Lifestyle interventions for youth who are overweight: A meta-analytic review.

Kitzmann, Katherine M.; Dalton, William T.; Stanley, Caroline M.; Beech, Bettina M.; Reeves, Tamara P.; Buscemi, Joanna; Egli, Clayton J.; Gamble, Heather L.; Midgett, Ericka L.

doi:10.1037/a0017437

Cited by 135 publications

(145 citation statements)

References 85 publications

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“…These strategies provided the foundation for most of these interventions. Quantitative reviews have supported the efficacy of family-based treatments compared with no-treatment controls, 19,20,32,33 as well as in comparison to education-only controls. 32 The 10-year follow-up studies by Epstein et al 34 further support the long-term efficacy of family-based behavioral weight control.…”

Section: What Are Core Behavior Change Strategies For Obese Youth?mentioning

confidence: 99%

“…Articles were searched in Medline and PsycINFO, as well as in the references of review articles that addressed family-based treatment of pediatric obesity. [17][18][19][20]32,[91][92][93][94][95] Inclusion criteria were studies that provided a family-based treatment for pediatric obesity, assessed changes in BMI or related anthropometric measures as the primary outcome (rather than behavioral measures), and manipulated the degree or nature of parental involvement in treatment via random assignment to conditions. We did not impose limits on minimum treatment duration, child age, or publication year, given the heterogeneity of study designs, samples enrolled, and dates of investigations.…”

Section: Is Greater Pac Involvement In Treatment Associated With a Chmentioning

confidence: 99%

“…Prior reviews have examined whether greater parental involvement in treatment yields better improvements in child weight status. Conclusions have been mixed, with some reviews [17][18][19] but not others 20,21 finding that greater involvement leads to better child weight outcomes. These differences could reflect a number of factors, including qualitative versus quantitative data synthesis, different inclusion/exclusion criteria, and the specific studies that were retrieved.…”

mentioning

confidence: 99%

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Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

237

170

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Abstract-This scientific statement addresses parents and adult caregivers (PACs) as "agents of change" for obese children, evaluating the strength of evidence that particular parenting strategies can leverage behavior change and reduce positive energy balance in obese youth. The statement has 3 specific aims. The first is to review core behavior change strategies for PACs as used in family-based treatment programs and to provide a resource list. The second is to evaluate the strength of evidence that greater parental "involvement" in treatment is associated with better reductions in child overweight. The third is to identify research gaps and new opportunities for the field. This review yielded limited and inconsistent evidence from randomized controlled clinical trials that greater PAC involvement necessarily is associated with better child outcomes. For example, only 17% of the intervention studies reported differential improvements in child overweight as a function of parental involvement in treatment. On the other hand, greater parental adherence with core behavior change strategies predicted better child weight outcomes after 2 and 5 years in some studies. Thus, the literature lacks conclusive evidence that one particular parenting strategy or approach causally is superior to others in which children have a greater focus in treatment. A number of research gaps were identified, including the assessment of refined parenting phenotypes, cultural tailoring of interventions, examination of family relationships, and incorporation of new technologies. A conceptual model is proposed to stimulate research identifying the determinants of PAC feeding and physical activity parenting practices, the results of which may inform new treatments. The statement addresses the need for innovative research to advance the scope and potency of PAC treatments for childhood obesity. (Circulation. 2012;125:1186-1207.)Key Words: AHA Scientific Statements Ⅲ diet Ⅲ lifestyle Ⅲ nutrition Ⅲ obesity Ⅲ pediatrics Ⅲ preventionThe American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This statement was approved by the American Heart Association Science Advisory and Coordinating Committee on October 10, 2011. A copy of the document is available at http://my.americanheart.org/statements by selecting either the "By Topic" link or the "By Publication Date" link. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Faith MS, Van Horn L, Appel LJ, Burke LE, Carson JAS, Franch HA, Jakicic JM, Kral TVE, Odoms-Young A, Wansink B, Wylie-Rosett J; on ...

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Section: What Are Core Behavior Change Strategies For Obese Youth?mentioning

confidence: 99%

Section: Is Greater Pac Involvement In Treatment Associated With a Chmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Faith¹,

Horn²,

Appel³

et al. 2012

Circulation

237

170

View full text Add to dashboard Cite

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“…It is well established that parents play a key role in obesity treatment efforts directed at youth (Kitzmann et al 2010), and for obvious reasons parents are the main audience for obesity prevention efforts in early childhood (Skouteris et al 2011(Skouteris et al , 2012Hesketh and Campbell 2010).…”

Section: Obesity Preventionmentioning

confidence: 99%

Pediatric Type 2 Diabetes: Prevention and Treatment Through a Life Course Health Development Framework

Salsberry

Tanda

Anderson

et al. 2017

Handbook of Life Course Health Development

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Estimates project that one in three US adults may have diabetes in 2050. Until very recently, type 2 diabetes mellitus (T2DM) was a disease diagnosed in adults, but as the childhood obesity epidemic has spread, the diagnosis of T2DM in adolescents has become more common. Early indicators suggest that the disease may be more severe and more difficult to manage when diagnosed in adolescents. It is projected that adolescents with T2DM will lose approximately 15 years of life. The economic burden of T2DM rises significantly as the years with disease increase. This grim forecast highlights that not only will the disease burden be significant but the economic burden will be high. The risk for developing T2DM begins in utero. Individual health development trajectories build from this starting point, the result of multiple factors that accumulate across time and are the result of biological conditioning during sensitive developmental periods. A major aim of this chapter is to demonstrate that a life course health development approach to pediatric T2DM is critical to a sound national strategy to prevent and treat pediatric T2DM. We review major factors known to influence the development of pediatric T2DM and track these across childhood. While these factors will likely change over the next decade, what will not change is the importance of placing these factors into context and recognizing that T2DM development is highly sensitive to the timing and social structures of multiple environmental exposures. Research recommendations are discussed through a life course lens.

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“…[21][22][23] On the day of enrollment, after randomization, the RA reviewed the BMI 2 survey 20 and discussed evidence-based recommendations for childhood obesity treatment with the parent (e.g., eating breakfast daily, eating ‡ 5 servings of fruits and vegetables per day, watching £ 2 hours of screen time per day, minimizing or eliminating sugar-sweetened beverages, encouraging family meals at home, and being physically active ‡ 1 hour per day). 16,24,25 The RA used motivational interviewing (MI) techniques as an entry way to discuss these lifestyle recommendations (e.g., open-ended questions, reflective listening, discrepancy questions, and eliciting change talk). 19,26,27 MI employs nonjudgmental questions and reflective listening to assess readiness to change and help resolve ambivalence about behavior changes in a nonconfrontational, nonjudgmental manner.…”

Section: Group Assignmentsmentioning

confidence: 99%

Stage 1 Treatment of Pediatric Overweight and Obesity: A Pilot and Feasibility Randomized Controlled Trial

et al. 2014

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Background: Staged clinical treatment of pediatric obesity is recommended, but untested. Understanding the lowest intensity stage's effectiveness is necessary for future research.Methods: This was a randomized controlled trial of children ages 4 to < 9 years. Participants were recruited after routine evaluations at a primary care pediatric clinic revealed a BMI ‡ 85th percentile. The intervention was patterned after the ''Prevention plus, Stage 1'' treatment recommended by an expert committee. Groups were compared for changes, over a 3-month time period, in BMI z-score and parental reports of behavioral issues related to childhood obesity using intent-to-treat (ITT) analysis.Results: Seventy-two (30% of eligible) children were enrolled and 64 were remeasured at 3-month follow-up. ITT analysis revealed that both groups improved mean BMI z-score [adjusted change -0.07, control, and -0.04, intervention; 95% confidence interval (CI) of difference = -0.14-0.20]. Over half of the children in each group improved their BMI z-score (adjusted proportion decreasing = 55% in control vs. 72% in intervention; 95% CI of difference = -0.07-0.42). The intervention group improved comparatively to the control group on numerous behavioral indicators.Conclusions: Implementation of the lowest intensity stage of current recommendations is feasible and possibly of benefit toward lifestyle changes. Results of this study can be used by future clinical researchers designing protocols to test the full multi-staged approach for the treatment of pediatric overweight and obesity in primary care clinical settings.

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Lifestyle interventions for youth who are overweight: A meta-analytic review.

Abstract: The results suggest that lifestyle interventions can be effective under a wide range of conditions not limited to the highly controlled conditions of efficacy studies. Parent involvement is associated with significantly better results.

Cited by 135 publications

References 85 publications

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Evaluating Parents and Adult Caregivers as “Agents of Change” for Treating Obese Children: Evidence for Parent Behavior Change Strategies and Research Gaps

Pediatric Type 2 Diabetes: Prevention and Treatment Through a Life Course Health Development Framework

Stage 1 Treatment of Pediatric Overweight and Obesity: A Pilot and Feasibility Randomized Controlled Trial

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