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1
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.
2
Nutrition guidance to support healthy physical and cognitive development in childhood
includes recommendations for dietary patterns and establishment of life-long healthy
eating behaviors.
Centers for Disease Control and Prevention. Defining childhood obesity. https://www.cdc.gov/obesity/childhood/defining.html. Accessed September 7, 2017.
3
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.
4
,
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.
5
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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References
- Trends in obesity among participants aged 2-4 years in the Special Supplemental Nutrition Program for Women, Infants, and Children—United States, 2000-2014.MMWR Morb Mortal Wkly Rep. 2016; 65: 1256-1260
Centers for Disease Control and Prevention. Defining childhood obesity. https://www.cdc.gov/obesity/childhood/defining.html. Accessed September 7, 2017.
- Position of the Academy of Nutrition and Dietetics: Nutrition guidance for healthy children ages 2 to 11 years.J Acad Nut Diet. 2014; 114: 1257-1276
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.
- Prevalence of Obesity Among Adults and Youth: United States, 2011-2014.(NCHS Data Brief, no. 219) National Center for Health Statistics, Hyattsville MD2015
- Trends in obesity prevalence among children and adolescents in the United States, 1988-1995 through 2013-2014.JAMA. 2016; 315: 2292-2299
- Incidence of childhood obesity in the United States.N Engl J Med. 2014; 370: 403-411
- Identification of a dietary pattern prospectively associated with increased adiposity in childhood and adolescence.Int J Obes. 2012; 36: 1299-1305
- Tracking a dietary pattern associated with increased adiposity in childhood and adolescence.Obesity. 2014; 22: 458-465
Centers for Disease Control and Prevention, National Center for Health Statistics. Child health. 2016. http://www.cdc.gov/nchs/fastats/child-health.htm. Accessed January 7, 2017.
- The consequences of childhood overweight and obesity.Future Child. 2006; 16: 47-67
Fletcher JM. Predictors and Consequences of Early Childhood Overweight. Paper presented at the Early Childhood Longitudinal Study, Birth Cohort (ECLS-B) First Release Conference: Development from Birth through Age Two. Bethesda, MD, 2007.
- Longitudinal trends in obesity in the United States from adolescence to the third decade of life.Obesity. 2010; 18: 1801-1804
US Department of Health and Human Services and US Department of Agriculture. Scientific Report of the 2015 Dietary Guidelines Advisory Committee. https://health.gov/dietaryguidelines/2015-scientific-report/13-appendix-E1.asp. Accessed January 17, 2017.
Academy of Nutrition and Dietetics. Academy of Nutrition and Dietetics Pediatric Weight Management (PWM) Guideline Project. Evidence Analysis Library. 2007. http://www.andeal.org/topic.cfm?menu=5296&cat=2721. Accessed January 7, 2017.
Academy of Nutrition and Dietetics. Academy of Nutrition and Dietetics Pediatric Overweight Project. Evidence Analysis Library. 2012. http://www.andeal.org/topic.cfm?menu=5296&cat=4102. Accessed January 7, 2017.
- Position of the Academy of Nutrition and Dietetics: Interventions for the prevention and treatment of pediatric overweight and obesity.J Acad Nutr Diet. 2013; 113: 1375-1384
Academy of Nutrition and Dietetics. Academy of Nutrition and Dietetics Pediatric Weight Management Evidence-Based Nutrition Practice Guideline. Chicago, IL: Academy of Nutrition and Dietetics; 2015. http://www.andeal.org/topic.cfm?menu=5296&cat=5632. Accessed January 7, 2017.
- Academy of Nutrition and Dietetics methodology for developing evidence-based nutrition practice guidelines.J Acad Nutr Diet. 2017; 117: 794-804
- Academy of Nutrition and Dietetics methodology for conducting systematic reviews for the Evidence Analysis Library.J Acad Nutr Diet. 2016; 116: 311-318
- Institute of Medicine (US) Committee on Standards for Systematic Reviews of Comparative Effectiveness Research.Institute of Medicine, Washington, DC2011
STATA [computer program]. Version 14. College Station, TX: StataCorp; 2015.
fsQCA [software]. http://www.u.arizona.edu/∼cragin/fsQCA/. Accessed January 17, 2017.
- Use of metformin in obese adolescents with hyperinsulinemia: A 6-month, randomized, double-blind, placebo-controlled clinical trial.J Pediatr Endocrinol Metab. 2008; 21: 339-348
- Effects of a combined inpatient-outpatient treatment of obese children and adolescents.Obes Facts. 2009; 2: 286-293
- Effects of sibutramine treatment in obese adolescents: A randomized trial.Ann Intern Med. 2006; 145: 81-90
- Meal replacements in the treatment of adolescent obesity: A randomized controlled trial.Obesity (Silver Spring, MD). 2011; 19: 1,193-1,199
- A “novel” intervention: A pilot study of children's literature and healthy lifestyles.Pediatrics. 2010; 125: e513-e517
- Weight loss in obese African American and Caucasian adolescents: Secondary analysis of a randomized clinical trial of behavioral therapy plus sibutramine.J Cardiovasc Nurs. 2007; 22: 288-296
- Short-term metabolic and cardiovascular effects of metformin in markedly obese adolescents with normal glucose tolerance.Pediatr Diabetes. 2008; 9: 567-576
- Early weight loss and outcome at one year in obese adolescents treated with orlistat or placebo.Int J Pediatr Obes. 2011; 6: 95-101
- Metformin in combination with structured lifestyle intervention improved body mass index in obese adolescents, but did not improve insulin resistance.Endocrine. 2009; 36: 141-146
- Parent diet modification, child activity, or both in obese children: An RCT.Pediatrics. 2011; 127: 619-627
- Effectiveness of a multi-disciplinary family-based programme for treating childhood obesity (the Family Project).Eur J Clin Nutr. 2011; 65: 903-909
- Family-based behavioural treatment of childhood obesity in a UK National Health Service setting: Randomized controlled trial.Int J Obesity (Lond). 2012; 36: 16-26
- Low-carbohydrate (low and high-fat) vs high-carbohydrate low-fat diets in the treatment of obesity in adolescents.Acta Paediatr. 2009; 98: 346-351
- Lifestyle intervention in primary care settings improves obesity parameters among Mexican youth.J Am Diet Assoc. 2010; 110: 285-290
- Reduction of overweight and eating disorder symptoms via the Internet in adolescents: A randomized controlled trial.J Adolesc Health. 2008; 43: 172-179
- Impact of a combined diet and progressive exercise intervention for overweight and obese children: The B.E. H.I.P. study.Appl Physiol Nutr Metab. 2011; 36: 515-525
- The effects of nutritional-physical activity school-based intervention on fatness and fitness in preschool children.J Pediatr Endocrinol Metab. 2007; 20: 711-718
- The challenge of identifying behavioral alternatives to food: Clinic and field studies.Ann Behav Med. 2005; 30: 201-209
- Treatment of childhood obesity by retraining eating behaviour: Randomised controlled trial.BMJ. 2010; 340: b5388
- Family-based group treatment versus individual treatment in the management of childhood obesity: Randomized, prospective clinical trial.Eur J Pediatr. 2009; 168: 1091-1099
- Treatment of obese adolescents with sibutramine: A randomized, double-blind, controlled study.J Clin Endocrinol Metab. 2005; 90: 1460-1465
- Childhood obesity treatment: Targeting parents exclusively vs parents and children.Br J Nutr. 2006; 95: 1008-1015
- Importance of early weight change in a pediatric weight management trial.Pediatrics. 2011; 128: e33-e39
- Early patterns of food intake in an adolescent weight loss trial as predictors of BMI change.Eat Behav. 2010; 11: 217-222
- Randomized, controlled trial of a best-practice individualized behavioral program for treatment of childhood overweight: Scottish Childhood Overweight Treatment Trial (SCOTT).Pediatrics. 2008; 121: e539-e546
- Behavioral weight control treatment with supervised exercise or peer-enhanced adventure for overweight adolescents.J Pediatr. 2010; 157: 923-928.e1
- Predictors of attrition and weight loss in an adolescent weight control program.Obesity (Silver Spring, MD). 2008; 16: 1318-1323
- “Adventure therapy” combined with cognitive-behavioral treatment for overweight adolescents.Int J Obes (Lond). 2006; 30: 31-39
- A two-year family based behaviour treatment for obese children.Arch Dis Child. 2005; 90: 1235-1238
- Smaller weight changes in standardized body mass index in response to treatment as weight classification increases.J Pediatr. 2011; 158: 624-627
- Randomized, controlled trial of an internet-facilitated intervention for reducing binge eating and overweight in adolescents.Pediatrics. 2008; 121: 453-462
- Family-based treatment of severe pediatric obesity: Randomized, controlled trial.Pediatrics. 2009; 124: 1060-1068
- Clinical efficacy of group-based treatment for childhood obesity compared with routinely given individual counseling.Int J Obes (Lond). 2007; 31: 1500-1508
- Long-term efficacy of group-based treatment for childhood obesity compared with routinely given individual counselling.Int J Obes (Lond). 2011; 35: 530-533
- The Memphis Girls' Health Enrichment Multi-site Studies (GEMS): An evaluation of the efficacy of a two-year obesity prevention program in African American girls.Arch Pediatr Adoles Med. 2010; 164: 1007-1014
- Efficacy and safety of a high protein, low carbohydrate diet for weight loss in severely obese adolescents.J Pediatr. 2010; 157: 252-258
- Increasing healthy eating vs reducing high energy-dense foods to treat pediatric obesity.Obesity (Silver Spring, MD). 2008; 16: 318-326
- A parent-led family-focused treatment program for overweight children aged 5 to 9 years: The PEACH RCT.Pediatrics. 2011; 127: 214-222
- Randomized controlled comparison of two cognitive behavioral therapies for obese children: Mother versus mother-child cognitive behavioral therapy.Psychother Psychosom. 2008; 77: 235-246
- A randomized pilot study of multisystemic therapy targeting obesity in African-American adolescents.J Adolesc Health. 2009; 45: 417-419
- Short- and long-term beneficial effects of a combined dietary-behavioral-physical activity intervention for the treatment of childhood obesity.Pediatrics. 2005; 115: e443-e449
- Treatment of childhood obesity in obese families.J Pediatr Endocrinol Metab. 2008; 21: 461-467
- Sports camp with six months of support from a local sports club as a treatment for childhood obesity.Scand J Public Health. 2009; 37: 793-800
- Laparoscopic adjustable gastric banding in severely obese adolescents: A randomized trial.JAMA. 2010; 303: 519-526
- Multi-site randomized controlled trial of a child-centered physical activity program, a parent-centered dietary-modification program, or both in overweight children: The HIKCUPS study.J Pediatr. 2010; 157 (394.e1): 388-394
- Metabolic syndrome, adipokines and ghrelin in overweight and obese schoolchildren: Results of a one-year lifestyle intervention programme.Eur J Pediatr. 2011; 170: 483-492
- Long-term follow-up of cardiovascular disease risk factors in children after an obesity intervention.Am J Clin Nutr. 2006; 84: 490-496
- Lifestyle intervention in obese children is associated with a decrease of the metabolic syndrome prevalence.Atherosclerosis. 2009; 207: 174-180
- A randomized, triple masked, placebo-controlled clinical trial for controlling childhood obesity.World J Pediatr. 2010; 6: 317-322
- Diet and exercise training restore blood pressure and vasodilatory responses during physiological maneuvers in obese children.Circulation. 2005; 111: 1915-1923
- A randomized controlled trial of culturally tailored dance and reducing screen time to prevent weight gain in low-income African American girls: Stanford GEMS.Arch Pediatr Adolesc Med. 2010; 164: 995-1004
- Growing healthy families: Family use of pedometers to increase physical activity and slow the rate of obesity.WMJ. 2005; 104: 54-60
- An increase of cereal intake as an approach to weight reduction in children is effective only when accompanied by nutrition education: A randomized controlled trial.Nutr J. 2008; 7: 28
- Randomized controlled trial of the MEND program: A family-based community intervention for childhood obesity.Obesity (Silver Spring, MD). 2010; 18: S62-S568
- Efficacy of increasing physical activity to reduce children's visceral fat: A pilot randomized controlled trial.Int J Pediatr Obes. 2011; 6: 102-112
- Associations between parent behavior and adolescent weight control.J Pediatr Psychol. 2011; 36: 451-460
- Long-term results of an obesity program in an ethnically diverse pediatric population.Pediatrics. 2011; 127: 402-410
- Effects of a twelve-week randomized intervention of exercise and/or diet on weight loss and weight maintenance, and other metabolic parameters in obese preadolescent children.Horm Res. 2009; 72: 287-301
- Successful overweight prevention in adolescents by increasing physical activity: A four-year randomized controlled intervention.Int J Obes. 2008; 32: 1489-1498
- Dissonance and healthy weight eating disorder prevention programs: Long-term effects from a randomized efficacy trial.J Consult Clin Psychol. 2008; 76: 329-340
- Aerobic interval training reduces cardiovascular risk factors more than a multitreatment approach in overweight adolescents.Clin Sci. 2009; 116: 317-326
- The effect of sibutramine on energy expenditure and body composition in obese adolescents.J Clin Endocrinol Metab. 2007; 92: 1409-1414
- Randomized controlled trial of a good practice approach to treatment of childhood obesity in Malaysia: Malaysian Childhood Obesity Treatment Trial (MASCOT).Int J Pediatr Obes. 2011; 6: e62-e69
- Outcomes and costs of primary care surveillance and intervention for overweight or obese children: The LEAP 2 randomised controlled trial.BMJ. 2009; 339: b3308
- Childhood obesity: Concept, feasibility, and interim results of a local group-based, long-term treatment program.J Nutr Educ Behav. 2008; 40: 369-373
- Efficacy of maintenance treatment approaches for childhood overweight: A randomized controlled trial.JAMA. 2007; 298: 1661-1673
- Weight control among obese adolescents: A pilot study.Int J Food Sci Nutr. 2007; 58: 217-230
- Efficacy of an Internet-based behavioral weight loss program for overweight adolescent African-American girls.Eat Weight Disord. 2005; 10: 193-203
- Two-year Internet-based randomized controlled trial for weight loss in African-American girls.Obesity. 2006; 14: 1231-1243
- Metformin extended release treatment of adolescent obesity: A 48-week randomized, double-blind, placebo-controlled trial with 48-week follow-up.Arch Pediatr Adolesc Med. 2010; 164: 116-123
- Influence of weight-loss diets with different macronutrient compositions on health-related quality of life in obese youth.Appetite. 2008; 51: 697-703
- Effects of strength training on body composition and bone mineral content in children who are obese.J Strength Cond Res. 2005; 19: 667-672
- Inside the “black box” of a knowledge translation program in applied health research.Qual Health Res. 2015; 25: 1477-1491
- Knowledge Translation in Health Care.2nd ed. BMJ Books, London, UK2013
- Validation of the theoretical domains framework for use in behaviour change and implementation research.Implement Sci. 2012; 7: 37
- From theory to intervention: Mapping theoretically derived behavioural determinants to behaviour change techniques.Appl Psychol. 2008; 57: 660-680
- Grading quality of evidence and strength of recommendations.BMJ. 2004; 328: 1490-1494
- Lost in knowledge translation: Time for a map?.J Cont Educ Health Prof. 2006; 26: 13-24
- Developing theory-informed behaviour change interventions to implement evidence into practice: A systematic approach using the theoretical domains framework.Implement Sci. 2012; 7: 38
- Pathways to Change: Evaluating Development Interventions with Qualitative Comparative Analysis (QCA).Elanders Sverige AB, Stockholm, Sweden2016
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.
Article info
Publication history
Published online: December 08, 2017
Footnotes
Supplementary materials: Figures 2 and 4 and the Table are available at www.jandonline.org
FUNDING/SUPPORT There is no funding to disclose.
Identification
Copyright
© 2018 by the Academy of Nutrition and Dietetics.
