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.
Download or read book Effectiveness of Primary Care Interventions for Weight Management in Children and Adolescents written by and published by . This book was released on with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
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.
Download or read book Swanson s Family Medicine Review written by Alfred F. Tallia and published by Elsevier Health Sciences. This book was released on 2013 with total page 946 pages. Available in PDF, EPUB and Kindle. Book excerpt: Swanson's Family Medicine Review efficiently summarizes all the latest know-how in primary care and family medicine practice, giving you the assistance you need to maximize your preparation for the ABFM exam. The case histories and review questions in this best-selling family medicine review book test your knowledge of the latest diagnostic methods, medications, and management techniques, ensuring you'll be fully prepared to land the best score. Study with Swanson's Family Medicine Review, the most effective review tool available! Confidently prepare for the American Board of Family Medicine (ABFM) exam with Swanson's Family Medicine Review! Stay up-to-date in the area of treatment and management with enhanced discussions throughout. Be familiar with the most current developments and information in family medicine with this all-around review of the specialty, ideal for nurses and PAs! Assess your mastery of the latest diagnostic methods and management techniques through hundreds of questions and dozens of cases, newly updated to reflect the most current developments in practice. Browse the full text, review questions, images, and tips for passing the exam online at www.expertconsult.com. Earn up to 89 hours of AMA Category 1 Physician's Recognition Award CME Credit online through Robert Wood Johnson Medical School. Access the text clearly on any device with a new eReader-compatible design.
Download or read book Clinical Obesity in Adults and Children written by Peter G. Kopelman and published by John Wiley & Sons. This book was released on 2022-03-08 with total page 467 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Obesity in Adults and Children A comprehensive and incisive exploration of obesity in society and the clinical setting In the newly revised Fourth Edition of Clinical Obesity in Adults and Children, a team of expert medical practitioners deliver a comprehensive exploration of the increasingly widespread disease of obesity. The book discusses topics such as the causes of obesity, the disease-model of obesity, the management of adult and childhood obesity, and policy approaches to obesity. Designed to enable readers to better understand the full complexity of obesity — both within society and in the clinical setting — the book discusses a disease that is the leading cause of ill health around the world. The editors have included contributions from leading international experts in their respective fields that address every major aspect of this often misunderstood disease. Readers will also benefit from the inclusion of: Introductions to the history and scale of the obesity problem across the world and its epidemiology and social determinants Comprehensive explorations of those affected by obesity, including fetal and infant origins, genetic causes, bias and stigma encountered by those affected by obesity, and the psychobiology of obesity Practical discussions of obesity as a disease, including its co-morbidities of dyslipidemia, fertility, cardiovascular consequences, and obstructive sleep apnea In-depth examinations of the management of obesity in adults and children, including contemporary approaches to clinical and dietary management, and behavioral treatments Perfect for doctors and allied health professionals who regularly work with patients suffering from obesity, Clinical ;Obesity in Adults and Children will also earn a place in the libraries of health researchers and scholars studying obesity and nutrition, dieticians, nutritionists, and anyone else with a professional interest in an increasingly prevalent health problem.
Download or read book Swanson s Family Medicine Review E Book written by Alfred F. Tallia and published by Elsevier Health Sciences. This book was released on 2016-06-15 with total page 879 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 8th edition of Swanson's Family Medicine Review continues this bestselling resource's long tradition as the most effective review tool available! Case histories and multiple-choice questions equip you with the most current developments and information in family medicine, offering all the assistance you need to maximize your preparation for the ABFM exam. Stay up-to-date in the area of treatment and management with enhanced discussions throughout. Equips readers with the information needed to confidently prepare for the American Board of Family Medicine exam. Includes nearly 2,500 case-based questions and answer rationales, newly updated to reflect the most current developments in practice. Expert Consult eBook download included with purchase. This enhanced eBook experience allows you to answer questions interactively and check your answers on any electronic platform. Chapter Summaries offer a quick review of the concepts—great for last-minute exam preparation. Open-ended Clinical Case Management Problems in each chapter provide additional opportunities for articulating your understanding of key topics. Features the most current information on concussion management, palliative care, pain management, and more. Allows you to earn up to 75 CME Credits online through Rutgers Robert Wood Johnson Medical School.
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:
Download or read book Physical Activity Fitness Nutrition and Obesity During Growth written by Jana Pařízková and published by Bentham Science Publishers. This book was released on 2015-09-30 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: An imbalance between high energy intake – due to inadequate diet – and reduced energy expenditure – caused by sedentary habits – is believed to create an inherent risk of obesity among individuals. Lifestyle changes among preschool children coupled with health problems (cardiovascular, metabolic, orthopedic, psychological etc.) correlate to an observed increase in body mass index and may even predispose growing children towards obesity in their adult life. Adequate physical activity in the form of regular exercise (in terms of intensity, frequency and duration) has been shown to reduce BMI and have a positive impact on health and physical fitness levels among children. Thus physical activity programs have been applied for obesity prevention and treatment with some degree of success. Physical Activity, Fitness, Nutrition and Obesity During Growth focuses on research findings and recommendations to mitigate obesity risk in children during early growth stages. The reviews presented in this volume give readers an interdisciplinary insight into the realm of obesity as a global epidemic in early childhood. The review also discusses interventions based on physical activity, which can help combat obesity among children while avoiding undesirable strategies (such as strict diets). The book is intended for public health officials, social workers, as well as general medical practitioners and counsellors.
Download or read book New Directions in Behavioral Intervention Development for Pediatric Obesity An Issue of Pediatric Clinics of North America E Book written by Sylvie Naar-King and published by Elsevier Health Sciences. This book was released on 2016-07-06 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Almost one out of every three US children is overweight or obese, with minority youth at highest risk. There are limited efficacious pediatric obesity interventions available for clinicians, and successful weight loss trials for minority youth are rare. Even fewer interventions have been shown to significantly improve clinical health outcomes such as adiposity, blood pressure, and cholesterol level, and maintenance of behavior change over the long-term remains a challenge Translation I research in which "bench" findings are applied to the "bedside" is uncommon in the behavioral arena. Thus, advances in our understanding of fundamental human processes such as motivation, emotion, cognition, self-regulation, decision-making, stress, and social networks are not being optimally applied to our most pressing behavioral health problems. This issue of Pediatric Clinics will focus on promising behavioral treatments "in the pipeline" that have been translated from basic behavioral science and are the process of refinement and proof of concept testing.
Download or read book Eating Disorders and Obesity Third Edition written by Kelly D. Brownell and published by Guilford Publications. This book was released on 2018-03-21 with total page 712 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acclaimed for its encyclopedic coverage, this is the only handbook that synthesizes current knowledge and clinical practices in the fields of both eating disorders and obesity. Like the prior editions, the significantly revised third edition features more than 100 concise, focused chapters with lists of key readings in place of extended references. All aspects of eating disorders and obesity are addressed by foremost clinical researchers: classification, causes, consequences, risk factors, and pathophysiology, as well as prevention, treatment, assessment, and diagnosis. ÿ New to This Edition *Reflects 15 years of important advances in both fields, including state-of-the-art intervention approaches and a growing focus on how the brain regulates eating behavior. *Dozens of entirely new chapters. *New topics: epigenetics, body weight and neurocognitive function, stress and emotion regulation, the gut microbiome, surgical devices for obesity, food labeling and marketing, and more. *Expanded coverage of prevention and policy.
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.
Download or read book Pediatric Metabolic Syndrome written by Steven E. Lipshultz and published by Springer Science & Business Media. This book was released on 2012-04-02 with total page 385 pages. Available in PDF, EPUB and Kindle. Book excerpt: In just under three decades, the world has witnessed an enormous rise in obesity with a parallel growth in cardiometabolic disease risk factors characterized by insulin resistance, dyslipidemia, and hypertension, together known as the metabolic syndrome - conditions previously unheard of in children and adolescents. During this time, we have little knowledge of the global and cumulative detrimental health effects of childhood obesity. As obese children age, not only will their health be negatively affected, but infertility and pregnancy complications associated with the metabolic syndrome will affect generations to come. The work force will undoubtedly be affected because of increased sick days and decreased work productivity. Identifying children and adolescents at the earliest stages of chronic disease onset should be the goal of clinical practice, yet there is no clear guidance for defining the risk of metabolic syndrome or appropriate risk-factor thresholds in these groups. If children are identified early in the disease process, lifestyle and clinical interventions can be instituted when they are potentially more effective. Pediatric Metabolic Syndrome: Comprehensive Clinical Review and Related Health Issues approaches the pediatric metabolic syndrome by elucidating its effects on specific organ systems and by considering the problem through understanding the social, psychological and economic consequences of it. The Editors have recruited an invited group of esteemed experts in the field to provide the most timely and informative approaches on how to deal with this health crisis. Through educating our practitioners, our future researchers, our health and community organizations, our legislators and our families and children, we have the best chance at improving the health trajectory of the next generation.
Download or read book Co occurring Medical Illnesses in Child and Adolescent Psychiatry Updates and Treatment Considerations An Issue of Child and Adolescent Psychiatric Clinics of North America E Book written by Matthew D. Willis and published by Elsevier Health Sciences. This book was released on 2017-11-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This issue of Child and Adolescent Psychiatric Clinics, edited by Dr. Matthew Willis, will cover management of Pediatric Medical Illnesses with a focus on clinical updates and treatment considerations for the child and adolescent psychiatrist Topics covered in the issue include, but are not limited to: Eating Disorders; Obesity and Insulin Resistance; Transitioning from Pediatric to Adult Care in Young Adults with Medical Issues; Concussive syndrome: Acute Management and Chronic Post-Concussive Issues; Functional Abdominal Pain; Nonepileptic Seizures in Pediatric Patients: Diagnosis and Comorbidites; Domestic Minor Sex Trafficking (DMST); and Grief as an etiological factor in pediatric emotional and physical clinical presentations.
Download or read book Bariatric and Metabolic Endoscopy An Issue of Gastrointestinal Endoscopy Clinics E Book written by Richard I. Rothstein and published by Elsevier Health Sciences. This book was released on 2017-09-27 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Dr. Rothstein has assembled top experts to present the current status of the role of endoscopy in managing the obese patient. Authors present current clinical information on the following topics: Small Bowel Target Devices and Techniques; Reimbursement Issues for Endoscopic Devices Used for Metabolic Endoscopy; the Physiologic Alteractions of Bariatric Surgery; Non-Balloon Gastric and Pyloric Therapies for Obesity; Aspiration Therapy for Obesity; Endoscopic Therapies after Surgery; Duodenal Mucosal Resurfacing: Role for Diabetes Treatment; Gastric Plication; and Gastric Balloons. Readers should come away with the information they need to utilize endoscopic techniques to improve outcomes in their patients.
Download or read book Obesity in Childhood and Adolescence written by H. Dele Davies MD and published by Bloomsbury Publishing USA. This book was released on 2018-11-09 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: This updated edition of the groundbreaking first edition identifies changes in U.S. children and adolescents' obesity levels within the past decade, examining factors contributing to obesity in this younger generation as well as possible solutions. This comprehensive review of obesity in childhood and adolescence describes the many factors that contribute to obesity, how to prevent it, and how to manage it in those who already experience its effects. Written by specialists in biological, psychological, social, and behavioral fields, these volumes take an interdisciplinary approach to the subject, offering readers a broad understanding of the systemic complexity of obesity from a public health perspective. The public must be aware of the deep and extensive roots of the problem in order to make informed decisions about policies related to school and nutritional practices, health care costs, and more. Factors contributing to obesity in children and adolescents range from obvious ones such as quantity of food consumed and amount of physical exercise undertaken to how friendly the neighborhood environment is for outdoor activities and the affordability of nutritional foods such as fruits and vegetables. With the information in these volumes, readers will feel empowered to help their clients, families, and communities.
Download or read book Pediatric Obesity written by Michael S. Freemark and published by Humana Press. This book was released on 2018-01-05 with total page 814 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of Freemark’s text embodies all of the strengths of the original work but is deeper and broader in scope, with new chapters on emerging themes including metabolomics, genomics, and the roles of gastrointestinal hormones, the microbiome, brown adipose tissue, and endocrine disruptors in the pathogenesis of childhood obesity. Reviews of the effects of weight excess on cognitive performance and immune function complement detailed analyses of the biochemical and molecular pathways controlling the development of childhood adiposity and metabolic disease. Critical assessments of nutritional interventions (including new chapters on infant feeding practices and vegetarian diets) and superb reviews of behavioral counseling, pharmacotherapy, and bariatric surgery provide practical guidance for the management of overweight children. Penetrating analyses of the obesity epidemic in its social, cultural, economic, and political contexts highlight challenges and opportunities for obesity prevention and community action. The perspective is international in scope and reflects the expertise and experience of many of the leading figures in the field. Comprehensive and up-to-date, this new edition of Pediatric Obesity: Etiology, Pathogenesis and Treatment will be an invaluable guide for all healthcare providers and policy makers concerned with the evaluation and care of children with nutritional and metabolic disease and with the societal implications of the obesity epidemic.
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.
