Outcomes from a Pediatric Primary Care Weight Management Program: Steps to Growing Up Healthy

Cloutier, Michelle M.; Wiley, James F.; Huedo‐Medina, Tania B.; Ohannessian, Christine McCauley; Grant, Autherene; Hernandez, Dominica; Gorin, Amy A.

doi:10.1016/j.jpeds.2015.05.028

Cited by 43 publications

(74 citation statements)

References 35 publications

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“…Tailoring dietary recommendations to food preference patterns can result in effective behavioral interventions [Turner-McGrievy et al, 2013]. Simple messages delivered in health care settings can help support obesity and caries prevention efforts [Cloutier et al, 2015].…”

Section: Discussionmentioning

confidence: 99%

Pediatric Adapted Liking Survey: A Novel, Feasible and Reliable Dietary Screening in Clinical Practice

et al. 2018

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Purpose: Rapid yet useful methods are needed to screen for dietary behaviors in clinical settings. We tested the feasibility and reliability of a pediatric adapted liking survey (PALS) to screen for dietary behaviors and suggest tailored caries and obesity prevention messages. Methods: In an observational study, children admitted to a pediatric emergency department (PED) for nonurgent care were approached to complete the PALS (33 foods, 4 nonfoods including brushing teeth). Measured height/weight were used for body mass index (BMI) percentile determination. Feasibility was assessed by response rate and PALS completion time. Reliability was assessed by internal consistency of food groups and testretest reliability for PED-home reported PALS. Results: PALS was completed by 144 children (96% of approached) -54% male (average age = 11 ± 3 years) with diversity in family income (43% publicly insured), race/ethnicity (15% African American, 33% Hispanic, 44% Caucasian) and adiposity (3% underweight, 50% normal, 31% overweight, 17% obese, 8% extremely obese). The average completion time was 3: 52 min, and conceptual food groups had reasonable internal reliability. From 57% (n = 82) with PED-home completion, PALS had a good/excellent test-retest reliability. Relative preferences for sweets versus brushing teeth identified unique groups of children for tailored prevention messages (high sweet/brushing preference, sweets > brushing, brushing > sweets). Females with higher adiposity reported significantly greater preference for sweet/high-fat foods, independently of demographic variables; the relationship was nonsignificant in males and with the other food groups. Conclusion:The PALS appears to be a fast, feasible and reliable dietary screener in a clinical setting to assist in forming tailored diet-related messages for dental caries and obesity prevention.

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Section: Discussionmentioning

confidence: 99%

Pediatric Adapted Liking Survey: A Novel, Feasible and Reliable Dietary Screening in Clinical Practice

et al. 2018

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“…The results showed statistically significant improvements in the intervention group compared with the control group in terms of weight in one high quality study (11) and in terms of BMI in two studies (one high quality study and one low quality study (11,31). In contrast, no statistically significant differences were observed between the intervention and control group in terms of weight in one moderate quality study (14) and in terms of BMI in three studies (one high quality study and two moderate quality studies) (14,29,30).…”

Section: Resultsmentioning

confidence: 96%

“…The one remaining study obtained a positive score in three of the parameters evaluated (i.e. low quality) (31).…”

Section: Resultsmentioning

confidence: 97%

“…Only one of the five included studies had used the phone as its main intervention (11); that study found improvements in both the weight and BMI outcomes and also obtained a positive rating in all the quality assessment parameters (a highquality study). In the four other studies, the phone was used as part of the multicomponent intervention (14,(29)(30)(31).…”

Section: Resultsmentioning

confidence: 99%

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Use of Recombinant Factor VIIa Utilization Among a Hospitalized Pediatric Population

Thompson¹,

Meuler²,

Scott³

2015

J Compr Ped

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Context: This systematic review was conducted to investigate the role of phones (telephone and mobile phone) in interventions designed to control obesity in children under age six and to determine the features and effects of these interventions. Evidence Acquisition: A systematic search was conducted of the electronic databases (until November 2016). Randomized controlled trials that assessed the effects of phone-based interventions to control obesity in children under age six were included. Results: Of the 1920 papers accessed, 38 were relevant based on title and abstract. After review of the full texts, five studies were deemed eligible for inclusion. The results showed that in two studies phone-based interventions succeeded in improving the children's weight and BMI while in three other studies they were not. Among the functionalities of a telephone and mobile phone (e.g. text messaging and smartphone applications), only phone calls were used to communicate with participants. Only one of the included studies had used the phone as its main intervention, in the other studies the phone was used as part of a multicomponent intervention. Most of the included studies used phone calls to encourage and remind the participants about their children's nutritional status and physical activity. Conclusions: Although the numerous functions of phones can be used independently or in combination with other interventions for controlling obesity, so far, only the phone call function has been used for children under age six. Moreover, there is still no strong evidence on their positive effects on obesity control in children under age six.

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“…The earlier one can intervene to promote physical activity in children, the greater the potential long-term health benefits [8][9][10][11]. Although it is challenging to design, deploy and test interventions in very small children, preschool children are at a particularly important age to promote physical activity [11]. Data suggest that the brain is most plastic at a young age and becomes less adaptable as growth and development occur [12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Low-Cost, Scalable Classroom-Based Approach to Promoting Physical Activity in Preschool Children

Spitzer¹,

Sagdalen²,

Manohar³

et al. 2016

J Child Obes

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Outcomes from a Pediatric Primary Care Weight Management Program: Steps to Growing Up Healthy

Cited by 43 publications

References 35 publications

Pediatric Adapted Liking Survey: A Novel, Feasible and Reliable Dietary Screening in Clinical Practice

Pediatric Adapted Liking Survey: A Novel, Feasible and Reliable Dietary Screening in Clinical Practice

Use of Recombinant Factor VIIa Utilization Among a Hospitalized Pediatric Population

Low-Cost, Scalable Classroom-Based Approach to Promoting Physical Activity in Preschool Children

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