There is great uncertainty over how to treat childhood overweight. Recent systematic
reviews provide a consensus on the most promising elements of treatment, but no successful,
generalizable, evidence-based treatment model is currently available. We describe
a novel approach to treatment that is evidence-based, putting recommendations of recent
systematic reviews into practice. The novel treatment uses a client-centered approach
and behavioral change techniques to increase and maintain motivation for lifestyle
change. It focuses on increasing physical activity, reducing sedentary behavior, and
changing diet in children who are overweight (body mass index >98th percentile) and
of elementary school age. Treatment lasts for 6 months and requires 5 to 6 hours of
a dietetics professional’s time per patient (in contrast to more traditional, less
intensive approaches in the United Kingdom, which invest approximately 1.5 hours per
patient). Preliminary assessment of the program suggests that it is practical, and
patient dropout is low. Formal evaluation of efficacy will not be available until
completion of a randomized, controlled trial in 2006. This description of our novel
treatment will enhance generalizability of the program if it is successful, and a
detailed description will assist in development of other treatments even if it is
unsuccessful.
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References
- Diet, Nutrition and the Prevention of Chronic Diseases.in: WHO TRS 916. WHO/FAO, Geneva2003
- SIGN 69, Edinburgh, SIGN2003 (http://www.sign.ac.uk. Accessed March 31, 2005) Management of obesity in children and young people.
- Health consequences of obesity.Arch Dis Child. 2003; 88: 748-752
- Interventions for treating obesity in children.Cochrane Database Syst Rev. 2003; (CD001872. Review)
- Failure of routine management of obese children.Arch Dis Child. 2004; 89: A13-A16
- Obesity diagnosis, prevention, and treatment.Arch Dis Child. 2002; 86: 392-395
- Behavioral treatment of childhood and adolescent obesity.Int J Obes. 1999; 23: S52-S57
- NHS Health Development Agency, London2003 The Management of Obesity and Overweight An Analysis of Reviews of Diet, Physical Activity and Behavioural Approaches. Evidence Briefing. 1st ed.
- Motivating children and adolescents to improve adherence to treatment.J Pediatr. 2003; 143: 430-433
- Obesity evaluation and treatment.Pediatrics. 1998; 102: 1-11
- An approach to weight management in children and adolescents (2-18 years) in primary care (RCPCH).J Fam Health Care. 2002; 12: 108-109
- Childhood obesity.Pediatr Clin North Am. 1985; 32: 363-379
- Effects of decreasing sedentary behavior and increasing activity on weight change in obese children.Health Psychol. 1995; 14: 109-115
- Decreasing sedentary behaviors in treating pediatric obesity.Arch Pediatr Adolesc Med. 2000; 154: 220-226
- The role of lifestyle in health.Proc Nutr Soc. 1996; 55: 829-840
- Churchill Livingstone, London, UK1999 Health Behavior Change. A Guide for Practitioners. 1st ed.
- Can nutrition counselling be more behavioural?.Proc Nutr Soc. 2003; 62: 793-799
- Behaviour therapy.in: Kopleman P. The Management of Obesity and Related Disorders. Martin Dunitz, London, UK2001: 165-178
- Healthworks.J Am Diet Assoc. 2002; 102: S64-S68
- Committed to kids.J Am Diet Assoc. 2002; 102: S81-S85
Biography
L. Stewart is a research dietitian, Division of Developmental Medicine, University of Glasgow and Yorkhill Hospitals, Glasgow, Scotland and the Department of Nutrition and Dietetics, Royal Hospital for Sick Children, Edinburgh, Scotland
Biography
J. Houghton is a research dietitian, Division of Developmental Medicine, University of Glasgow, and Department of Dietetics, Yorkhill Hospitals, Glasgow, Scotland
Biography
A. R. Hughes is a research fellow, Division of Developmental Medicine, University of Glasgow and Yorkhill Hospitals, Glasgow, Scotland
Biography
D. Pearson is a freelance dietitian, Leics, UK
Biography
J. J. Reilly is a reader, Division of Developmental Medicine, University of Glasgow, Yorkhill Hospitals, Glasgow, Scotland
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© 2005 American Dietetic Association. Published by Elsevier Inc. All rights reserved.