Childhood overweight and obesity management: A national perspective of primary health care providers' views, practices, perceived barriers and needs

He, Meizi; Piché, Leonard A.; Clarson, Cheril; Callaghan, Christine; Harris, Stewart B.

doi:10.1093/pch/15.7.419

Cited by 46 publications

(54 citation statements)

References 17 publications

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“…9 Practitioners often rely on their professional judgment or on adult diagnostic criteria to identify pediatric obesity because they are unaware of, or lack access to, the appropriate diagnostic tools and guidelines. 12 There is evidence, however, that pediatricians who attended continuing medical education courses on obesity were more likely to use BMI-percentiles and had higher self-efficacy in practices related to childhood and adolescent overweight and obesity. 9,13 Systematic reviews have found strong evidence that childhood obesity prevention programs can reduce BMI, particularly those programs targeting children aged 6 to 12 years compared with those targeting teenagers.…”

mentioning

confidence: 99%

Pediatrician-led Motivational Interviewing to Treat Overweight Children: An RCT

Davoli¹,

Broccoli²,

Bonvicini³

et al. 2013

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Obesity and overweight can seriously affect health outcomes. Many obesity prevention interventions have been proposed, but few have been effective. Motivational interviewing in primary care seems promising, but results in BMI control are controversial and require further investigation.WHAT THIS STUDY ADDS: This is the first study to demonstrate the effectiveness of pediatrician-led motivational interviewing for BMI control in overweight children aged 4 to 7 years. Nevertheless, no effect was observed in boys or when the mother' s education level was low.abstract OBJECTIVE: The aim of this study was to evaluate the effect of family pediatrician-led motivational interviews (MIs) on BMI of overweight (85th $BMI percentile $95th) children aged 4 to 7 years. METHODS:All the family pediatricians working in Reggio Emilia Province (Italy) were invited to participate in the study; 95% accepted. Specific training was provided. Parents were asked to participate in the trial if they recognized their child as overweight. Children were individually randomly assigned to MIs or usual care. All children were invited for a baseline and a 12-month visit to assess BMI and lifestyle behaviors. The usual care group received an information leaflet, and the intervention group received 5 MI family meetings. The primary outcome was the individual variation of BMI, assessed by pediatricians unblinded to treatment groups. RESULTS:Of 419 eligible families, 372 (89%) participated; 187 children were randomized to MIs and 185 to the usual care group. Ninety-five percent of the children attended the 12-month visit. The average BMI increased by 0.49 and 0.79 during the intervention in the MI and control groups, respectively (difference: -0.30; P = .007). MI had no effect in boys or in children whose mothers had a low educational level. Positive changes in parent-reported lifestyle behaviors occurred more frequently in the MI group than in the control group.

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mentioning

confidence: 99%

Pediatrician-led Motivational Interviewing to Treat Overweight Children: An RCT

Davoli¹,

Broccoli²,

Bonvicini³

et al. 2013

Pediatrics

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“…Although not an exhaustive list of all interventions, to this end the following should be noted: awareness of the growing obesity crisis especially among young children (19), improvements in food labeling (20), the roll-out of a Diabetes Prevention Program (DPP)-based lifestyle intervention course (21), networking for common health purposes between industry, governments, obesity and activity researchers (17,18,22), efforts to value school-based physical activity (23) and of course, the venerable ParticipACTION campaign (24).…”

Section: Research Barriersmentioning

confidence: 99%

Time for Action: A Canadian Proposal for Primary Prevention of Type 2 Diabetes Mellitus

McManus

2012

Canadian Journal of Diabetes

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“…10 Obesity in school age is an escalating problem. 11 Typically, emotional or psychological problem is the first problem to face obese children, including low self-esteem. 12 Childhood obesity can be risk factor for many diseases such as: diabetes mellitus, hypertension, heart disease, sleep disorders, cancer, liver disease, eating disorders and asthma and other respiratory problems.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and determinants of obesity among male secondary schools students in Al Bukhiriyah, Qassim region, Saudi Arabia

Khan

AlRshidi

et al. 2017

Int J Community Med Public Health

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Background: Obesity is a condition associated with the presence of excess fat in the body. It is determined by genetic and environmental factors that are difficult to control when dieting. Methods: The study population consisted of 254 students randomly drawn from five secondary schools which are present in Bukhiriyah and the students were selected using systemic random sampling method. Results: Overweight (21.26%) and obesity (17.72%) was more prevalent in students who used vehicles as mode of transport. Overweight (19.29%) and obesity (15.75%) was more prevalent in students who consumed carbonated drinks. Conclusions: The conclusion of our study was that overweight and obesity were associated with various factors like physical inactivity, soft drink intake, fast food intake and less sleep.

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Childhood overweight and obesity management: A national perspective of primary health care providers' views, practices, perceived barriers and needs

Cited by 46 publications

References 17 publications

Pediatrician-led Motivational Interviewing to Treat Overweight Children: An RCT

Pediatrician-led Motivational Interviewing to Treat Overweight Children: An RCT

Time for Action: A Canadian Proposal for Primary Prevention of Type 2 Diabetes Mellitus

Prevalence and determinants of obesity among male secondary schools students in Al Bukhiriyah, Qassim region, Saudi Arabia

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