Pediatric Weight Management Evidence-Based Practice Guidelines: Components and Contexts of Interventions

Published:December 08, 2017DOI:https://doi.org/10.1016/j.jand.2017.08.007
      The Continuing Professional Education (CPE) quiz for this article is available for free to Academy members through the MyCDRGo app (available for iOS and Android devices) and through www.jandonline.org (click on “CPE” in the menu and then “Academy Journal CPE Articles”). Log in with your Academy of Nutrition and Dietetics or Commission on Dietetic Registration username and password, click “Journal Article Quiz” on the next page, then click the “Additional Journal CPE quizzes” button to view a list of available quizzes. Non-members may take CPE quizzes by sending a request to [email protected] There is a fee of $45 per quiz (includes quiz and copy of article) for non-member Journal CPE. CPE quizzes are valid for 1 year after the issue date in which the articles are published.
      Over the past decade, public health concern about childhood obesity has prompted many efforts to promote healthy eating and physical activity in children across multiple sectors. Systematic interventions, including the supplemental food program and national monitoring, might be associated with beginning signs of improvement, such as noted in the Center for Disease Control and Prevention’s report of a decline of obesity prevalence in young children from 15.9% to 14.5% between 2010 and 2014.
      • Pan L.
      • Freedman D.S.
      • Sharma A.J.
      • et al.
      Trends in obesity among participants aged 2-4 years in the Special Supplemental Nutrition Program for Women, Infants, and Children—United States, 2000-2014.
      In childhood, weight status is assessed by determining the body mass index (BMI) percentile for age and sex and cut points of the 85th percentile for overweight and 95th percentile for obesity.

      Centers for Disease Control and Prevention. Defining childhood obesity. https://www.cdc.gov/obesity/childhood/defining.html. Accessed September 7, 2017.

      Nutrition guidance to support healthy physical and cognitive development in childhood includes recommendations for dietary patterns and establishment of life-long healthy eating behaviors.
      • Hayes D.
      • Ogata B.N.
      Academy of Nutrition and Dietetics
      Position of the Academy of Nutrition and Dietetics: Nutrition guidance for healthy children ages 2 to 11 years.
      However, obesity continues to be identified as a key problem for child health and wellness with persistence of overweight status among children and concerning statistics, such as 19% of children 6 to 17 years of age being identified as obese.

      Fryer CD, Carroll MD, Ogden CL. Prevalence of overweight and obesity among children and adolescents aged 2-19 years: United States, 1963-1965 through 2013-2014. National Center for Health Statistics. 2016. https://www.cdc.gov/nchs/data/hestat/obesity_child_13_14/obesity_child_13_14.htm. Accessed July 7, 2017.

      America’s children in brief: Key national indicators of well-being, 2016. Forum on Child and Family Statistics. 2016. https://www.childstats.gov/pdf/ac2016/ac_16.pdf. Accessed September 7, 2017.

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      Biography

      B. W. Henry is a professor, Nutrition and Dietetics, Northern Illinois University, DeKalb.

      Biography

      J. Ziegler is an associate professor and program director, Doctorate of Clinical Nutrition Program, Department of Nutritional Sciences, School of Health Professions, Newark, NJ.

      Biography

      J. S. Parrott is an associate professor, Department of Nutritional Sciences, Department of Interdisciplinary Studies, Rutgers, School of Health Professions, Newark, NJ.

      Biography

      D. Handu is a lead analysts/project manager, Academy of Nutrition and Dietetics, Chicago, IL.