Obesity Prevention and Treatment in Primary Care

Academic Pediatrics
Callie L Brown, Eliana M Perrin

Abstract

Despite extensive public health and clinical interventions, obesity rates remain high, and evidence-based preventive strategies are elusive. Many consensus guidelines suggest that providers should screen all children after age 2 years for obesity by measuring height and weight, calculating body mass index (BMI), and sensitively communicating weight status in the context of health to the family at each visit. However, preventive counseling should begin in infancy and focus on healthy feeding, activity, and family lifestyle behaviors. For children with overweight or obesity, the American Academy of Pediatrics outlines 4 stages of treatment: 1) Primary care providers should offer "prevention plus," the use of motivational interviewing to achieve healthy lifestyle modifications in family behaviors or environments; 2) children requiring the next level of obesity treatment, structured weight management, need additional support beyond the primary care provider (such as a dietitian, physical therapist, or mental health counselor) and more structured goal setting with the team, including providers adept at weight management counseling; 3) children with severe obesity and motivated families may benefit from referral to a comprehensive mu...Continue Reading

Citations

Jan 21, 2019·British Journal of Sports Medicine·Reidar P LystadRebecca J Mitchell
Jul 28, 2020·Italian Journal of Pediatrics·Roberta RomanelliGiuseppina Rosaria Umano
Jan 9, 2019·Frontiers in Pediatrics·Omoye E ImoisiliHeidi Blanck
Oct 9, 2020·The British Journal of Nutrition·Gabriela SalazarCamila Corvalán
Nov 26, 2020·JAAPA : Official Journal of the American Academy of Physician Assistants·Christen Cupples Cooper, Ellen D Mandel
Aug 28, 2020·Journal of Obesity & Metabolic Syndrome·Sarah Woo, Kyung Hee Park
Apr 14, 2021·Journal of Primary Care & Community Health·Mical K ShiltsMarilyn S Townsend

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