight in children? KQ3. What is the comparative effectiveness of primary care–based interventions for the prevention of obesity or overweight in children? KQ4. What is the comparative effectiveness of childcare setting–based interventions for the prevention of obesity or overweight in children? KQ5. What is the comparative effectiveness of community-based or environment-level interventions for the prevention of obesity or overweight in children? KQ6. What is the comparative effectiveness of consumer health informatics applications for the prevention of obesity or overweight in children? KQ7. What is the comparative effectiveness of multisetting interventions for the prevention of obesity or overweight in children?

Book Energy Balance and Obesity

    Book Details:
  • Author : Isabelle Romieu
  • Publisher : IARC Working Group Report
  • Release : 2018-01-12
  • ISBN : 9789283225195
  • Pages : 0 pages

Download or read book Energy Balance and Obesity written by Isabelle Romieu and published by IARC Working Group Report. This book was released on 2018-01-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Understanding the relationship between energy balance and obesity is essential to develop effective prevention programs and policies. The International Agency for Research on Cancer convened a Working Group of world-leading experts in December 2015 to review the evidence regarding energy balance and obesity, with a focus on low- and middle-income countries, and to consider the following scientific questions: (i) Are the drivers of the obesity epidemic related only to energy excess and/or do specific foods or nutrients play a major role in this epidemic? (ii) What are the factors that modulate these associations? (iii) Which types of data and/or studies will further improve our understanding? This book provides summaries of the evidence from the literature as well as the Working Group's conclusions and recommendations to tackle the global epidemic of obesity.

Book Weighing the Options

    Book Details:
  • Author : Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity
  • Publisher : National Academies Press
  • Release : 1995-03-15
  • ISBN : 030952136X
  • Pages : 297 pages

Download or read book Weighing the Options written by Committee to Develop Criteria for Evaluating the Outcomes of Approaches to Prevent and Treat Obesity and published by National Academies Press. This book was released on 1995-03-15 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria mean--to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programs--their clients, staff qualifications, services, and success rates--necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristics--including health status, knowledge of weight-loss issues, and attitude toward weight and body image--affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.

Book Handbook of Obesity Treatment  Second Edition

Download or read book Handbook of Obesity Treatment Second Edition written by Thomas A. Wadden and published by Guilford Publications. This book was released on 2018-07-30 with total page 737 pages. Available in PDF, EPUB and Kindle. Book excerpt: The leading clinical reference work in the field--now significantly revised with 85% new material--this handbook has given thousands of practitioners and students a comprehensive understanding of the causes, consequences, and management of adult and childhood obesity. In concise, extensively referenced chapters from preeminent authorities, the Handbook presents foundational knowledge and reviews the state of the science of evidence-based psychosocial and lifestyle interventions as well as pharmacological and surgical treatments. It provides guidelines for conducting psychosocial and medical assessments and for developing individualized treatment plans. The effects of obesity--and of weight loss--on physical and psychological well-being are reviewed, as are strategies for helping patients maintain their weight loss. New to This Edition *Many new authors and topics; extensively revised and expanded with over 15 years of research and clinical advances, including breakthroughs in understanding the biological regulation of appetite and body weight. *Section on contributors to obesity, with new chapters on food choices, physical activity, sleep, and psychosocial and environmental factors. *Chapters on novel treatments for adults--acceptance and commitment therapy, motivational interviewing, digitally based interventions, behavioral economics, community-based programs, and nonsurgical devices. *Chapters on novel treatments for children and adolescents--school-based preventive interventions, pharmacological treatment, and bariatric surgery. *Chapters on the gut microbiome, the emerging field of obesity medicine, reimbursement for weight loss therapies, and managing co-occurring eating disorders and obesity.

Book Bridging the Evidence Gap in Obesity Prevention

Download or read book Bridging the Evidence Gap in Obesity Prevention written by Institute of Medicine and published by National Academies Press. This book was released on 2010-12-24 with total page 336 pages. Available in PDF, EPUB and Kindle. Book excerpt: To battle the obesity epidemic in America, health care professionals and policymakers need relevant, useful data on the effectiveness of obesity prevention policies and programs. Bridging the Evidence Gap in Obesity Prevention identifies a new approach to decision making and research on obesity prevention to use a systems perspective to gain a broader understanding of the context of obesity and the many factors that influence it.

Book Screening for Obesity and Interventions for Weight Management in Children and Adolescents

Download or read book Screening for Obesity and Interventions for Weight Management in Children and Adolescents written by Elizabeth A. O'Connor and published by . This book was released on 2017 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND: Overweight and obesity are common among children and adolescents in the United States, are associated with a number of negative health effects, and increase the likelihood of obesity in adulthood. PURPOSE: To systematically review the benefits and harms of screening for and treatment of obesity and overweight in children and adolescents. METHODS: We searched MEDLINE, PubMed, PsycINFO, Cochrane Collaboration Registry of Controlled Trials, and the Education Resources Information Center through January 22, 2016 and examined references of relevant reviews. We included English-language studies of benefit or harm of screening for or treatment (behavior-based, orlistat, metformin) of overweight or obesity in children ages 2 to 18 years conducted in or recruited from health care settings. Two investigators independently reviewed titles and abstracts and full-text articles against prespecified inclusion and quality criteria and extracted data from all studies rated as fair or good quality. Weight outcomes were pooled using random effects meta-analyses for lifestyle-based weight loss management programs, stratified by estimated intervention contact hours, and for metformin. RESULTS: Among 45 (n=7,099) behavior-based interventions, larger benefits were seen with higher contact hours. Lifestyle-based weight loss programs (including those aiming to minimize weight gain with growth in height) with an estimated 26 or more contact hours consistently demonstrated small average reductions in excess weight in children and adolescents who were overweight or had obesity compared with usual care or other control groups, with no evidence of causing harm. Relative reductions in body mass index (BMI) z-score (zBMI) of 0.20 or more were typical, with intervention groups typically showing absolute reductions of 0.20 or more, maintaining their baseline weight within approximately 5 lb on average. Control groups generally showed small increases or no change in zBMI, which typically equated to gaining 5 to 17 lb on average. The absolute amount of excess weight lost was highly variable within studies, suggesting a wide range of benefit. Interventions offering 52 or more contact hours showed fairly consistent improvements in blood pressure; pooled mean differences in change between groups were -6.4 mm Hg (95% CI, -8.6 to -4.2; k=6; I2=51%) for systolic blood pressure and -4.0 mm Hg (95% CI, -5.6 to -2.5; k=6; I2=17%) for diastolic blood pressure. There were mixed findings for insulin and glucose parameters and no benefit for lipids. Benefits in cardiometabolic outcomes were not observed in trials with fewer than 52 estimated contact hours and were sparely reported. Use of metformin (8 trials, n=616) and orlistat (3 trials, n=779) were associated with BMI reductions of -0.86 kg/m2 (95% CI, -1.44 to -0.29; k=6; I2=0%) for metformin and -0.50 to -0.94 kg/m2 for orlistat, representing very small BMI reductions of about 2 percent from baseline. Medications showed small to no benefit for intermediate cardiometabolic outcomes, including fasting glucose level. Metformin trials were primarily limited to youth with insulin or glucose metabolism abnormalities, most of whom met adult criteria for severe obesity. Nonserious harms were common with medication use, although discontinuation due to adverse effects was usually less than 5 percent. We found no direct evidence on benefits or harms of screening for excess weight in children and adolescents. CONCLUSION: Evidence suggests that lifestyle-based weight loss interventions with 26 or more contact hours are likely to help reduce excess weight in children and adolescents; average effect sizes were relatively small and highly variable. The clinical significance of the small benefit of medication use is unclear.

Book Preventing Childhood Obesity

Download or read book Preventing Childhood Obesity written by Elizabeth Waters and published by John Wiley & Sons. This book was released on 2011-08-24 with total page 459 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obesity is one of the biggest public health challenges in the 21st century. Devising effective policy and practice to combat childhood obesity is a high priority for many governments and health professionals internationally. This book brings together contributors from around the world and showcases the latest evidence-based research on community and policy interventions to prevent unhealthy weight gain and improve the health and well-being of children. The authors highlight from the evidence available what is and what is not effective and provide recommendations on how to implement and evaluate promising interventions for obesity prevention. This book is an essential read for all public health practitioners, early childhood professionals, health care providers and clinicians working to reduce the prevalence of childhood obesity in their communities.

Book Handbook of Obesity Intervention for the Lifespan

Download or read book Handbook of Obesity Intervention for the Lifespan written by Larry James and published by Springer Science & Business Media. This book was released on 2008-12-10 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt: Environmental, genetic, psychological, and societal factors interact to produce obesity, a chronic condition of epidemic proportions. The Handbook of Obesity Intervention for the Lifespan guides professionals in meeting this complex challenge with a multidisciplinary palette of evidence-based interventions that can be tailored to men and women across the lifespan, regardless of background. This unique reference combines salient research data and hands-on clinical applications for use with overweight patients, from the very young to the very old, and includes a “treatment resources” section with extra materials to bolster therapy—all geared toward respectful, encouraging treatment and lasting weight-loss results.