Mobile applications (apps) offer a novel way to engage children in behavior change, but little is known about content of commercially available apps for this population. We analyzed the content of apps for iPhone/iPad for pediatric weight loss, healthy eating (HE), and physical activity (PA). Fifty-seven apps were downloaded and tested by two independent raters. Apps were coded for: inclusion of the Expert Committee for Pediatric Obesity Prevention's (ECPOP) eight recommended strategies (e.g., set goals) and seven behavioral targets (e.g., do ≥1 h of PA per day), utilization of gaming elements, and general characteristics. Most apps lacked any expert recommendations (n035, 61.4 %). The mean number of recommendations among apps that used recommendations was 3.6±2.7 out of 15, 56.1 % (n032) apps were classified as games, and mean price per app was $1.05±1.66. Most apps reviewed lacked expert recommendations and could be strengthened by addition of comprehensive information about health behavior change and opportunities for goal setting.
KEYWORDSPediatric obesity, Childhood, Overweight, Mobile apps, Mobile health INTRODUCTION Recent reports show that 16.9 % of children in the United States are obese and almost 30 % of children are overweight or obese by age 5 years [1, 2], putting them at greater risk for health complications and future weight gain [3,4]. Among actions recommended by pediatric obesity experts are promotion of healthy eating (HE) and physical activity (PA) [5,6] as well including the whole family in treatment [7]. Mobile applications (apps) are an engaging way to involve children in health behavior changes, capitalizing on portability and affordability of delivering health information via mobile devices and opportunity to use gaming to make health information entertaining [8,9]. While most children do not own their own smartphone, parents are heavy app users, with 57 % of app-using