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- Title
Childhood Obesity: An Evidence-Based Approach to Family-Centered Advice and Support.
- Authors
Kaufman, Tara K.; Lynch, Brian A.; Wilkinson, John M.
- Abstract
The prevalence of childhood obesity continues to rise despite decades of clinical and public health efforts. Early identification of children at risk of developing obesity is essential using newer electronic health systems, which move beyond traditional growth charts to provide a wealth of information about body mass index and other relevant parameters such as social determinants of health and comorbid conditions. For children who already have obesity, there are several evidence-based strategies health care providers can use as they work with patients and families to mitigate the effects. First and foremost, providers should address the issue; unfortunately, weight is often not discussed in clinical practice. In addressing the issue, providers should support families through effective, positive relationships. Providers must be aware of their biases; their language should be appropriate and nonstigmatizing. Helpful interventions should focus on behavior, not weight, health, or appearance. Motivational interviewing may be used to promote healthful behaviors: supportive parenting, regular exercise, healthful food choices, minimal screen time, and optimal sleep. There is limited evidence for the efficacy of specific weight loss diets. Both medication and bariatric surgery are indicated for select adolescents who have severe disease unresponsive to behavioral management.
- Subjects
UNITED States; PREVENTION of childhood obesity; RISK of childhood obesity; BEHAVIOR modification; BEHAVIOR therapy; DIET; FAMILIES; FAMILY medicine; HEALTH behavior; HEALTH promotion; LANGUAGE &; languages; SERVICES for caregivers; MEDICAL personnel; MEDICAL screening; NATURAL foods; BARIATRIC surgery; CHILDHOOD obesity; PARENTING; PUBLIC health; RISK assessment; SOCIAL stigma; WEIGHT loss; EVIDENCE-based medicine; COMORBIDITY; SOCIAL support; MOTIVATIONAL interviewing; CULTURAL competence; DISEASE prevalence; CULTURAL prejudices; PATIENTS' families; EARLY diagnosis; SCREEN time; SLEEP hygiene
- Publication
Journal of Primary Care & Community Health, 2020, Vol 11, p1
- ISSN
2150-1319
- Publication type
Article
- DOI
10.1177/2150132720926279