The Role of Optimal Healing Environments in the Management of Childhood Obesity

Abstract

The prevalence of childhood and adolescent obesity has increased steadily over the past three decades to the point that obesity is now a major worldwide pediatric health risk factor. Pediatric obesity is associated with significant health problems and is an important early risk factor for adult morbidity and mortality. This paper discusses the role of optimal healing environments in the management of childhood obesity. Specifically, it focuses on those components of an optimal healing environment that may be useful in the management of childhood obesity including healing intention, healing relationships, health promotion and disease prevention, and healing spaces. Diet, physical activity, and behavior modification strategies used in the treatment of childhood obesity are also reviewed.

How can primary care providers manage pediatric obesity in the real world?

“…Another issue is the longstanding history of lack of reimbursement for obesity management. Medicare had a statement in their payment regulations until 2004 stating that obesity could not be considered an illness (Freedman & Stern, 2004). Time constraints and lack of provider resources such as adequate staff or access to nutritional specialists have also have also been cited as barriers to diagnosis and management (Peiris, 2006).…”

“…Furthermore, some providers do not feel competent in addressing obesity in children (Freedman & Stern, 2004). Personal characteristics of practitioners such as their own weight, eating habits, and exercise may influence their approach and management of obesity (Freedman & Stern, 2004).…”

“…Furthermore, some providers do not feel competent in addressing obesity in children (Freedman & Stern, 2004). Personal characteristics of practitioners such as their own weight, eating habits, and exercise may influence their approach and management of obesity (Freedman & Stern, 2004). Even if screening and diagnosis take place, a “perceived futility of involvement” also exists in the minds of many providers (Benson et al 2009, p. e157).…”

“…Even if screening and diagnosis take place, a “perceived futility of involvement” also exists in the minds of many providers (Benson et al 2009, p. e157). This may be related to providers’ repeated failed attempts in managing obesity (Freedman & Stern, 2004).…”

Maintaining professional confidence - monitoring work with obese schoolchildren with support of an action plan

“…Also, the independent social habits of children entice them into environments, where snacks and high‐calorie foods are easily available (8). In addition, mental health problems also have increased in Sweden, mostly among women (2), and studies confirm correlations between obesity and low self‐esteem (1), negative state of mind (9), and low quality of life (10, 11). However, other studies have pointed out that children’s obesity not necessarily impact on their quality of life (12, 13).…”