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Journal article
Childhood Obesity: Evidence-Based Guidelines for Clinical Practice-Part Two
Journal of pediatric health care, Vol.35(1), pp.120-131
01/2021
PMID: 32980214
Web of Science ID: WOS:000603076100017
Abstract
Introduction: Childhood obesity remains a serious public health problem affecting all ages of the pediatric life span. Despite increases in interventions and research, the prevalence of childhood obesity continues to rise. The National Center for Health Statistics 2015-2016 data report an overall childhood obesity rate of 18.5%, with variation between age groups: 13.9% among 2–5 years old, 18.4% among 6–11 years old, and 20.6% among 12–19 years old (Hales, Carroll, Fryar, & Ogden, 2017). For children with developmental and intellectual disabilities (e.g., autism spectrum disorder), estimates of obesity are as high as 29.7% and 30.4%, respectively (Fox, Witten, & Lullo, 2014). The comorbidities of adult obesity, including hyperlipidemia, hypercholesterolemia, hypertension, metabolic syndrome, nonalcoholic fatty liver disease, and type 2 diabetes, are now common in childhood (Center for Disease Control and Prevention, 2016; Kumar & Kelly, 2017). In addition, pediatric overweight and obesity have resulted in increased behavioral and mental health issues and often have long-term impacts on the developing child and adolescent (Center for Disease Control and Prevention, 2016).
Pediatric health care providers (PHCPs) are key to the assessment, treatment, and prevention of childhood overweight and obesity, but rates of obesity management in the primary care setting are low (Rhee, Kessl, Lindback, Littman, & El-Kareh, 2018). There are many quality tools and resources available that use evidence-based practices and multidisciplinary resources to assist providers in counseling families on improving health behaviors, parenting skills, and modifying environmental influences with families. Organizations such as the American Academy of Pediatrics (AAP) and the National Association of Pediatric Nurse Practitioners have provided sentinel guidelines related to childhood obesity management (Barlow & Expert Committee, 2007; National Association of Pediatric Nurse Associates & Practitioners, 2006). These guidelines titled (respectively) “Expert Committee Recommendations Regarding the Prevention, Assessment, and Treatment of Child and Adolescent Overweight and Obesity: Summary Report” and the “Healthy Eating and Activity Together (HEAT) Initiative” are well known and have proved to be very useful for the practicing clinician. Unfortunately, considerable time and energy are needed to maintain and update these resources, and they are becoming outdated. In addition, it can be difficult for PHCPs to find the time needed to gather and discern the quality of resources available then decide which should be used in the care of their patients and families. The purpose of Part Two of this review is to provide PHCPs with useful and evidenced-based information to aid in the prevention and management of the child with overweight and obesity in an easily retrievable format and to develop a Childhood Overweight and Obesity Evidence-Based Toolbox.
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Details
- Title
- Childhood Obesity
- Publication Details
- Journal of pediatric health care, Vol.35(1), pp.120-131
- Resource Type
- Journal article
- Publisher
- Elsevier
- Number of pages
- 12
- Copyright
- © 2020 by the National Association of Pediatric Nurse Practitioners.
- Identifiers
- WOS:000603076100017; 99381356539506600
- Academic Unit
- School of Nursing; Usha Kundu, MD College of Health
- Language
- English