Recommendations for Prevention of Childhood Obesity

Davis, Matthew M.; Gance‐Cleveland, Bonnie; Hassink, Sandra G.; Johnson, Rolley E.; Paradis, Gilles; Resnicow, Kenneth

doi:10.1542/peds.2007-2329e

Cited by 376 publications

(345 citation statements)

References 247 publications

(281 reference statements)

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“…The prevention, assessment, and treatment reports provide detailed descriptions of studies for each topic. [1][2][3] …”

Section: Causesmentioning

confidence: 99%

“…Their work is referred to throughout this report according to the area of review (prevention, assessment, or treatment), and their reports accompany this article. [1][2][3] Each multidisciplinary writing group reviewed the current literature to develop the recommendations. Because the science continues to lag behind the obesity epidemic, many gaps in evidence-based recommendations remain.…”

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confidence: 99%

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Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report

2007

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To revise 1998 recommendations on childhood obesity, an Expert Committee, comprised of representatives from 15 professional organizations, appointed experienced scientists and clinicians to 3 writing groups to review the literature and recommend approaches to prevention, assessment, and treatment. Because effective strategies remain poorly defined, the writing groups used both available evidence and expert opinion to develop the recommendations. Primary care providers should universally assess children for obesity risk to improve early identification of elevated BMI, medical risks, and unhealthy eating and physical activity habits. Providers can provide obesity prevention messages for most children and suggest weight control interventions for those with excess weight. The writing groups also recommend changing office systems so that they support efforts to address the problem. BMI should be calculated and plotted at least annually, and the classification should be integrated with other information such as growth pattern, familial obesity, and medical risks to assess the child's obesity risk. For prevention, the recommendations include both specific eating and physical activity behaviors, which are likely to promote maintenance of healthy weight, but also the use of patient-centered counseling techniques such as motivational interviewing, which helps families identify their own motivation for making change. For assessment, the recommendations include methods to screen for current medical conditions and for future risks, and methods to assess diet and physical activity behaviors. For treatment, the recommendations propose 4 stages of obesity care; the first is brief counseling that can be delivered in a health care office, and subsequent stages require more time and resources. The appropriateness of higher stages is influenced by a patient's age and degree of excess weight. These recommendations recognize the importance of social and environmental change to reduce the obesity epidemic but also identify ways healthcare providers and health care systems can be part of broader efforts.www.pediatrics.org/cgi

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“…The prevention, assessment, and treatment reports provide detailed descriptions of studies for each topic. [1][2][3] …”

Section: Causesmentioning

confidence: 99%

mentioning

confidence: 99%

Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report

2007

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“…Limiting SSB consumption has been acknowledged as one of the primary preventive strategies for combating the childhood obesity epidemic (5,6). The replacement of SSB for low energy alternatives such as water and diet beverages is likely to promote weight loss and facilitate obesity prevention (7,8).…”

Section: Introductionmentioning

confidence: 99%

Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study

et al. 2013

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, B. L. (2014). Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study. European Journal of Clinical Nutrition, 68, Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på www.nature.com: http://dx.doi.org/10. 1038/ejcn.2013.243 This is the final text version of the article, and it may contain minor differences from the journal's pdf version. The original publication is available at www.nature.com: http://dx.doi.org/10.1038/ejcn.2013.243Miaobing Jazzmin Zheng 1 Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study. AbstractBackground: Limiting sugar-sweetened beverages (SSB) consumption has been widely acknowledged as a primary strategy for obesity prevention in children and adolescents. In particular, finding suitable alternatives for SSB is an important public health issue. Objectives: The purpose of this study was to examine the associations between different types of beverage intake and 6 y changes in body fatness, and to evaluate the effects of substituting water, coffee/tea, milk, and 100% fruit juice for SSB. Design: A cohort of 9-year-old children (n=358) who participated in the Danish part of the European Youth Heart Study was followed for development in fatness over 6-y. Multivariate linear regression was used to examine the association between beverage consumption at baseline and change in body fatness (body mass index (BMI) z-score), waist circumference (WC), and sum of four skinfolds (Σ4SF)) over 6-y with adjustment for potential confounders. Substitution models were used to evaluate the effects of substituting various beverages for SSB, controlling for total beverage intake, energy from non-beverage sources, physical activity, socioeconomic status, and pubertal status. Results: Intake of SSB at age 9 y, but not other beverages, was directly associated with subsequent 6-y changes in BMI z-score (β=0.05, P=0.02) and Σ4SF (β=0.86, P=0.02). Substitution of 100g water for 100g SSB was inversely associated with changes in BMI z-score (β= -0.04, P=0.02), WC (β= -0.29, P=0.04) and Σ4SF (β= -0.91, P=0.02) over 6-y. Substitution of 100g milk for 100g SSB was also inversely associated with changes in BMI z-score (β= -0.05, P=0.02), WC (β= -0.33, P=0.046) and Σ4SF (β= -0.79, P=0.06). An inverse association was also found between change in WC and substitution of 100g coffee/tea for 100g SSB (β= -0.74, P=0.03). No effect was observed for substitution of SSB by 100% fruit juice. Conclusions: Our results suggest SSB intake is associated with long term change in body fatness in children, and replacing SSB with water and milk, but not 100% fruit juice, has a beneficial effect on body fatness development.

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“…Several studies also found no association between fruit and vegetable intake and childhood adiposity [33][34][35] . Studies that found an inverse relationship between fruit or fruit and vegetable intake and adiposity tended to have a larger sample size, compared with those that found no association 36 . Although the findings available in the literature are still conflicting, it is important to highlight the crucial role of fruits and vegetables in health promotion.…”

Section: Discussionmentioning

confidence: 89%

Variation in dietary intake and physical activity pattern as predictors of change in body mass index (BMI) Z-score among Brazilian adolescents*

Enes

Slater

2013

Rev. bras. epidemiol.

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Objective: To assess whether changes in dietary intake and physical activity pattern are associated with the annual body mass index (BMI) z-score change among adolescents. Methods: The study was conducted in public schools in the city of Piracicaba, Sao Paulo, Brazil, with a probabilistic sample of 431 adolescents participating in wave I (2004) (hereafter, baseline) and 299 in wave II (2005) (hereafter, follow-up). BMI, usual food intake, physical activity, screen time, sexual maturation and demographic variables were assessed twice. The association between annual change in food intake, physical activity, screen time, and annual BMI z-score changes were assessed by multiple regression. Results: The study showed a positive variation in BMI z-score over one--year. Among variables related to physical activity pattern only playing videogame and using computer increased over the year. The intake of fruits and vegetables and sugar-sweetened beverages increased over one year, while the others variables showed a reduction. An increased consumption of fatty foods (β = 0.04, p = 0.04) and sweetened natural fruit juices (β = 0.05, p = 0.03) was positively associated with the rise in BMI z-score. Conclusions: Unhealthy dietary habits can predict the BMI z-score gain more than the physical activity pattern. The intake of fatty foods and sweetened fruit juices is associated with the BMI z-score over one year. O estudo mostrou uma variação positiva no escore-z do IMC ao longo de um ano. Entre as variáveis relacionadas ao padrão de atividade física apenas jogar videogame e usar o computador apresentou aumento ao longo do ano. A ingestão de frutas e legumes e de bebidas artificiais adoçadas aumentou ao longo de um ano e as demais variáveis apresentaram uma redução. Observou-se que o aumento do consumo de alimentos ricos em gordura (β = 0,04, p = 0,04) e de suco natural adoçado (β = 0,05, p = 0,03) associou-se positivamente ao aumento do escore-z do IMC. Conclusão: Hábitos alimentares não saudáveis predizem mais o aumento do escore-z do IMC do que o padrão de atividade física. A ingestão de alimentos ricos em gordura e de suco naturais adoçado associou-se positivamente ao escore-z do IMC ao longo de 1 ano.Palavras-chave: Adolescente. Índice de massa corporal. Estudos longitudinais. Atividade motora. Hábitos alimentares.

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Recommendations for Prevention of Childhood Obesity

Cited by 376 publications

References 247 publications

Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report

Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report

Sugar-sweetened beverages consumption in relation to changes in body fatness over 6 and 12 years among 9-year-old children: the European Youth Heart Study

Variation in dietary intake and physical activity pattern as predictors of change in body mass index (BMI) Z-score among Brazilian adolescents*

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